【Objective】 “The Japan Diet” is recommended by the Japan Atherosclerosis Society to prevent atherosclerotic diseases. Nutrition education for the Japanese younger generation is needed, given their inappropriate eating habits. Therefore, we designed the remote learning nutrition education program recommending “The Japan Diet” , studied its effects and identified issues requiring revision.
【Methods】 Thirty-four male employees of a trading company, 22-39 years of age, at risk of lifestyle-related disease development participated in remote nutrition education for 3 months. Online individual nutrition education was provided at baseline, after 4 and 8 weeks, with 3 months of follow-up. Participants were instructed to do daily self-monitoring of body weight and intakes of food groups comprising “The Japan Diet” using a spreadsheet application. Fasting anthropometric, blood pressure and blood biochemical parameters were measured, food frequency employing the Plus1Minus1 questionnaire, and dietary records, obtained photographically, were submitted at baseline and after 3 months. At the end of the intervention, participants filled out a questionnaire on the educational materials used for the
online education including the application system and their understanding of “The Japan Diet” .
【Results】 The frequency of foods recommended for increased intake rose and foods to be avoid decreased (p<0.01) at 3 months as compared with baseline. Fatty meat and poultry intakes were reduced by half, while intakes of unrefined grains, green and yellow vegetables, soybean products, and fish doubled (p<0.01).Body weight, umbilical circumference, systolic blood pressure (p<0.01),and blood lipids (p<0.05) were reduced at 3 months compared with the baseline. The median frequencies of entering information in the self-monitoring spreadsheet were 4.3 and 4.9 times per week for body weight and each food group intakes, respectively, during the first 4 weeks, but then decreased during the intervention period. All participants answered that entering information on the self-monitoring sheet facilitated their practice of “The Japan Diet” .
【Conclusion】 The information communication technology based on a remote nutrition education program for “The Japan Diet” intake was suggested to be useful for young Japanese people at risk of lifestyle-related diseases. However, the current program should be revised to be more efficient and practical for both participants and educators.
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