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...
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Veröffentlicht in: | Annals of nutrition and metabolism 2019-01, Vol.75, p.51 |
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creator | Febriyanti, Eka Agustina, Rina Martineta, Meriza Putri, Melyarna Hardiany, Novi S |
description | 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. |
doi_str_mv | 10.1159/000501751 |
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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 (<40 or ≥40 years old) to receive either an intervention with mobile application of balanced and sustainable diet, or balanced diet only group. Both groups were asked to comply with the menu recommendations, self-monitoring using the application, weekly dietary counseling and sport gathering for eight weeks. HOMA-IR was assessed before and after the intervention. The demographic characteristics including age, nutritional status, waist circumference, physical activity level, education, occupation and place of residents in both groups were comparable. Results: At baseline, there was no difference in HOMA-IR in the intervention or control group. Although there was a significant reduction of HOMA-IR within intervention group, the difference in the mean reduction of HOMA-IR after intervention [(–0.87 ± 1.27) vs (–0.29 ± 1.21), p > 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.</description><identifier>ISSN: 0250-6807</identifier><identifier>EISSN: 1421-9697</identifier><identifier>DOI: 10.1159/000501751</identifier><language>eng</language><publisher>Basel: S. Karger AG</publisher><subject>Applications programs ; Body composition ; Body mass index ; Body size ; Climate change ; Clinical trials ; Diet ; Health risks ; Homeostasis ; Insulin ; Insulin resistance ; Intervention ; Mobile computing ; Nutrition ; Nutritional status ; Obesity ; Physical activity ; Reduction ; Sustainability ; Womens health</subject><ispartof>Annals of nutrition and metabolism, 2019-01, Vol.75, p.51</ispartof><rights>Copyright S. Karger AG 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Febriyanti, Eka</creatorcontrib><creatorcontrib>Agustina, Rina</creatorcontrib><creatorcontrib>Martineta, Meriza</creatorcontrib><creatorcontrib>Putri, Melyarna</creatorcontrib><creatorcontrib>Hardiany, Novi S</creatorcontrib><title>Effect of a Balanced and Sustainable Diet Using Mobile Application on Insulin Resistance among Obese Women: A Randomized Clinical Trial</title><title>Annals of nutrition and metabolism</title><description>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 (<40 or ≥40 years old) to receive either an intervention with mobile application of balanced and sustainable diet, or balanced diet only group. Both groups were asked to comply with the menu recommendations, self-monitoring using the application, weekly dietary counseling and sport gathering for eight weeks. HOMA-IR was assessed before and after the intervention. The demographic characteristics including age, nutritional status, waist circumference, physical activity level, education, occupation and place of residents in both groups were comparable. Results: At baseline, there was no difference in HOMA-IR in the intervention or control group. Although there was a significant reduction of HOMA-IR within intervention group, the difference in the mean reduction of HOMA-IR after intervention [(–0.87 ± 1.27) vs (–0.29 ± 1.21), p > 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.</description><subject>Applications programs</subject><subject>Body composition</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Climate change</subject><subject>Clinical trials</subject><subject>Diet</subject><subject>Health risks</subject><subject>Homeostasis</subject><subject>Insulin</subject><subject>Insulin resistance</subject><subject>Intervention</subject><subject>Mobile computing</subject><subject>Nutrition</subject><subject>Nutritional status</subject><subject>Obesity</subject><subject>Physical activity</subject><subject>Reduction</subject><subject>Sustainability</subject><subject>Womens health</subject><issn>0250-6807</issn><issn>1421-9697</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqNjc9KxDAQh4MoWP8cfIMBz9VJbZrW27qu6EGEdcXjMu2mkiVNapNefAFfe-fgAwgDA7_5ft8IcSXxRkrV3CKiQqmVPBKZLAuZN1Wjj0WGhcK8qlGfirMY94iyqEuVid9V35suQeiB4IEc-c7sgPwO3ueYyHpqnYFHaxJ8ROu_4DW0lpPFODrbUbLBA8-Lj7OzHtYmWq6xBGgIjL-1Jhr4DIPx97CANZvDYH_4x5J5NjjYTJbchTjpyUVz-bfPxfXTarN8zscpfM8mpu0-zJPn07ZQFdZalxLv_kcdAH1nVnE</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Febriyanti, Eka</creator><creator>Agustina, Rina</creator><creator>Martineta, Meriza</creator><creator>Putri, Melyarna</creator><creator>Hardiany, Novi S</creator><general>S. Karger AG</general><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20190101</creationdate><title>Effect of a Balanced and Sustainable Diet Using Mobile Application on Insulin Resistance among Obese Women: A Randomized Clinical Trial</title><author>Febriyanti, Eka ; Agustina, Rina ; Martineta, Meriza ; Putri, Melyarna ; Hardiany, Novi S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_25608774103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Applications programs</topic><topic>Body composition</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Climate change</topic><topic>Clinical trials</topic><topic>Diet</topic><topic>Health risks</topic><topic>Homeostasis</topic><topic>Insulin</topic><topic>Insulin resistance</topic><topic>Intervention</topic><topic>Mobile computing</topic><topic>Nutrition</topic><topic>Nutritional status</topic><topic>Obesity</topic><topic>Physical activity</topic><topic>Reduction</topic><topic>Sustainability</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Febriyanti, Eka</creatorcontrib><creatorcontrib>Agustina, Rina</creatorcontrib><creatorcontrib>Martineta, Meriza</creatorcontrib><creatorcontrib>Putri, Melyarna</creatorcontrib><creatorcontrib>Hardiany, Novi S</creatorcontrib><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Annals of nutrition and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Febriyanti, Eka</au><au>Agustina, Rina</au><au>Martineta, Meriza</au><au>Putri, Melyarna</au><au>Hardiany, Novi S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of a Balanced and Sustainable Diet Using Mobile Application on Insulin Resistance among Obese Women: A Randomized Clinical Trial</atitle><jtitle>Annals of nutrition and metabolism</jtitle><date>2019-01-01</date><risdate>2019</risdate><volume>75</volume><spage>51</spage><pages>51-</pages><issn>0250-6807</issn><eissn>1421-9697</eissn><abstract>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 (<40 or ≥40 years old) to receive either an intervention with mobile application of balanced and sustainable diet, or balanced diet only group. Both groups were asked to comply with the menu recommendations, self-monitoring using the application, weekly dietary counseling and sport gathering for eight weeks. HOMA-IR was assessed before and after the intervention. The demographic characteristics including age, nutritional status, waist circumference, physical activity level, education, occupation and place of residents in both groups were comparable. Results: At baseline, there was no difference in HOMA-IR in the intervention or control group. Although there was a significant reduction of HOMA-IR within intervention group, the difference in the mean reduction of HOMA-IR after intervention [(–0.87 ± 1.27) vs (–0.29 ± 1.21), p > 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.</abstract><cop>Basel</cop><pub>S. Karger AG</pub><doi>10.1159/000501751</doi></addata></record> |
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source | JSTOR Archive Collection A-Z Listing; Karger Journals; Alma/SFX Local Collection |
subjects | Applications programs Body composition Body mass index Body size Climate change Clinical trials Diet Health risks Homeostasis Insulin Insulin resistance Intervention Mobile computing Nutrition Nutritional status Obesity Physical activity Reduction Sustainability Womens health |
title | Effect of a Balanced and Sustainable Diet Using Mobile Application on Insulin Resistance among Obese Women: A Randomized Clinical Trial |
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