Study Design of the Saku Control Obesity Program (SCOP)

Watanabe, Shaw; Morita, Akemi; Aiba, Naomi; Miyachi, Motohiko; Sasaki, Satoshi; Morioka, Masahiro; Noda, Masahiko; Takebayashi, Toru; Kimira, Mitsuru

doi:10.3793/jaam.4.70

Cited by 17 publications

(10 citation statements)

References 17 publications

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“…The details and design of the study have been previously described elsewhere [17-19]. Briefly, the program consisted of a randomized intervention trial using cognitive-behavioral treatment at the Saku Health Dock Center.…”

Section: Methodsmentioning

confidence: 99%

Dietary glycemic index and glycemic load in relation to HbA1c in Japanese obese adults: a cross-sectional analysis of the Saku Control Obesity Program

et al. 2012

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BackgroundDietary glycemic index or load is thought to play an important role in glucose metabolism. However, few studies have investigated the relation between glycemic index (GI) or load (GL) and glycemia in Asian populations. In this cross-sectional analysis of a randomized controlled trial, the Saku Control Obesity Program, we examined the relation between the baseline GI or GL and glycemia (HbA1c and fasting plasma glucose [FPG] levels), insulin resistance (HOMA-IR), β-cell function (HOMA-β), and other metabolic risk factors (lipid levels, diastolic and systolic blood pressure, and adiposity measures).MethodsThe participants were 227 obese Japanese women and men. We used multiple linear regression models and logistic regression models to adjust for potential confounding factors such as age, sex, visceral fat area, total energy intake, and physical activity levels.ResultsAfter adjustments for potential confounding factors, GI was not associated with HbA1c, but GL was positively associated with HbA1c. For increasing quartiles of GI, the adjusted mean HbA1c were 6.3%, 6.7%, 6.4%, and 6.4% (P for trend = 0.991). For increasing quartiles of GL, the adjusted mean HbA1c were 6.2%, 6.2%, 6.6%, and 6.5% (P for trend = 0.044). In addition, among participants with HbA1c ≥ 7.0%, 20 out of 28 (71%) had a high GL (≥ median); the adjusted odds ratio for HbA1c ≥ 7.0% among participants with higher GL was 3.1 (95% confidence interval [CI] = 1.2 to 8.1) compared to the participants with a lower GL (

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Section: Methodsmentioning

confidence: 99%

Dietary glycemic index and glycemic load in relation to HbA1c in Japanese obese adults: a cross-sectional analysis of the Saku Control Obesity Program

et al. 2012

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“…The details of SCOP are described elsewhere (12) . In each location, subjects were included according to the following criteria: (a) in good health; (b) not pregnant or breast-feeding; (c) BMI higher than 18·5 kg/m 2 ; (d) living in their home prefecture 2 weeks before and during the study; (e) not on a weight-loss or treatment diet; and (f) alcohol consumption less than 40 g/d.…”

Section: Subjectsmentioning

confidence: 99%

Relation of body composition to daily physical activity in free-living Japanese adult women

et al. 2011

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The objective of the present study was to investigate the relationship between the indices of body size such as BMI, fat-free mass index (FFMI, FFM/height 2 ), fat mass index (FMI, FM/height 2 ), and body fat percentage (%BF), and physical activities assessed by the doublylabelled water (DLW) method and an accelerometer in free-living Japanese adult women. We conducted a cross-sectional study in 100 female subjects ranging in age from 31 to 69 years. Subjects were classified in quartiles of BMI, FFMI, FMI and %BF. Daily walking steps and the duration of light to vigorous physical activity were simultaneously assessed by an accelerometer for the same period as the DLW experiment. Only physical activity-related energy expenditure (PAEE)/FFM and PAEE/body weight (BW) decreased in the highest quartile of BMI. Physical activity level, PAEE/FFM and PAEE/BW decreased in the highest quartile of FMI and %BF, whereas they were not different among quartiles of FFMI. Daily walking steps and the duration of moderate-and vigorous-intensity physical activities decreased or tended to decrease in the highest quartile of FMI and %BF, but did not differ among quartiles of FFMI and BMI. These results clearly showed that Japanese adult women with higher fat deposition obviously had a low level of physical activities assessed by both the DLW method and accelerometry, but those with larger BMI had lower PAEE/FFM and PAEE/BW only. Our data suggest that the relationship between obesity and daily physical activities should be discussed using not only BMI but also FMI or %BF.Key words: Body composition: Physical activity: Doubly-labelled water: Accelerometry: Japanese adult women Obesity is caused by an imbalance between energy intake and energy expenditure. Obese individuals are often considered to be physically less active than normal-weight individuals. However, most cross-sectional studies using the doubly-labelled water (DLW) method, which is known to be the most accurate method of measuring energy expenditure in free-living conditions (1,2) , have reported that physical activity level (PAL; the ratio of total energy expenditure(TEE):BMR) did not differ among BMI categories (3 -6) . The reason for the lack of this association may be partly explained by differences in the distribution of fat-free mass (FFM) and fat mass (FM). PAL appears to be negatively associated with FM (7,8) , but not correlated with FFM (5) . However, these studies have only reported information on the association between PAL and either FM or FFM, which are not adjusted for body size, such as body height. To our knowledge, no information is available from thoroughly examining the relationship between BMI or body composition, i.e. FFM index (FFMI, FFM divided by height squared), FM index (FMI, FM divided by height squared) or body fat percentage (%BF) and physical activity in adult women, particularly in Asian populations.Recently, many cross-sectional studies on adult women in Western countries and Japan reported that BMI and %BF were inversely associate...

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“…14 We developed a weight loss program based on a behavioral approach with dietary and exercise intervention (Saku Control Obesity Program (SCOP)) in Japan. [15][16][17] In this program, we emphasized individually-tailored counseling, instead of uniform class room teaching, and the diet and physical activity were designed for each participant. [18][19][20] Half participants succeeded to reduced more than 5% body weight, and to change to the good lifestyle.…”

Section: Males (N=31)mentioning

confidence: 99%

Wellness Fasting for Healthy Longevity

Utada¹,

Moriyama²,

Hitomi³

et al. 2016

Adv Food Technol Nutr Sci Open J

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Introduction: Increasing rates of obesity, diabetes and associated chronic diseases requires implementing a new method of integration for healthy longevity. We have elaborated to take the balance of food, physical activity and mind to achieve a healthy spiritual life by stimulating the self-healing capacity. Objectives: All 161 registered participants to ARSOA Wellness Fasting from October, 2014 to December 2015 were analyzed. Methods: About 20-25 participants each time stayed in a mountainous hotel, and received a combination of low-energy vegetarian diet (about 300 kcal intake by fermented vegetable juice per day), physical exercise (2-hour walking, slow training and stretch), meditation, and lectures about healthy life habits in the 4-day program. Facilities, such as foot spar, radon bath, and massage with/without oil were available in free time. Results: Body weight decreased about 2 kg, and fat percent and muscle volume also decreased during 4 day fasting. Although headache, hungry, gastrointestinal (GI) tract distress, emesis, depressive and cold feeling occurred toward the 2 nd day, these symptoms disappeared at the 4

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Study Design of the Saku Control Obesity Program (SCOP)

Cited by 17 publications

References 17 publications

Dietary glycemic index and glycemic load in relation to HbA1c in Japanese obese adults: a cross-sectional analysis of the Saku Control Obesity Program

Dietary glycemic index and glycemic load in relation to HbA1c in Japanese obese adults: a cross-sectional analysis of the Saku Control Obesity Program

Relation of body composition to daily physical activity in free-living Japanese adult women

Wellness Fasting for Healthy Longevity

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