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Title :The Smart Life Stay (SLS) program : effects of a lifestyle intervention program in combination with health tourism and health guidance for type 2 diabetes
Authors :Matsushita, Madoka
Muramoto, Akiko
Nomura, Eri
Eguchi, Yukari
Kato, Ayako
Sano, Yoshiko
Kabayama, Mai
Arakawa, Masashi
Oguma, Yuko
Yabe, Daisuke
Matsunaga, Masaaki
Yatsuya, Hiroshi
Arima, Hiroshi
Tsushita, Kazuyo
Issue Date :29-Aug-2020
Abstract :Background: The aim of this study was to determine the effectiveness of the Smart Life Stay (SLS) program, which is an experience-oriented stayover program, in combination with health tourism and mandatory health guidance on glucose metabolism after 2 years. Methods: The participants of the SLS program (n = 792) were recruited from a database of 23 medical insurers. They underwent a mandatory health examination termed Specific Health Checkups in 2014. The participants were included if they had diabetes or were at a high risk of diabetes and if they satisfied the following inclusion criteria: (1) body mass index (BMI; kg/m^2 ) > 25, or (2) waist circumference (WC; cm) > 85 for men and > 90 for women, or (3) hemoglobin A1c (HbA1c; %) > 5.6, or (4) fasting plasma glucose (FPG; mg/dl) > 100. Individuals who corresponded to one or more items were included as study participants. The control subjects (n = 3645) were nonparticipants of the program who were selected from the database and met the inclusion criteria. The lifestyle changes and changes in mean BMI, WC, FPG, and HbA1c in both groups from baseline to 2-year follow-up were compared by inverse probability weighting of a propensity score. Results: The percentage of people who exercised regularly increased significantly in the SLS group compared with the control group. In the SLS group, BW, BMI, and WC significantly decreased by 1.75 kg, 0.60 kg/m^2 , and 1.45 cm, respectively, whereas in the control group, WC, FPG, and HbA1c increased significantly by 0.38 cm, 3.37 mg/dl, and 0.12%, respectively. The comparison between groups revealed that the BW, BMI, WC, FPG, and HbA1c improved significantly in the SLS group. Conclusions: The SLS program is suggested to help improve glucose metabolism. This program could be a feasible option as a lifestyle intervention program for diabetes.
URL :https://doi.org/10.1038/s41387-020-00136-x
Type Local :雑誌掲載論文
ISSN :2044-4052
Publisher :Springer Nature
URI :http://hdl.handle.net/20.500.12000/47845
Citation :Nutrition & Diabetes Vol.10
Appears in Collections:Peer-reviewed Journal Articles (Faculty of Global and Regional Studies)

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