UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062428
Receipt number R000071413
Scientific Title An interventional study of the usefulness of manual therapy, including Seitai, as part of a dietary program aimed at reducing visceral fat: an open-label, randomized, parallel-group controlled trial
Date of disclosure of the study information 2026/07/31
Last modified on 2026/07/31 16:29:02

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Basic information

Public title

A study of whether adding manual therapy, including Seitai, to a dietary program helps reduce visceral fat

Acronym

SEITAI Diet Study

Scientific Title

An interventional study of the usefulness of manual therapy, including Seitai, as part of a dietary program aimed at reducing visceral fat: an open-label, randomized, parallel-group controlled trial

Scientific Title:Acronym

SEITAI-VF Trial

Region

Japan


Condition

Condition

Obesity (BMI 25 or higher) and/or abdominal obesity (visceral fat accumulation) in adults seeking weight reduction

Classification by specialty

Endocrinology and Metabolism Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In adults seeking weight reduction (BMI 25 or higher, or waist circumference 85 cm or more for men and 90 cm or more for women), this study evaluates the usefulness of adding manual therapy such as Seitai to a diet program (intervention group) compared with the diet program alone (control group), using an open-label, randomized, parallel-group design with partial assessor blinding. The primary endpoint is the change or percent change in waist circumference from week 0 to week 12. Secondary endpoints include changes in anthropometric measures (body weight, BMI, body fat percentage), blood pressure, blood test values (glucose, HbA1c, serum lipids), constipation symptoms (CAS), health-related quality of life (SF-36v2 Japanese version), and habitual physical activity (IPAQ Japanese version), in order to assess holistic effects including pain, function, and exercise adherence. This study is positioned as an exploratory study examining the add-on effect of manual therapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Change and percent change in waist circumference from week 0 to week 12, measured in accordance with the JASSO guidelines

Key secondary outcomes

All outcomes are assessed as change or percent change from week 0 to week 12.
1. Anthropometric measures including body weight, BMI, and body fat percentage
2. Blood pressure (systolic and diastolic)
3. Blood test values (glucose, HbA1c, and serum lipids)
4. Constipation Assessment Scale (CAS, Japanese version): index of constipation symptoms
5. SF-36v2 Japanese version, standard form: index of health-related quality of life
6. International Physical Activity Questionnaire (IPAQ, Japanese short version, last 7 days): index of habitual physical activity


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Behavior,custom Maneuver

Interventions/Control_1

Intervention group: a 12-week diet program combined with manual therapy such as Seitai (target 25 participants).
1. Diet program: nutritional guidance on dietary balance is provided once a week by a registered dietitian or specifically trained staff, including confirmation of adherence to the program text.
2. Manual therapy: Seitai treatment aimed at adjusting whole-body musculoskeletal balance is performed once a week for 20 minutes per session, for a total of 12 sessions. Treatment is provided by qualified practitioners according to the standardized procedures defined in this study.
3. Assessment: anthropometric measurements (height, body weight, body fat percentage, waist circumference), blood pressure (systolic and diastolic), blood tests (glucose, HbA1c, serum lipids), CAS, SF-36 and IPAQ are measured at week 0 and week 12.
4. The final intervention and final assessment are performed 12 weeks and 0 days after the first intervention in principle, with a permissible window up to 12 weeks and 6 days.

Interventions/Control_2

Control group: the diet program alone for 12 weeks (target 25 participants).
1. Diet program: the same dietary guidance as the intervention group is provided for 12 weeks, without concomitant manual therapy.
2. Assessment: the same outcome measures as the intervention group are measured at week 0 and week 12.
3. After the end of the intervention period, participants receive a total of 12 sessions of the same manual therapy as the intervention group, at any frequency.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Men and women aged 18 years or older
2. Individuals who wish to reduce body weight
3. BMI of 25 or higher, or waist circumference of 85 cm or more for men and 90 cm or more for women
4. Individuals able to participate continuously throughout the intervention period
5. Individuals who have received a sufficient explanation of the purpose and content of the study and have provided consent
6. Individuals without orthopedic or internal medical disorders
(The presence of orthopedic or internal medical disorders is checked by trained staff using a screening checklist supervised by a physician who is a co-investigator, and a physician makes the final decision on eligibility.)

Key exclusion criteria

1. Individuals who have received instructions from their attending physician that would affect participation in this program
2. Women who are pregnant or breastfeeding
3. Individuals otherwise judged likely to have difficulty completing the program

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Naoya
Middle name
Last name Koga

Organization

Baumkuchen Works Inc.

Division name

Research Office

Zip code

840-0851

Address

2-4-44 Konohigashi, Saga-shi, Saga, Japan

TEL

+81-952-37-8167

Email

seitai.naoya@gmail.com


Public contact

Name of contact person

1st name Naoya
Middle name
Last name Koga

Organization

Baumkuchen Works Inc.

Division name

Research Office

Zip code

840-0851

Address

2-4-44 Konohigashi, Saga-shi, Saga, Japan

TEL

+81-952-37-8167

Homepage URL

https://bmkchnwks.com/

Email

seitai.naoya@gmail.com


Sponsor or person

Institute

Baumkuchen Works Inc.

Institute

Department

Personal name

Naoya Koga


Funding Source

Organization

Baumkuchen Works Inc.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee on Health and Medical Research, Smile Body Network, Nonprofit Organization

Address

6-43-13-301 Kitayamata, Tsuzuki-ku, Yokohama-shi, Kanagawa, Japan

Tel

+81-45-591-9949

Email

info@smile-body.net


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

佐賀リカバリング整体院大財院(佐賀県)


Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 01 Month 26 Day

Date of IRB

2026 Year 02 Month 26 Day

Anticipated trial start date

2026 Year 08 Month 03 Day

Last follow-up date

2026 Year 10 Month 31 Day

Date of closure to data entry

2026 Year 11 Month 13 Day

Date trial data considered complete

2026 Year 11 Month 30 Day

Date analysis concluded

2027 Year 01 Month 29 Day


Other

Other related information

This study is conducted with the approval of the Ethics Committee on Health and Medical Research, Smile Body Network, Nonprofit Organization (reference number 2025-2, approved on February 26, 2026). A minor amendment (change of the blood test kit) was submitted in April 2026 and approved.
Regarding assessor blinding, measurements are performed by staff not involved in the intervention, and care is taken to ensure that information on the intervention is not conveyed at the time of measurement. Assessors are asked to record which group they believe each participant belongs to, and the accuracy of these guesses is reported at the time of analysis to make the implementation of assessor blinding transparent.
In addition, one participant out of every 10 enrolled (5 participants in total) undergoes duplicate measurement by two assessors, and inter-rater reliability (ICC) is calculated to verify the internal validity of the measurements. The values obtained by the first assessor are used for the primary analysis.


Management information

Registered date

2026 Year 07 Month 31 Day

Last modified on

2026 Year 07 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071413