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 - 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.
UR - http://www.scopus.com/inward/record.url?scp=85073827442&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85073827442&partnerID=8YFLogxK
U2 - 10.1016/j.jdiacomp.2019.107450
DO - 10.1016/j.jdiacomp.2019.107450
M3 - Article
C2 - 31648850
AN - SCOPUS:85073827442
SN - 1056-8727
VL - 33
JO - Journal of Diabetes and its Complications
JF - Journal of Diabetes and its Complications
IS - 12
M1 - 107450
ER -
