Abstract
We investigated whether an Information and Communication Technology (ICT) application (app) motivated to increase adherence to lifestyle changes, and to improve indicators of metabolic disturbances among Japanese civil servants. A non-randomized, open-label, parallel-group study was conducted with 102 participants aged 20–65 years undergoing a health check during 2016–2017, having overweight and/or elevated glucose concentration. Among them, 63 participants chose Specific Health Guidance (SHG) and ongoing support incorporating the use of an app (ICT group) and 39 individuals chose only SHG (control group). Fifty from the ICT group and 38 from the control group completed the study. After completing the 6-month program, the control group showed a significant decrease in body mass index (p = 0.008), male waist circumference (p < 0.001), systolic blood pressure (BP) (p = 0.005), diastolic BP (p < 0.001), and glycated hemoglobin (HbA1c) (p < 0.001), and increase in high-density lipoprotein (HDL) cholesterol (p = 0.008). However, the ICT group showed a significant decrease in male waist circumference (p < 0.001), diastolic BP (p = 0.003), and HbA1c (p < 0.001), and increase in HDL cholesterol (p = 0.032). The magnitude of change for most indicators tended to be highest for ICT participants (used the app ≥5 times/month). Both groups reported raised awareness on BP and weight. The app use program did not have a major impact after the observation period. Proper action requires frequent use of the app to enhance best results.
Highlights
Lifestyle-related diseases, including metabolic syndrome, are increasing worldwide
The aim was to investigate whether an information and communication technology (ICT) health guidance application motivated to increase adherence to lifestyle changes among Japanese civil servants with risk of metabolic disturbances
We examined the changes in indicators of metabolic disturbances related to lifestyle changes made by the participants
Summary
Lifestyle-related diseases, including metabolic syndrome, are increasing worldwide. Persons with metabolic syndrome have a higher risk of diabetes, atherosclerotic cardiovascular disease, non-alcoholic fatty liver disease, and potentially linked to morbidity and mortality [1,2]. Participants are provided with information about their condition, and their lifestyles are reviewed using their screening results They are advised to set achievable personalized behavioral goals, that include increased exercise (e.g., walking an extra 10 min), self-monitoring (wearing a pedometer), and adjusting their diet. The programs are considered completed when participants received a specific amount of consultation time (IHG) and when the 6-month evaluation is done (both IHG and MHG) [14] This scheme provides a framework to support the improvement of workers’ health and the prevention of future disease development, which in turn contributes to increased productivity. The aim was to investigate whether an ICT health guidance application (app) motivated to increase adherence to lifestyle changes among Japanese civil servants with risk of metabolic disturbances. We examined the changes in indicators of metabolic disturbances related to lifestyle changes made by the participants
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
