ObesityY-RELIVENCT07204483
Feasibility Trial of Functional Clothing, Moderate Exercise, and Health Information for Stress Reduction and Behavior Change in Okinawa
A study testing Educational Leaflet, Functional Shirt (Relive brand) and Exercise Manual in people with Obesity and Metabolic Syndrome, run by Shinyu Kise at 1 site in Japan.
Trial summary
This study is a pilot randomized trial conducted in Yomitan Village, Okinawa, Japan. The purpose is to evaluate whether three simple, low-cost interventions can help reduce stress and support healthy behavior change in community-dwelling adults. Read more about this study
- Who is it for?
- Ages 20 to 59 yearsHealthy volunteers can take part
- Conditions the study is for
- Obesity, Metabolic Syndrome, Stress, Psychological
- What is being tested?
- Educational Leaflet, Functional Shirt (Relive brand) and Exercise Manual
- Type of treatment
- Medical device, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteJapan
- Study dates
- 16 Oct 2025to 26 Mar 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 59 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Adults aged 20 to 59 years residing in Yomitan Village
- Body Mass Index (BMI) ≥25, or judged as pre-metabolic syndrome by a physician
- Owns a smartphone and able to use the study application
Who cannot join
- Severe cardiovascular disease or psychiatric illness
- Medical contraindication to moderate exercise
- Unable to provide informed consent
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Community-Based Feasibility Trial Comparing Functional Clothing, Moderate Exercise, and Health Information for Stress Reduction and Behavior Change in Adults in Yomitan Village, Okinawa, Japan
This study is a pilot randomized trial conducted in Yomitan Village, Okinawa, Japan. The purpose is to evaluate whether three simple, low-cost interventions can help reduce stress and support healthy behavior change in community-dwelling adults. The interventions are: (1) providing health information through educational leaflets, (2) wearing functional clothing designed to support physical comfort, and (3) practicing moderate exercise using a simple manual.
A total of 45 adults, aged 20 to 59 years, with overweight or pre-metabolic syndrome will be recruited. Participants will be assigned randomly into one of the three groups. The study duration is eight weeks. Outcomes include fatigue scores, mood states, sleep quality, and heart rate variability measured by a smart ring. Data will be collected at baseline and after eight weeks of intervention.
This study aims to test whether these approaches are feasible, safe, and acceptable for residents. The results will help design larger studies in the future and provide evidence for community-based prevention programs that are easy to adopt in daily life.
Read the detailed description
Lifestyle-related diseases, including obesity and metabolic syndrome, are major health concerns worldwide. Stress and insufficient physical activity are important risk factors. Developing simple and sustainable interventions that can be adopted in daily life is essential for effective prevention. This feasibility trial compares functional clothing, moderate exercise, and health information in a community setting. The results will provide insight into feasibility, adherence, and potential effectiveness, forming the basis for future large-scale randomized controlled trials and community health programs.
- Conditions
- Obesity, Metabolic Syndrome, Stress, Psychological
- Being tested
- Educational Leaflet, Functional Shirt (Relive brand), Exercise Manual
- Keywords
- Stress reduction, Behavior change, Functional clothing, Exercise, Sleep quality, Heart rate variability, Okinawa, Yomitan
- Medical subject headings
- Obesity, Metabolic Syndrome, Stress, Psychological, Motor Activity, Sleep Initiation and Maintenance Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Educational LeafletBehavioural
Participants will receive an educational leaflet on lifestyle modification, which provides practical advice on diet, physical activity, and stress management. The leaflet will be distributed at baseline.
Functional Shirt (Relive brand)Device
Participants will receive a functional shirt designed to support posture and physical comfort (Relive brand). They will be instructed to wear the shirt daily during the 8-week intervention period. Manufacturer: Relive Co., Ltd., Japan.
Exercise ManualBehavioural
Participants will receive a structured exercise manual and will be instructed to perform moderate-intensity exercise (e.g., brisk walking, light jogging, or calisthenics) for 30 minutes, three times per week, over 8 weeks. Weekly follow-up calls or messages will be provided to encourage adherence.
| Study group | Role | What they receive |
|---|---|---|
| Health Information Group | Active comparator | Participants will receive an educational leaflet on lifestyle modification. Receives: Behavioral: Educational Leaflet |
| Functional Clothing Group | Experimental | Participants will receive a functional shirt (Relive brand) and will be asked to wear it daily during the 8-week intervention. Receives: Device: Functional Shirt (Relive brand) |
| Moderate Exercise Group | Experimental | Participants will receive a structured exercise manual and will be instructed to perform moderate-intensity exercise for 30 minutes, three times per week, for 8 weeks. Receives: Behavioral: Exercise Manual |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fatigue Score (Visual Analog Scale, 0-100 mm)
Change in subjective fatigue measured using a 100-mm Visual Analog Scale (VAS). Scores range from 0 (no fatigue) to 100 (worst possible fatigue). Higher scores indicate worse fatigue.
Measured: Baseline and Week 8
Total Mood Disturbance (Profile of Mood States-2)
Change in total mood disturbance score assessed using the Profile of Mood States-2 (POMS-2). Scores range from -32 to 200. Higher scores indicate worse mood.
Measured: Baseline and Week 8
Secondary outcomes (5)
Sleep Duration (hours/night)
Average nightly sleep duration measured objectively using a smart ring.
Measured: Baseline and Week 8
Sleep Efficiency (%)
Percentage of time in bed spent asleep, measured objectively using a smart ring.
Measured: Baseline and Week 8
Heart Rate Variability (HRV)
Autonomic function assessed via smart ring-derived HRV indicators, including SDNN and RMSSD.
Measured: Baseline and Week 8
Adherence Rate
Percentage of participants completing prescribed intervention activities (leaflet reading, shirt wearing, or exercise sessions).
Measured: Throughout 8-week intervention
Adverse Events
Frequency and type of adverse events, including skin irritation and muscle soreness, monitored continuously.
Measured: Throughout 8-week intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2025
- Study start16 Oct 2025
- Primary completion26 Mar 2026
- Study completion26 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomly assigned to one of three parallel groups: health information, functional clothing, or moderate exercise.
- Masking
- None (open label)
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shinyu Kise
- Sponsor type
- University, hospital or other
- Collaborators
- Relive Co., Ltd., Yomitan Village Health Promotion Division
- Responsible party
- Sponsor-investigator, Shinyu Kise, General Incorporated Foundation Ryukyuseimeisaiseikai, Ryusei Hospital.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07204483
- Sponsor's protocol ID
- YomitanRelive2025
- Acronym
- Y-RELIVE
- Status last verified
- Aug 2026
- First submitted
- 16 Sep 2025
- Last updated
- 10 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Dunton GF, Crosley-Lyons R, Rhodes RE. Affective Response During Real-World Physical Activity as an Intervention Mediator. Exerc Sport Sci Rev. 2023 Oct 1;51(4):140-149. doi: 10.1249/JES.0000000000000321. Epub 2023 May 17.
PubMed 37195062Stevens CJ, Baldwin AS, Bryan AD, Conner M, Rhodes RE, Williams DM. Affective Determinants of Physical Activity: A Conceptual Framework and Narrative Review. Front Psychol. 2020 Dec 1;11:568331. doi: 10.3389/fpsyg.2020.568331. eCollection 2020.
PubMed 33335497Dimsdale JE. Psychological stress and cardiovascular disease. J Am Coll Cardiol. 2008 Apr 1;51(13):1237-46. doi: 10.1016/j.jacc.2007.12.024.
PubMed 18371552Chouchou F, Desseilles M. Heart rate variability: a tool to explore the sleeping brain? Front Neurosci. 2014 Dec 11;8:402. doi: 10.3389/fnins.2014.00402. eCollection 2014.
PubMed 25565936Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA. 2007 Oct 10;298(14):1685-7. doi: 10.1001/jama.298.14.1685. No abstract available.
PubMed 17925521
Study at a glance
From the registry record, last updated by the sponsor on 10 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Community-Based Feasibility Trial Comparing Functional Clothing, Moderate Exercise, and Health Information for Stress Reduction and Behavior Change in Adults in Yomitan Village, Okinawa, Japan
- ClinicalTrials.gov ID
- NCT07204483
- Acronym / sponsor ID
- Y-RELIVE / YomitanRelive2025
- Conditions
- Obesity, Metabolic Syndrome, Stress, Psychological
- Keywords
- Stress reduction, Behavior change, Functional clothing, Exercise, Sleep quality, Heart rate variability, Okinawa, Yomitan
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Shinyu KiseUniversity, hospital or other
- Collaborators
- Relive Co., Ltd., Yomitan Village Health Promotion Division
- Study start
- 16 Oct 2025 (actual)
- Primary completion
- 26 Mar 2026 (actual)
- Study completion
- 26 Mar 2026 (actual)
- First posted
- 2 Oct 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a pilot randomized trial conducted in Yomitan Village, Okinawa, Japan. The purpose is to evaluate whether three simple, low-cost interventions can help reduce stress and support healthy behavior change in community-dwelling adults. The interventions are: (1) providing health information through educational leaflets, (2) wearing functional clothing designed to support physical comfort, and (3) practicing moderate exercise using a simple manual.
A total of 45 adults, aged 20 to 59 years, with overweight or pre-metabolic syndrome will be recruited. Participants will be assigned randomly into one of the three groups. The study duration is eight weeks. Outcomes include fatigue scores, mood states, sleep quality, and heart rate variability measured by a smart ring. Data will be collected at baseline and after eight weeks of intervention.
This study aims to test whether these approaches are feasible, safe, and acceptable for residents. The results will help design larger studies in the future and provide evidence for community-based prevention programs that are easy to adopt in daily life.
Detailed description
Lifestyle-related diseases, including obesity and metabolic syndrome, are major health concerns worldwide. Stress and insufficient physical activity are important risk factors. Developing simple and sustainable interventions that can be adopted in daily life is essential for effective prevention. This feasibility trial compares functional clothing, moderate exercise, and health information in a community setting. The results will provide insight into feasibility, adherence, and potential effectiveness, forming the basis for future large-scale randomized controlled trials and community health programs.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Participants will be randomly assigned to one of three parallel groups: health information, functional clothing, or moderate exercise.
| Arm | Type | Receives |
|---|---|---|
| Health Information Group | Active comparator | Behavioral: Educational LeafletParticipants will receive an educational leaflet on lifestyle modification. |
| Functional Clothing Group | Experimental | Device: Functional Shirt (Relive brand)Participants will receive a functional shirt (Relive brand) and will be asked to wear it daily during the 8-week intervention. |
| Moderate Exercise Group | Experimental | Behavioral: Exercise ManualParticipants will receive a structured exercise manual and will be instructed to perform moderate-intensity exercise for 30 minutes, three times per week, for 8 weeks. |
Who may qualify
- Ages
- 20 to 59 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Adults aged 20 to 59 years residing in Yomitan Village
- Body Mass Index (BMI) ≥25, or judged as pre-metabolic syndrome by a physician
- Owns a smartphone and able to use the study application
Key exclusion criteria (3 listed)
- Severe cardiovascular disease or psychiatric illness
- Medical contraindication to moderate exercise
- Unable to provide informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Educational LeafletParticipants will receive an educational leaflet on lifestyle modification, which provides practical advice on diet, physical activity, and stress management. The leaflet will be distributed at baseline. | Behavioural | Health Information Group |
| Functional Shirt (Relive brand)Participants will receive a functional shirt designed to support posture and physical comfort (Relive brand). They will be instructed to wear the shirt daily during the 8-week intervention period. Manufacturer: Relive Co., Ltd., Japan. | Device | Functional Clothing Group |
| Exercise ManualParticipants will receive a structured exercise manual and will be instructed to perform moderate-intensity exercise (e.g., brisk walking, light jogging, or calisthenics) for 30 minutes, three times per week, over 8 weeks. Weekly follow-up calls or messages will be provided to encourage adherence. | Behavioural | Moderate Exercise Group |
Primary outcome
Fatigue Score (Visual Analog Scale, 0-100 mm)
Time frame: Baseline and Week 8
Change in subjective fatigue measured using a 100-mm Visual Analog Scale (VAS). Scores range from 0 (no fatigue) to 100 (worst possible fatigue). Higher scores indicate worse fatigue.
Total Mood Disturbance (Profile of Mood States-2)
Time frame: Baseline and Week 8
Change in total mood disturbance score assessed using the Profile of Mood States-2 (POMS-2). Scores range from -32 to 200. Higher scores indicate worse mood.
5 secondary outcomes
Sleep Duration (hours/night)
Time frame: Baseline and Week 8
Sleep Efficiency (%)
Time frame: Baseline and Week 8
Heart Rate Variability (HRV)
Time frame: Baseline and Week 8
Adherence Rate
Time frame: Throughout 8-week intervention
Adverse Events
Time frame: Throughout 8-week intervention
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Aug 2026.
- Background: PubMed 37195062Dunton GF, Crosley-Lyons R, Rhodes RE. Affective Response During Real-World Physical Activity as an Intervention Mediator. Exerc Sport Sci Rev. 2023 Oct 1;51(4):140-149. doi: 10.1249/JES.0000000000000321. Epub 2023 May 17.
- Background: PubMed 33335497Stevens CJ, Baldwin AS, Bryan AD, Conner M, Rhodes RE, Williams DM. Affective Determinants of Physical Activity: A Conceptual Framework and Narrative Review. Front Psychol. 2020 Dec 1;11:568331. doi: 10.3389/fpsyg.2020.568331. eCollection 2020.
- Background: PubMed 18371552Dimsdale JE. Psychological stress and cardiovascular disease. J Am Coll Cardiol. 2008 Apr 1;51(13):1237-46. doi: 10.1016/j.jacc.2007.12.024.
- Background: PubMed 25565936Chouchou F, Desseilles M. Heart rate variability: a tool to explore the sleeping brain? Front Neurosci. 2014 Dec 11;8:402. doi: 10.3389/fnins.2014.00402. eCollection 2014.
- Background: PubMed 17925521Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA. 2007 Oct 10;298(14):1685-7. doi: 10.1001/jama.298.14.1685. No abstract available.
- Institute for Health Tourism, Ryusei Hospital (project overview)Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Educational Leaflet, Functional Shirt (Relive brand) and Exercise Manual in people with Obesity and Metabolic Syndrome, run by Shinyu Kise at 1 site in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Fatigue Score (Visual Analog Scale, 0-100 mm) (time frame: Baseline and Week 8). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07204483, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Aug 2026.