{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:48:39Z","timestamp":1786981719014,"version":"build-2736575974"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T00:00:00Z","timestamp":1619568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T00:00:00Z","timestamp":1619568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urol Nephrol"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effect of a mobile digital intervention on voiding patterns, we performed 24-h voided volume monitoring in individuals with metabolic disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants with metabolic disorders were grouped into either the intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200917), who had access to a smartphone app (CARADA), or the non-intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), who did not. Urine monitoring was conducted for 24\u00a0h using a novel digital self-health monitoring system for urine excretion (s-HMSU). Body weight, abdominal circumference, blood pressure, and biomarkers were measured.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Physical findings and blood test results at baseline and 6\u00a0months indicated no significant between-group differences. Night-time frequency did not change between baseline and 6\u00a0months in the intervention group but significantly worsened at 6\u00a0months in the non-intervention group, as compared to baseline (1.0\u2009\u00b1\u20090.7 vs. 1.5\u2009\u00b1\u20090.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The change in night-time frequency over 6\u00a0months did not differ between the intervention and non-intervention groups. Furthermore, the change in hours of undisturbed sleep over 6\u00a0months did not differ between the two groups. However, compared with baseline, nocturnal polyuria index tended to worsen at 6\u00a0months in the non-intervention group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study results suggest that mobile digital intervention might be useful for behavioral therapy to improve night-time frequency and urine production and that s-HMSU might be beneficial for confirming the prevention of progress in individuals with metabolic disorders, which can aid in modifying lifestyle.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11255-021-02867-x","type":"journal-article","created":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T06:06:42Z","timestamp":1619590002000},"page":"1497-1505","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of a mobile digital intervention to enhance physical activity in individuals with metabolic disorders on voiding patterns measured by 24-h voided volume monitoring system: Kumejima Digital Health Project (KDHP)"],"prefix":"10.1007","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3669-4510","authenticated-orcid":false,"given":"Minoru","family":"Miyazato","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asuka","family":"Ashikari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8141-7614","authenticated-orcid":false,"given":"Koshi","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoto","family":"Yamashiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsugumi","family":"Uema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moriyuki","family":"Uehara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2445-1047","authenticated-orcid":false,"given":"Hiroaki","family":"Masuzaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiichi","family":"Saito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6688-9875","authenticated-orcid":false,"given":"Shiro","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5781-7914","authenticated-orcid":false,"given":"Hajime","family":"Ishida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Matsushita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,28]]},"reference":[{"issue":"6","key":"2867_CR1","doi-asserted-by":"publisher","first-page":"816","DOI":"10.1111\/j.1464-410X.2005.05407.x","volume":"95","author":"R Asplund","year":"2005","unstructured":"Asplund R, Marnetoft SU, Selander J, Akerstrom B (2005) Nocturia in relation to somatic health, mental health and pain in adult men and women. 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