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
Hauptverfasser: Febriyanti, Eka, Agustina, Rina, Martineta, Meriza, Putri, Melyarna, Hardiany, Novi S
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container_start_page 51
container_title Annals of nutrition and metabolism
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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.
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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 (&lt;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 &gt; 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. 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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 (&lt;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. 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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 (&lt;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. 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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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