Use of health promotion manga to encourage physical activity and healthy eating in Japanese patients with metabolic syndrome: A case study

Takashi Shimazaki, Munehiro Matsushita, Misa Iio, Koji Takenaka

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    Abstract

    Background: The present case study investigated the feasibility of using manga (Japanese-style comic books) to promote physical activity and healthy eating behavior in Japanese patients with metabolic syndrome. Methods: A one-arm pre-post intervention was conducted in a Japanese suburban community. Twenty participants with a diagnosis of metabolic syndrome were recruited via health checkups. Health promotion manga were developed by the researcher, a publishing specialist, and a professional illustrator. We measured participants' self-reported physical activity, eating behavior, and psychological readiness to change toward engaging in healthy behavior. Results: At 1 month after the intervention there were no significant differences in physical activity scores, but small positive changes in vigorous (R 2 = 0.02) and moderate (R 2 = 0.01) physical activity scores were observed. Total healthy eating behavior scores were significantly improved (p < 0.05, R 2 = 0.47). In addition, participants reported positive change in psychological readiness, such as increased intention to engage in healthy behavior, enhanced self-efficacy, and benefits of using manga. Conclusions: This study demonstrates that manga interventions have potential to encourage healthy eating in patients with metabolic syndrome.

    Original languageEnglish
    Article number26
    JournalArchives of Public Health
    Volume76
    Issue number1
    DOIs
    Publication statusPublished - 2018 Jun 18

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    Keywords

    • Eating behavior
    • Manga
    • Metabolic syndrome
    • Physical activity

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

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