| 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 |
A study of whether adding manual therapy, including Seitai, to a dietary program helps reduce visceral fat
SEITAI Diet Study
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
SEITAI-VF Trial
| Japan |
Obesity (BMI 25 or higher) and/or abdominal obesity (visceral fat accumulation) in adults seeking weight reduction
| Endocrinology and Metabolism | Adult |
Others
NO
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.
Safety,Efficacy
Exploratory
Not applicable
Change and percent change in waist circumference from week 0 to week 12, measured in accordance with the JASSO guidelines
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
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
No treatment
NO
NO
Institution is not considered as adjustment factor.
YES
Central registration
2
Prevention
| Behavior,custom | Maneuver |
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.
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.
| 18 | years-old | <= |
| Not applicable |
Male and Female
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.)
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
50
| 1st name | Naoya |
| Middle name | |
| Last name | Koga |
Baumkuchen Works Inc.
Research Office
840-0851
2-4-44 Konohigashi, Saga-shi, Saga, Japan
+81-952-37-8167
seitai.naoya@gmail.com
| 1st name | Naoya |
| Middle name | |
| Last name | Koga |
Baumkuchen Works Inc.
Research Office
840-0851
2-4-44 Konohigashi, Saga-shi, Saga, Japan
+81-952-37-8167
https://bmkchnwks.com/
seitai.naoya@gmail.com
Baumkuchen Works Inc.
Naoya Koga
Baumkuchen Works Inc.
Profit organization
Japan
Ethics Committee on Health and Medical Research, Smile Body Network, Nonprofit Organization
6-43-13-301 Kitayamata, Tsuzuki-ku, Yokohama-shi, Kanagawa, Japan
+81-45-591-9949
info@smile-body.net
NO
佐賀リカバリング整体院大財院(佐賀県)
| 2026 | Year | 07 | Month | 31 | Day |
Unpublished
Preinitiation
| 2026 | Year | 01 | Month | 26 | Day |
| 2026 | Year | 02 | Month | 26 | Day |
| 2026 | Year | 08 | Month | 03 | Day |
| 2026 | Year | 10 | Month | 31 | Day |
| 2026 | Year | 11 | Month | 13 | Day |
| 2026 | Year | 11 | Month | 30 | Day |
| 2027 | Year | 01 | Month | 29 | Day |
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.
| 2026 | Year | 07 | Month | 31 | Day |
| 2026 | Year | 07 | Month | 31 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071413