The study of nutritional-assessment and risk-communication for the promotion of dietary healthy

由于代谢综合征的患病率在日本日益增加，我们从2000年开始开展了一项基于健康教育和自我决定的肥胖干预计划。我们采用行为程序，以学习原则为基础，加强饮食和运动的自我控制。以体重减轻1.0kg、代谢测量值降低10%为目标，以2000 ~ 2005年自愿参加本研究的岛根县居民295名为研究对象，年龄56.2±8.4岁，体重指数（BMI）为25.0±3.0。三个月的辍学率为7.8%。行为干预导致参与者每日能量摄入量显著减少（-262千卡），能量消耗量增加（147千卡）。干预导致体重减轻的显着差异体重指数（BMI）在两组间差异有统计学意义（P <0.05），体重指数（BMI）在两组间差异有统计学意义（P <0.05）。（2.4%）、腰围（2.2%），血压（2.3/3.8%）、血糖（1.4%）和血脂（如总胆固醇（3.0）、低密度脂蛋白胆固醇（4.0%）、高密度脂蛋白胆固醇（5.4%）和甘油三酯（13.3%））。这项调查表明，营养评估和促进饮食健康行为的风险沟通对代谢综合征的早期治疗有影响。体重减轻是决定因素，对参与者的甘油三酯、总胆固醇、HDL-胆固醇和葡萄糖的变异解释不到10%。未来关于代谢综合征减肥的研究应纳入亚洲种族因素，如饮食行为和遗传影响。

Since the prevalence of metabolic syndrome is getting increase in Japanese, we conducted to develop an interventional program for obesity based on health education and self-determination from 2000. We adopted the behavioral program to strengthen self-control of diet and exercise based on learning principles. Objectives of the program were to lose 1.0kg of weight and to reduce 10% of metabolic measurement values.Subjects were 295 residents with Body Mass Index of 25.0±3.0, aged 56.2±8.4 years in Shimane Prefecture, voluntarily participated in the present study in 2000-2005. The rate of drop out from the program for three months was 7.8%. The behavioral intervention induced significant decreases for intakes of energy (-262kcal), and increase for consumption of energy (147kcal) per day for participants. The intervention induced a significant difference in weight-loss (-1.5kg) for participants.Significant differences of anthropometric parameters were found in BMI (2.4%), waist circumference (2.2%), blood pressure (2.3/3.8%), glucose (1.4%) and lipid profile, such as total cholesterol (3.0), LDL-cholesterol (4.0%), HDL-cholesterol (5.4%), and triglyceride (13.3%) by the intervention. This investigation suggests that nutritional-assessment and risk-communication on promotion of dietary healthy behaviors have an effect on early treatment for metabolic syndrome.Weight-loss was determinants explaining less than a total of 10% of the variance in triglyceride, total cholesterol, HDL-cholesterol, and glucose for the participants. Future studies of weight-loss for metabolic syndrome should incorporate Asian ethnic factors, such as dietary behaviors and genetic influence.