Health Evaluation and Promotion
Online ISSN : 1884-4103
Print ISSN : 1347-0086
ISSN-L : 1347-0086
Original Articles
Effects of Changes in Lifestyle on Weight Loss before and after Intervention with Active Support Including Specific Health Guidance
Aki MadonoKatsushi YoshitaToru KuribayashiNagako OkudaKoshi NakamuraMakoto WatanabeMai KabayamaKei KamideKatsuyuki MiuraKazuyoshi ItaiAkira Okayama
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JOURNAL OPEN ACCESS

2018 Volume 45 Issue 2 Pages 374-381

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Abstract
 This study was performed with subjects who received active support including specific health guidance, with the aim of clarifying the effects of changes in lifestyle on weight loss. The results are based on the answers that they provided in standard questionnaires before and after the support intervention. The subjects included 4,318 males and 810 females at 155 facilities who were categorized as requiring active support based on the results of special health check-up from April 2011 to March 2013, and completed the health guidance. In the study, a weight loss of 3% or more was considered as a positive outcome.
 The percentage of subjects with a weight loss of 3% or higher was 32.3% and 39.6% in the male and female subjects, respectively. The male and female subjects with a weight loss of 3% or higher accounted for 20% or higher of the subjects who maintained or increased their bad lifestyle habits, and those who maintained or reduced their good lifestyle habits. A reduction in the bad lifestyle habits with the intervention was significantly correlated with a weight loss of 3% or higher. For male subjects, these parameters included “having a snack or midnight meal after dinner” (odds ratio: 2.01, 95% confidence interval: 1.42-2.84), “exercise with light sweating for 30 minutes or longer per day” (1.70, 1.41-2.07), “pace of eating when compared to others” (1.55, 1.23-1.97), “high-risk alcohol drinking” (1.52, 1.06-2.19), and “walking or physical activity for 1 hour or longer per day” (1.32, 1.10-1.58). For female subjects, the parameters were “not having breakfast” (2.56, 1.14-5.73) and “exercise with light sweating for 30 minutes or longer per day” (1.72, 1.15-2.56). In addition, even after adjustment for the factors of age, BMI, smoking, and high-risk alcohol drinking, similar results were obtained.
 Based on these findings, it was suggested that a certain level of weight loss could be confirmed in the subjects who received active support, and the effects tended to be increased when concrete improvements were made in their lifestyle.
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© 2018 Japan Society of Health Evaluation and Promotion
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