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Development of a tailor-made individual life-style intervention programs for prevention of type 2 diabetes mellitus

Research Project

Project/Area Number 17590532
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionTohoku University

Principal Investigator

KURIYAMA Shiinichi  Tohoku University Graduate School of Medicine, Associate Professor, 大学院医学系研究科, 助教授 (90361071)

Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2006: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2005: ¥2,900,000 (Direct Cost: ¥2,900,000)
Keywordsdiabetes mellitus / prevention / individual life-style intervention / polymorphism / tailor-made
Research Abstract

We firstly compared the effectiveness of intensive and moderate intervention, focusing on the frequency of individual educational classes. The subjects were men and women aged 44-69 years living in Japan. We assigned the subjects according to their residences to an intensive life-style intervention group (two education classes per month; n=11) or a moderate intervention group (one education class per month; n=14). After 6 months of intervention, the loss of body weight was-3.5 kg (p<.0001) in the intensive intervention group and-1.8 kg (p=0.02) in the moderate group, and the net difference in body weight loss between the groups was-2.0 kg (95% confidence interval (CI);-4.0 to-0.05; p=0.045).
Secondly, we compared the changes of body weight and plasma glucose concentration between carriers and noncarriers of the Trp64Arg polymorphism in the 83-adrenergic receptor gene before and after weight loss interventions. A total of 37 persons (12 carriers and 25 noncarriers for the Trp64Arg polymorphism) participated in the study. There were no differences in body weight or plasma glucose concentration between the two groups at baseline. There were significant reductions in body weight and plasma glucose concentration, when analyzed with the two genotypes combined, but no significant differences between carriers and noncarriers with respect to changes in these variables. The weight change was-2.5 kg (95% CI;-3.6,-1.3) among carriers and-1.9 kg (95% CI;-2.7,-1.1) among noncarriers. The corresponding figures in fasting plasma glucose concentration were-3.9 mg/dl (95% CI;-8.4, 0.6) and-0.2 mg/d1 (95% CI;-3.3, 2.9), respectively.
These results suggest that the presence of the Trp64Arg polymorphism may not play a major role in a hindrance to weight reduction, while intensive intervention could produce better results even if the genetic backgrounds were not considered.

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (6 results)

All 2006

All Journal Article (6 results)

  • [Journal Article] 適正減量を目指した糖尿病予防の個別健康教育における強力介入群と通常介入群の比較2006

    • Author(s)
      栗山進一
    • Journal Title

      日本公衆衛生雑誌 53 (2)

      Pages: 122-132

    • NAID

      10017332797

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 生活習慣病対策のエビデンス -保健指導によって集団はどう変わるか(疫学的視点からのアプローチ)2006

    • Author(s)
      栗山進一
    • Journal Title

      保健師ジャーナル 62 (10)

      Pages: 808-813

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Comparison of intensive and moderate individual life-style intervention programs for overweight or obese persons with fasting glucose levels of 95-125 mg/dl in Japan2006

    • Author(s)
      Shinichi Kuriyama
    • Journal Title

      Japanese Journal of Public Health 53 (2)

      Pages: 122-132

    • NAID

      10017332797

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] How could persons be expected to change?-Approaches from the epidemiological viewpoint2006

    • Author(s)
      Shinichi Kuriyama
    • Journal Title

      Hokenshi Journal 62 (10)

      Pages: 808-813

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 適正減量を目指した糖尿病予防の個別健康教育における強力介入群と通常介入群の比較2006

    • Author(s)
      栗山進一
    • Journal Title

      日本公衆衛生雑誌 53(2)

      Pages: 122-132

    • NAID

      10017332797

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 生活習慣病対策のエビデンス -保健指導によって集団はどう変わるか (疫学的視点からのアプローチ)2006

    • Author(s)
      栗山進一
    • Journal Title

      保健師ジャーナル 62

      Pages: 808-813

    • Related Report
      2006 Annual Research Report

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Published: 2005-04-01   Modified: 2016-04-21  

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