Effect of a Balanced and Sustainable Diet Using Mobile Application on Insulin Resistance among Obese Women: A Randomized Clinical Trial

Background/Aims: Insulin resistance is a common attribute for obesity. A balanced diet with calorie-restriction requires a novel way that considers sustainable foods due to issues of obesity and climate changes and may improve insulin resistance. We examined the effect of a balanced and sustainable diets using mobile application "EATsUp" on the change of HOMA-IR (the Homeostasis Model Assessment of Insulin Resistance) as an insulin resistant marker. Methods: A double-blind randomized clinical trial was conducted involving 56 obese women aged 19–59 years with body mass index (BMI) ≥25 kg/m2 in Jakarta and/or Depok Cities. Subjects were selected randomly and stratified based on age group ( 0.05] between groups was not significantly different after adjustment for BMI. Conclusion: An eight-week of balanced and sustainable dietary application intervention did not reduce elevated HOMA-IR level compared with a balanced diet mobile application.