Efficacy of a 3-month lifestyle intervention program using a Japanese-style healthy plate on body weight in overweight and obese diabetic Japanese subjects: a randomized controlled trial

Nutrition Journal

Naoki Sakane¹  Kaoru Takahashi⁵  Kokoro Tsuzaki¹  Kazuhiko Kotani¹  Takahiro Yamauchi²  Tomomi Katayama³  Keiko Yamauchi⁴ 

[1] Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan;Nursing Department, Gamagori City Hospital, Aichi, Japan;Takarazuka University School of Nursing, Osaka, Japan;Department of Nutritional Science, Nagoya University of Arts and Sciences, Aichi, Japan;Hyogo Health Service Association, Hyogo, Japan

关键词: Obesity;    Diabetes;    Weight loss;    Portion control plate;   

Others  :  1132430
DOI  :  10.1186/1475-2891-13-108

 received in 2014-02-20, accepted in 2014-11-14,  发布年份 2014

【 摘 要 】

Background and objectives

The portion size of food is a determinant of energy intake, linking with obese traits. A healthy plate for portion control has recently been made in a Japanese style. The aim of the current study was to assess the efficacy of a lifestyle intervention program using the Japanese-style healthy plate on weight reduction in overweight and obese diabetic Japanese subjects.

Methods

We randomized overweight and obese diabetic subjects (n = 19, 10 women) into an intervention group including educational classes on lifestyle modification incorporating the healthy plate (n = 10) or a waiting-list control group (n = 9). The intervention period was three months, and the educational classes using the healthy plate were conducted monthly in a group session for the intervention group. The body weight, blood glycemic and metabolic measures, and psychosocial variables were measured at the baseline and after the 3-month intervention in both groups. The impression of the intervention was interviewed using a structured questionnaire.

Results

There was one drop-out in the control group. No adverse events were reported in the groups. Subjects in the intervention group had a greater weight change from baseline to the end of the 3-month intervention period (-3.7 +/- 2.5 [SD] kg in the intervention group vs. -0.1 +/- 1.4 kg in the control group, P = 0.002). Most subjects recorded that the use of a healthy plate could be recommended to other people.

Conclusions

The lifestyle intervention program using the Japanese-style healthy plate, which was developed for portion control, may effectively reduce body weight in overweight and obese diabetic subjects in Japan. Further studies are needed to establish the efficacy of this methodology on weight management.

【 授权许可】

   
2014 Yamauchi et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Popkin BM, Doak CM: The obesity epidemic is a worldwide phenomenon. Nutr Rev 1998, 56:106-114.
• [2]Flegal KM, Carroll MD, Kit BK, Ogden CL: Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012, 307:491-497.
• [3]Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S: Twenty-year changes in the prevalence of overweight in Japanese adults: the National Nutrition Survey 1976–95. Obes Rev 2002, 3:183-190.
• [4]Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray CJ, Ezzati M: The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med 2009, 6:e1000058.
• [5]Rolls BJ, Morris EL, Roe LS: Portion size of food affects energy intake in normal-weight and overweight men and women. Am J Clin Nutr 2002, 76:1207-1213.
• [6]Pedersen SD, Kang J, Kline GA: Portion control plate for weight loss in obese patients with type 2 diabetes mellitus: a controlled clinical trial. Arch Intern Med 2007, 167:1277-1283.
• [7]Kesman RL, Ebbert JO, Harris KI, Schroeder DR: Portion control for the treatment of obesity in the primary care setting. BMC Res Notes 2011, 4:346. BioMed Central Full Text
• [8]Morinaka T, Wozniewicz M, Jeszka J, Bajerska J, Nowaczyk P, Sone Y: Westernization of dietary patterns among young Japanese and Polish females – a comparison study. Ann Agric Environ Med 2013, 20:122-130.
• [9]Suzuki T, Miyaki K, Tsutsumi A, Hashimoto H, Kawakami N, Takahashi M, Shimazu A, Inoue A, Kurioka S, Kakehashi M, Sasaki Y, Shimbo T: J-HOPE study group (the Japanese study of Health, Occupation, and Psychosocial factors related Equity). Japanese dietary pattern consistently relates to low depressive symptoms and it is modified by job strain and worksite supports. J Affect Disord 2013, 150:490-498.
• [10]Hu EA, Pan A, Malik V, Sun Q: White rice consumption and risk of type 2 diabetes: meta-analysis and systematic review. BMJ 2012, 15:e1454.
• [11]Teramoto T, Sasaki J, Ishibashi S, Birou S, Daida H, Dohi S, Egusa G, Hiro T, Hirobe K, Iida M, Kihara S, Kinoshita M, Maruyama C, Ohta T, Okamura T, Yamashita S, Yokode M, Yokote K: Treatment A) lifestyle modification: executive summary of the Japan Atherosclerosis Society(JAS) guidelines for the diagnosis and prevention of atherosclerotic cardiovascular diseases in Japan–2012 version. J Atheroscler Thromb 2013, 20:835-849.
• [12]Kagawa M, Binns CB, Hills AP: Body composition and anthropometry in Japanese and Australian Caucasian males and Japanese females. Asia Pac J Clin Nutr 2007, 16(Suppl 1):S31-S36.
• [13]Fukushima M, Suzuki H, Seino Y: Insulin secretion capacity in the development from normal glucose tolerance to type 2 diabetes. Diabetes Res Clin Pract 2004, 66(Suppl 1):S37-S43.
• [14]Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P: Extending the CONSORT Statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med 2008, 148:295-309.
• [15]Vickers AJ: How to randomize. J Soc Integr Oncol 2006, 4:194-198.
• [16]Boutcher SH, Dunn SL: Factors that may impede the weight loss response to exercise-based interventions. Obes Rev 2009, 10:671-680.
• [17]Dalbo VJ, Roberts MD, Stout JR, Kerksick CM: Effect of gender on the metabolic impact of a commercially available thermogenic drink. J Strength Cond Res 2010, 24:1633-1642.
• [18]Goodwin PJ, Segal RJ, Vallis M, Ligibel JA, Pond GR, Robidoux A, Blackburn GL, Findlay B, Gralow JR, Mukherjee S, Levine M, Pritchard KI: Randomized trial of a telephone-based weight loss intervention in postmenopausal women with breast cancer receiving letrozole: the LISA trial. J Clin Oncol 2014, 32:2231-2239.
• [19]Oshima Y, Matsuoka Y, Sakane N: Effect of weight-loss program using self-weighing twice a day and feedback in overweight and obese subject: a randomized controlled trial. Obes Res Clin Pract 2013, 7:e361-e366.
• [20]Ortega RM, López-Sobaler AM, Andrés P, Rodríguez-Rodríguez E, Aparicio A, Perea JM: Folate status in young overweight and obese women: changes associated with weight reduction and increased folate intake. J Nutr Sci Vitaminol (Tokyo) 2009, 55:149-155.
• [21]Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM, Diabetes Prevention Program Research Group: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002, 346:393-403.
• [22]So R, Matsuo T, Sasai H, Eto M, Tsujimoto T, Saotome K, Tanaka K: Best single-slice measurement site for estimating visceral adipose tissue volume after weight loss in obese, Japanese men. Nutr Metab (Lond) 2012, 9:56. BioMed Central Full Text
• [23]Raben A, Tagliabue A, Astrup A: The reproducibility of subjective appetite scores. Br J Nutr 1995, 73:517-530.
• [24]Karlsson J, Persson LO, Sjostrom L, Sullivan M: Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes Relat Metab Disord 2000, 24:1715-1725.
• [25]de Lauzon B, Romon M, Deschamps V, Lafay L, Borys JM, Karlsson J, Ducimetière P, Charles MA, Fleurbaix Laventie Ville Sante Study Group: The Three-Factor Eating Questionnaire-R18 is able to distinguish among different eating patterns in a general population. J Nutr 2004, 134(9):2372-2380.
• [26]D’Anci KE, Watts KL, Kanarek RB, Taylor HA: Low-carbohydrate weight-loss diets. Effects on cognition and mood. Appetite 2009, 52:96-103.
• [27]Cheatham RA, Roberts SB, Das SK, Gilhooly CH, Golden JK, Hyatt R, Lerner D, Saltzman E, Lieberman HR: Long-term effects of provided low and high glycemic load low energy diets on mood and cognition. Physiol Behav 2009, 98:374-379.
• [28]Sone H, Tanaka S, Iimuro S, Tanaka S, Oida K, Yamasaki Y, Oikawa S, Ishibashi S, Katayama S, Yamashita H, Ito H, Yoshimura Y, Ohashi Y, Akanuma Y, Yamada N, Japan Diabetes Complications Study Group: Long-term lifestyle intervention lowers the incidence of stroke in Japanese patients with type 2 diabetes: a nationwide multicentre randomised controlled trial (the Japan Diabetes Complications Study). Diabetologia 2010, 53:419-428.
• [29]Noda Y, Iide K, Masuda R, Kishida R, Nagata A, Hirakawa F, Yoshimura Y, Imamura H: Nutrient intake and blood iron status of male collegiate soccer players. Asia Pac J Clin Nutr 2009, 18:344-350.
• [30]Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC Jr, International Diabetes Federation Task Force on Epidemiology and Prevention; Hational Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity: Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009, 120:1640-1645.
• [31]Andersen CJ, Fermandez ML: Dietary strategies to reduce metabolic syndrome. Rev Endocr Metab Disord 2013, 14:241-254.
• [32]Melanson KJ, Summers A, Nguyen V, Brosnahan J, Lowndes J, Angelopoulos TJ, Rippe JM: Body composition, dietary composition, and components of metabolic syndrome in overweight and obese adults after a 12-week trial on dietary treatments focused on portion control, energy density, or glycemic index. Nutr J 2012, 11:57. BioMed Central Full Text
• [33]Kumar AA, Palamaner Subash Shantha G, Kahan S, Samson RJ, Boddu ND, Cheskin LJ: Intentional weight loss and dose reductions of anti-diabetic medications–a retrospective cohort study. PLoS One 2012, 7:e32395.
• [34]Fayers P: Alphas, betas and skewy distributions: two ways of getting the wrong answer. Adv Health Sci Educ Theory Pract 2011, 16:291-296.
• [35]Heymsfield SB, van Mierlo CA, van der Knaap HC, Heo M, Frier HI: Weight management using a meal replacement strategy: meta and pooling analysis from six studies. Int J Obes Relat Metab Disord 2003, 27:537-549.
• [36]Dansinger ML, Tatsioni A, Wong JB, Chung M, Balk EM: Meta-analysis: the effect of dietary counseling for weight loss. Ann Intern Med 2007, 147:41-50.