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There is limited evidence on the evaluation of serum lipid levels through lifestyle modification. This study aims to evaluate the effect of a smartphone application\u2010based diet and exercise improvement program on men living with HIV and dyslipidemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a randomized controlled trial recruiting Japanese men living with HIV who have dyslipidemia: intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919) and control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919). The intervention group received a third individual guidance session during the 6\u2010month intervention and was encouraged to record their diet on a smartphone application. An intention\u2010to\u2010treat analysis of the results was conducted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention group showed significantly reduced change in low\u2010density lipoprotein levels compared to the control group (\u22124.00\u2009\u00b1\u200920.2\u2009mg\/dL vs. 10.11\u2009\u00b1\u200921.1\u2009mg\/dL) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.042) from baseline to 6\u2009months post\u2010intervention. No significant differences were found in other serum lipid levels. Abdominal circumference decreased significantly in the intervention group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.048) from baseline to 6\u2009months post\u2010intervention. Total energy, protein, carbohydrate, fat, and salt intake, dietary and physical activity behavior change stages and social support, dietary self\u2010efficacy, and loneliness significantly improved in the intervention group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05) from baseline to 6\u2009months post\u2010intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A diet and physical activity improvement program using a smartphone application based on Japanese\u2010specific health guidance may reduce low\u2010density lipoprotein cholesterol levels in this population. Further sample expansion and examination of long\u2010term effects are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jjns.12535","type":"journal-article","created":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T03:18:56Z","timestamp":1681528736000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effects of a smartphone app\u2010based diet and physical activity program for men living with\n                    <scp>HIV<\/scp>\n                    who have dyslipidemia: A pilot randomized controlled trial"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5478-7863","authenticated-orcid":false,"given":"Maki","family":"Aomori","sequence":"first","affiliation":[{"name":"Doctoral Program of Nursing, Graduate School of Health Sciences Kumamoto University  Kumamoto Japan"},{"name":"Department of Nursing, Graduate School of Medicine Yokohama City University  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiharu","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Life Sciences Kumamoto University  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanae","family":"Takebayashi","sequence":"additional","affiliation":[{"name":"Nursing Department Yokohama City University Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Matsuyama","sequence":"additional","affiliation":[{"name":"Nursing Department Yokohama City University Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukiko","family":"Uto","sequence":"additional","affiliation":[{"name":"Nursing Department Yokohama City University Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miho","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Nursing Department Yokohama City University Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sei","family":"Samukawa","sequence":"additional","affiliation":[{"name":"Department of Stem Cell and Immune Regulation Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Stem Cell and Immune Regulation Yokohama City University Graduate School of Medicine  Yokohama Japan"},{"name":"Infection Prevention and Control Department Yokohama City University Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of Stem Cell and Immune Regulation Yokohama City University Graduate School of Medicine  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitomi","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Life Sciences Kumamoto University  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12102970"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2014.01.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02691-6"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa062744"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13927"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2008.00886.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000616"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/qad.0000000000001984"},{"key":"e_1_2_9_10_1","unstructured":"European AIDS Clinical Society. 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