A weight-loss program that uses a behavioral approach and a diet and exercise intervention (the Saku Control Obesity Program; SCOP): JAEE Research Project “Evidence from Intervention Studies”

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  • Nakade Makiko
    Faculty of Health and Welfare, Tokai Gakuin University
  • Murakami Haruka
    Department of Health Promotion and Exercise Program, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition
  • Miyachi Motohiko
    Department of Health Promotion and Exercise Program, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition
  • Aiba Naomi
    Department of Nutrition and Life Science, Kanagawa Institute of Technology
  • Morita Akemi
    Department of Nutrition, Koshien University
  • Shimoda Tetsuo
    Dock Center, Saku Central Hospital Nagano Prefectural Federation of Agricultural Cooperatives for Health and Welfare
  • Watanabe Shaw
    Life Science Promotion Foundation

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Other Title
  • 行動科学的手法を用いた減量プログラム（佐久肥満克服プログラム）：日本運動疫学会プロジェクト研究“介入研究によるエビデンス提供”
  • コウドウ カガクテキ シュホウ オ モチイタ ゲンリョウ プログラム(サク ヒマン コクフク プログラム) : ニホン ウンドウエキガッカイ プロジェクト ケンキュウ"カイニュウ ケンキュウ ニ ヨル エビデンス テイキョウ"

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Abstract

<p>We developed a weight-loss program that uses a behavioral approach and a diet and exercise intervention (the Saku Control Obesity Program; SCOP) and demonstrated its effectiveness using a randomized controlled trial with a one-year follow-up. This article introduces our program and presents evaluation of its generalizability using the RE-AIM (reach, effectiveness/efficacy, adoption, implementation, maintenance) framework. This is part of the JAEE Research Project “Evidence from Intervention Studies.” In the SCOP, participants in the intervention group set monthly plans to modify their lifestyle habits (diet, dietary habits, and physical activity) with the support of doctors, registered dietitians, and exercise instructors. Participants were recruited from middle-aged overweight/obese people who visited the Saku Health dock center in Nagano prefecture. Out of those who visited the Saku Health dock center, 24.1% of people who agreed to participate in the program and met the eligibility criteria received the intervention. The intervention group lost significant weight through the program and maintained their weight loss during the follow-up period. The program is relatively easy to conduct because it does not require specific equipment. However, given that a total of 19 experts (most of them were our institute’ staff) and a significant amount of time were required for this intervention, it may be difficult to adopt this program directly as part of the community public health programs. We need further analysis to identify effective interventions and implement these interventions in the community public health programs based on the available funding.</p>

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