TY - JOUR
T1 - Dietary instructions focusing on meal-sequence and nutritional balance for prediabetes subjects
T2 - An exploratory, cluster-randomized, prospective, open-label, clinical trial
AU - Yabe, Daisuke
AU - Kuwata, Hitoshi
AU - Fujiwara, Yuuka
AU - Sakaguchi, Mayuka
AU - Moyama, Shota
AU - Makabe, Noboru
AU - Murotani, Kenta
AU - Asano, Hiroshi
AU - Ito, Sanae
AU - Mishima, Hideyuki
AU - Takase, Hideto
AU - Ota, Noriyasu
AU - Seino, Yusuke
AU - Hamamoto, Yoshiyuki
AU - Kurose, Takeshi
AU - Seino, Yutaka
N1 - Funding Information:
The authors appreciate discussion with S. Seino of Kobe University Graduate School of Medicine. The authors are also grateful to H. Abe and H. Niguma of Kansai Electric Power Medical Research Institute and K. Koga, M. Yamane and H. Horio of Kansai Electric Power Hospital for secretarial assistance. The part of the current study was presented as the Late Breaking Abstract at the American Diabetes Association's 78th Scientific Sessions (Florida, OL, USA). All data is available upon request. This study was supported by grants from the Mishima Kaiun Memorial Foundation (D.Y.) and the Urakami Foundation for Food and Food Culture Promotion (D.Y.) and by Kao Corporation. D. Yabe and Yut. Seino contributed to the conception and design of the research and the analysis, interpretation of data and writing of the manuscript. K. Murotani contributed to the statistical analysis and interpretation of data and the writing of the manuscript. H. Kuwata, S. Moyama, M. Sakaguchi, S. Moyama, N. Makabe, H. Asano, S. Ito, H. Mishima, H. Takase, N. Ota, Yus. Seino, Y. Hamamoto, and T. Kurose contributed to the analysis and interpretation of data and critical revisions of the manuscript for important intellectual content. All authors approved the version to be published. D. Yabe and Yut. Seino are the guarantors of this work.
Funding Information:
This study was supported by grants from the Mishima Kaiun Memorial Foundation (D.Y.) and the Urakami Foundation for Food and Food Culture Promotion (D.Y.) and by Kao Corporation .
Publisher Copyright:
© 2019 The Authors
PY - 2019/12
Y1 - 2019/12
N2 - Background: Although lifestyle modifications are known to be effective in type 2 diabetes (T2D) as well as in prediabetes, adherence to a healthy diet is difficult for some, and interventions of lifestyle modifications need to be revised occasionally. Meal sequence has been gaining attention as a part of a healthy diet among T2D individuals to improve glycemia and body weight. In addition, a dietary instruction program, SMART Washoku®, which can help individuals to consume a more nutritionally balanced diet, has been developed. Methods: The current exploratory trial was designed to examine the effects of dietary instructions focusing on meal sequence and nutritional balance in individuals with prediabetes in the Japanese national health check-up and guidance program. Participants were cluster-randomized into three groups: Group A, receiving a conventional health guidance program (n = 11); Group B, receiving health guidance with dietary instructions focusing on meal sequence (n = 18); and Group C, receiving health guidance with dietary instructions focusing on nutritional balance (n = 13). Participants received health guidance education and various measurements before and 6 months after the instructions. Results: Body weight in Group B was significantly reduced compared to that in Group A, with similar adherence, while the effects on glycemia were similar between the two Groups. Body weight reduction was greater in Group C compared to that in Group A, although adherence in Group C was significantly lower than that in Group A. Conclusion: The group receiving health guidance with dietary instructions focusing on meal sequence exhibited similar adherence and greater reduction in body weight than the group receiving conventional health guidance.
AB - Background: Although lifestyle modifications are known to be effective in type 2 diabetes (T2D) as well as in prediabetes, adherence to a healthy diet is difficult for some, and interventions of lifestyle modifications need to be revised occasionally. Meal sequence has been gaining attention as a part of a healthy diet among T2D individuals to improve glycemia and body weight. In addition, a dietary instruction program, SMART Washoku®, which can help individuals to consume a more nutritionally balanced diet, has been developed. Methods: The current exploratory trial was designed to examine the effects of dietary instructions focusing on meal sequence and nutritional balance in individuals with prediabetes in the Japanese national health check-up and guidance program. Participants were cluster-randomized into three groups: Group A, receiving a conventional health guidance program (n = 11); Group B, receiving health guidance with dietary instructions focusing on meal sequence (n = 18); and Group C, receiving health guidance with dietary instructions focusing on nutritional balance (n = 13). Participants received health guidance education and various measurements before and 6 months after the instructions. Results: Body weight in Group B was significantly reduced compared to that in Group A, with similar adherence, while the effects on glycemia were similar between the two Groups. Body weight reduction was greater in Group C compared to that in Group A, although adherence in Group C was significantly lower than that in Group A. Conclusion: The group receiving health guidance with dietary instructions focusing on meal sequence exhibited similar adherence and greater reduction in body weight than the group receiving conventional health guidance.
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U2 - 10.1016/j.jdiacomp.2019.107450
DO - 10.1016/j.jdiacomp.2019.107450
M3 - Article
C2 - 31648850
AN - SCOPUS:85073827442
VL - 33
JO - Journal of Diabetes and its Complications
JF - Journal of Diabetes and its Complications
SN - 1056-8727
IS - 12
M1 - 107450
ER -