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Tanaka Y, Maeda N, Koseki M, Maeda K. Changes in Body Weight in Severely Obese Patients Treated with the Anorexiant Mazindol. J Clin Med 2024; 13:1860. [PMID: 38610625 PMCID: PMC11012520 DOI: 10.3390/jcm13071860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 03/17/2024] [Accepted: 03/20/2024] [Indexed: 04/14/2024] Open
Abstract
(1) Background: The number of severely obese patients worldwide is rapidly increasing. Recently, novel therapeutic approaches, such as bariatric surgery or GLP-1 receptor agonists, have emerged, bringing about a paradigm shift in this field. However, these therapies sometimes face challenges, such as peri-surgical complications or supply shortages. Mazindol, which is an appetite suppressant approved decades ago in Japan, remains a valuable option. In this study, we investigated the effectiveness of mazindol in reducing body weight in 147 patients, and we examined the factors influencing said effectiveness. (2) Methods: The patients were divided into four groups based on the treatment cycles they underwent: 1 cycle, 2 cycles, 3-5 cycles, and over 6 cycles. We compared the changes in body weight before and after the treatment among these four groups. Additionally, we sought to identify the factors correlated to the effectiveness of mazindol. (3) Results: The change in body weight was more pronounced in the group which underwent 3-5 cycles compared to the groups which underwent 1 cycle and 2 cycles; this change was also more pronounced in the group which underwent over 6 cycles compared to those which underwent 1 cycle. Furthermore, we observed a significant correlation between the initial body weight and the extent of body weight change. (4) Conclusions: Mazindol demonstrated effectiveness in reducing the body weight of patients in a cycle-dependent manner.
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Affiliation(s)
| | - Norikazu Maeda
- Longwood Maeda Clinic, Suita 565-0874, Japan
- Department of Endocrinology, Metabolism and Diabetes, Faculty of Medicine, Kindai University, Osaka-Sayama 589-8511, Japan
| | - Masahiro Koseki
- Longwood Maeda Clinic, Suita 565-0874, Japan
- Division of Cardiovascular Medicine, Department of Medicine, Osaka University Graduate School of Medicine, Suita 565-0871, Japan
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Matsuo R, Imamura T, Takamori A, Kishi T, Minami M, Miyakawa J, Yoshitake N, Hayashi A, Nakayama Y, Egashira N, Teramoto M, Ishinari H, Kajiyama I, Fujisaki S, Kakiyama H, Satou K, Nakafusa R, Tanaka C, Tanaka M, Isomura Y, Izumi K, Ohta S, Souta N, Matsuo N, Yamamoto K, Tsuji S, Umemura T, Takagi K, Fujimoto K. Improvement trend for individual health guidance intervention according to Japan clinical guidelines by public health nurses for type 2 diabetes mellitus who visited for medical checkups regularly: a case-control preliminary report. J Clin Biochem Nutr 2024; 74:141-145. [PMID: 38510680 PMCID: PMC10948351 DOI: 10.3164/jcbn.23-52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 08/08/2023] [Indexed: 03/22/2024] Open
Abstract
We conducted a retrospective case-control study to assess the efficacy of personalized health guidance interventions on individuals with type 2 diabetes mellitus and obesity. A selection was made of individuals in regular visits to the Takagi Hospital for medical checkups between January 2017, and October 2021. Totally, 108 subjects (cases) with health guidance were divided into 2 groups: one group without pharmacotherapy for diabetes mellitus in medical institutions (n = 92) and another group with pharmacotherapy (n = 116). Cases were provided with personalized health guidance interventions by public health nurses for 30 min, in accordance with the Japanese clinical guidelines for the prevention of lifestyle-related diseases. Sex- and age-matched controls were chosen from individuals with diabetes mellitus without health guidance. The intervention without pharmacotherapy resulted in improvements in health indicators, including body weight, waist circumference, diastolic blood pressure, triglyceride levels, and γ-glutamyl trans-peptidase. These positive effects were not observed in the control group without health guidance. The therapeutic effects of health guidance were observed in cases where pharmacotherapy was administered. In conclusion, the implementation of individual health guidance interventions may prove to be effective for individuals with type 2 diabetes mellitus and obesity who regularly attend medical checkups.
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Affiliation(s)
- Rina Matsuo
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Tomohiro Imamura
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Ayako Takamori
- Clinical Research Center, Saga University Hospital, Saga 849-8501, Japan
| | - Takuya Kishi
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Miwako Minami
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Junko Miyakawa
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Natsuki Yoshitake
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Ai Hayashi
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Yuki Nakayama
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Natsumi Egashira
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Minako Teramoto
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Hiroko Ishinari
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Itsuka Kajiyama
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Satomi Fujisaki
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Hitomi Kakiyama
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Kanako Satou
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Rei Nakafusa
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Chika Tanaka
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Megumi Tanaka
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Yuki Isomura
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Kenichi Izumi
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Shoichiro Ohta
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Nobuya Souta
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Norihito Matsuo
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Kyosuke Yamamoto
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Sadatoshi Tsuji
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Tsukuru Umemura
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Kuniyasu Takagi
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Kazuma Fujimoto
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
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Baden MY, Kato S, Niki A, Hara T, Ozawa H, Ishibashi C, Hosokawa Y, Fujita Y, Fujishima Y, Nishizawa H, Kozawa J, Muraki I, Furuya Y, Yonekura A, Shigyo T, Kawabe T, Shimomura I, Eisenberg DM. Feasibility pilot study of a Japanese teaching kitchen program. Front Public Health 2023; 11:1258434. [PMID: 38146475 PMCID: PMC10749421 DOI: 10.3389/fpubh.2023.1258434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 11/06/2023] [Indexed: 12/27/2023] Open
Abstract
Background This pilot study examined the feasibility of a new lifestyle modification program involving a "Teaching Kitchen" in Japan. Our goal was to explore (1) feasibility of the program; (2) acceptability for class frequency (weekly vs. bi-weekly); and (3) changes in biometrics, dietary intakes, and lifestyle factors. Methods A total of 24 employees with obesity in a Japanese company were recruited. Participants were randomly divided into two groups (weekly or bi-weekly group), each attending the program consisting of four two-hour classes (lectures on nutrition, exercise, mindfulness, and culinary instructions). Participants were observed for changes in dietary intakes, biometrics, and health related quality of life over the subsequent 3 months. We tested the between-group differences in changes using linear mixed-effect models. Results The program completion rates were 83.3% in total (91.7% for weekly group and 75.0% for bi-weekly group). From baseline to post-intervention, significant decreases were observed in weight (p < 0.001), body mass index (p < 0.001), diastolic blood pressure (p = 0.03), body fat mass (p < 0.001), and dietary intakes in total fat (p = 0.03) and sodium (p = 0.008) among 17 participants who were available for measurements. Improvements in biometrics remained significant 1 month after the intervention (all p ≤ 0.03 in 14 participants). Participants' health related quality of life was significantly improved in bodily pain, general health, vitality, and mental component score (all p ≤ 0.047). Conclusions The new Japanese Teaching Kitchen program is feasible with high program completion rates in Japanese office workers with obesity. While this was a small feasibility study, significant multiple improvements in dietary intakes, biometrics, and health related quality of life suggest that this line of inquiry warrants further exploration to address obesity and obesity-related diseases in Japan.
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Affiliation(s)
- Megu Y. Baden
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
- Department of Lifestyle Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Sarasa Kato
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Akiko Niki
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Tomoyuki Hara
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Harutoshi Ozawa
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
- Department of Lifestyle Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Chisaki Ishibashi
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Yoshiya Hosokawa
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Yukari Fujita
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Yuya Fujishima
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Hitoshi Nishizawa
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Junji Kozawa
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
- Department of Diabetes Care Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Isao Muraki
- Division of Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | | | | | | | | | - Iichiro Shimomura
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan
| | - David M. Eisenberg
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States
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