TY - JOUR
T1 - The Smart Life Stay (SLS) program
T2 - effects of a lifestyle intervention program in combination with health tourism and health guidance for type 2 diabetes
AU - Matsushita, Madoka
AU - Muramoto, Akiko
AU - Nomura, Eri
AU - Eguchi, Yukari
AU - Kato, Ayako
AU - Sano, Yoshiko
AU - Kabayama, Mai
AU - Arakawa, Masashi
AU - Oguma, Yuko
AU - Yabe, Daisuke
AU - Matsunaga, Masaaki
AU - Yatsuya, Hiroshi
AU - Arima, Hiroshi
AU - Tsushita, Kazuyo
N1 - Funding Information:
The authors are grateful to Tomofumi Hayase (Comprehensive Health Science Center, Aichi Health Promotion Public, Interest Foundation) for program support. This study was funded by the Japan Agency for Medical Research and Development (AMED). The AMED did not have a role in the writing of this manuscript and will not have a role in data collection or analysis in the future.
Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12/1
Y1 - 2020/12/1
N2 - 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/m2) > 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/m2, 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.
AB - 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/m2) > 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/m2, 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.
UR - http://www.scopus.com/inward/record.url?scp=85089960934&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85089960934&partnerID=8YFLogxK
U2 - 10.1038/s41387-020-00136-x
DO - 10.1038/s41387-020-00136-x
M3 - Article
C2 - 32862192
AN - SCOPUS:85089960934
SN - 2044-4052
VL - 10
JO - Nutrition and Diabetes
JF - Nutrition and Diabetes
IS - 1
M1 - 33
ER -
