P-53 Internet-based behaviour therapy for lifestyle changes in japanese patients with diabetes: results of a feasibility study

2016 ◽  
Vol 50 (Suppl 1) ◽  
pp. A61.1-A61
Author(s):  
Koji Yamatsu ◽  
Yuji Tajiri ◽  
Shuzo Kumagai
2021 ◽  
Author(s):  
Junpei Shikuma ◽  
Yoshiyuki Nagai ◽  
Mamoru Sakurai ◽  
Kana Udagawa ◽  
Rokuro Ito ◽  
...  

Abstract Background Pneumonia of unknown pathogenesis detected in Wuhan, Hubei Province, China, in December 2019 was later found to be a new coronavirus infection that causes the now-named coronavirus disease 2019 (COVID-19). The onset of the pandemic has drastically changed global lifestyles. Some reports about lifestyle changes in patients with diabetes during COVID-19 pandemic have been published. However, these studies have not assessed sex differences. Thus, we analyzed three lifestyle changes during the COVID-19 pandemic to determine any sex differences. Methods We analyzed physical activity, snacking habits, and drinking habits in 323 patients with diabetes. Sex differences in the changes in these three lifestyle habits were analyzed using the 𝜒2 test, and the factors that influenced the deterioration of HbA1c were analyzed by paired t-test. The factors that influenced the deterioration of HbA1c were determined by univariate and multivariate logistic regression analyses. Results Of the 323 diabetic, 212 were male (65.6%) and 111 were female (34.4%). HbA1c values were higher in 2020 compared with those in 2019. Increased physical activity was higher in men, whereas decreased physical activity was higher in women. The factors that affected the deterioration in HbA1c were snacking habits for the overall population and in the male sex. No factors significantly affected HbA1c in the female population. Conclusions Our study confirmed that lifestyle changes differed between the sexs during the COVID-19 pandemic. Snacks influenced the deterioration of HbA1c in the overall study population and in the male population. A balanced diet and regular exercise are important for all patients with diabetes during this pandemic. This study demonstrates that more attention should be given on men’s diet, whereas physical inactivity should be emphasized for women.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Junichi Mukai ◽  
Shinya Kanno ◽  
Rie Kubota

AbstractThe safety profiles of sodium-glucose co-transporter 2 (SGLT2) inhibitors may depend on races/ethnicities. We aimed to assess the safety profiles of SGLT2 inhibitors in Japanese patients with diabetes mellitus (DM). The electronic databases MEDLINE, CENTRAL, and Ichushi-web were searched for studies with no language restriction from their inception to August 2019. Trials were included in the analysis if they were randomized controlled trials (RCTs) comparing the effects of SGLT2 inhibitors with a placebo in Japanese patients with DM > 18 years and reporting HbA1c and at least 1 adverse event. We calculated risk ratios with 95% CIs and used a random-effects model. Of the 22 RCTs included in our review, only 1 included patients with type 1 DM. The durations of RCTs ranged between 4 and 24 weeks. In comparison with a placebo, SGLT2 inhibitors were associated with similar risks of hypoglycemia, urinary tract infection, genital infection, hypovolemia, and fracture. The outcomes of treatment with SGLT2 inhibitors among Japanese patients with DM suggest favorable safety profiles. However, further evidence from studies with a longer duration, involving more diverse populations, such as patients with different types of DM, or including individual SGLT2 inhibitors is needed to resolve the limitations of the present study.


2019 ◽  
Vol 26 (9) ◽  
pp. 805-820
Author(s):  
Miki Sakamoto ◽  
Naoki Edo ◽  
Satoshi Takahashi ◽  
Erina Okamura ◽  
Kenji Uno ◽  
...  

Heliyon ◽  
2019 ◽  
Vol 5 (5) ◽  
pp. e01715 ◽  
Author(s):  
Yoshiya Hosokawa ◽  
Junji Kozawa ◽  
Hitoshi Nishizawa ◽  
Dan Kawamori ◽  
Norikazu Maeda ◽  
...  

2013 ◽  
Vol 19 (4) ◽  
pp. 270 ◽  
Author(s):  
Karen Scott ◽  
Lisa Beatty

Despite the evidence base for Internet-delivered self-help programmes, their application to cancer carers has not been reported. This feasibility study evaluated a 6-week internet cognitive behaviour therapy (CBT) programme for early stage cancer carers. The study participants comprised 13 carers who were recruited over a 17-month period. Measures included distress, quality of life and programme engagement. Changes over time were measured using effect sizes (Cohen’s d), whereas acceptibility was assessed using qualitative feedback. Low enrolment and high attrition rates resulted in a failure to demonstrate feasibility. Large improvements in negative affect (d = 0.88) and emotional functioning (d = 0.62) were found. For treatment completers, the intervention holds promise in reducing distress. However, in light of the serious challenges with recruitment and retention, further research is needed to resolve participation barriers.


Sign in / Sign up

Export Citation Format

Share Document