"Intervention study on the tailor-made exercise support for working middle-aged males and the validation of its effect"-"Pilot study to establish the support program to be provided at Town Healthcare Room"

研究1：9名男性，所有参与者都建立了锻炼习惯，包括散步和伸展。因此，当研究完成时（6个月后），他们的内脏脂肪截面、体脂量和体重改善，1年后体重改善（p<0.05）。研究2：本研究采用随机分配的实验研究方法，通过对参与者的运动和饮食问卷调查、自我监测、量身定制的运动计划、身体测量和电话随访等方法，对参与者进行了实际目标设定。目标是在6个月内有效降低体重、BMI、体脂、内脏脂肪、增加肌肉比例、改变饮食行为和养成运动习惯。在1个月后完成干预时，与参与者进行了一小时的访谈。本研究在获得本组织伦理委员会的同意后，于2009年10月至2010年8月进行。结果：26名参与者（新计划组和医疗保健组各13名）完成了6个月的计划。新方案组和康复组在开始时无显著性差异。而采用量身定制干预的实验组和采用常规干预的对照组分别有12名和4名被试达到了目标。实验组学生达到目标人数增加的主要原因是他们学会了较简单、较不麻烦的练习，养成了做练习的习惯。在这项研究开始时，强烈希望“保持健康”的参与者能够继续锻炼。

Study 1 : Nine men, all of the participants established exercise habits including walking and stretching. Consequently, their visceral fat cross section, body fat amount, and body weight improved when the study completed (6 months later) and body weight improved 1 year later(p<0.05). Through the supports for individuals, typical exercise barriers that the participants had and the behavioral changes initiated by exercise habits became clear.Study 2 : This study designed as random assignment experimental study was comprised of practical target setups based on participants' responses to the exercise and diet questionnaires, self-monitoring, tailor-made exercise programs, body measurement, and telephone follow-ups. The goals were effective reduction of body weight, BMI, body fat, visceral fat, increase of muscle ratio, dietary behavior modification, and exercise habit acquisition in 6 months. One-hour interviews were held with participants when completing intervention 1 month after. The study was conducted from October 2009 through August 2010 after obtaining the consent of the ethical committee in our organization. Results : 26 participants (13 each for New-program group and Usual-care group) completed the 6-month programs. New-program group and Usual-care group had no significant difference at the beginning. However, 12 subjects in the experimental group with tailor-made intervention and 4 in the control group with conventional intervention attained the goal. The major reason for increased number in the experimental group to have attained the goal was they learned easier and less troublesome exercises and developed the habit of doing exercises. Participants who strongly desired to "maintain good health" when this research started were able to continue exercise.