文化上适宜的生活方式干预可促进农村2型糖尿病患者减肥

Evidence-based Healthcare and Public Health Pub Date : 2005-06-01 DOI:10.1016/j.ehbc.2005.03.017

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引用次数: 0

摘要

问题生活方式干预是否能减轻农村2型糖尿病患者的体重并改善血糖控制？研究设计三组随机对照试验（强化生活方式干预；低强度干预；常规护理）。主要结果在12个月时，接受强化生活方式干预的人比常规护理组的人减轻了更多的体重（强化生活方式和常规护理：49%和25%，p<；0.05）。低强化生活方式组和常规护理组之间没有显著差异。所有组的血糖指数均降低（p＜0.05）。然而，各组之间的血糖指数没有显著差异。作者的结论量身定制的生活方式干预措施有助于2型糖尿病农村居民的减肥和改善血糖控制。如果在健康保险报销的时间内交付，这种方法对减肥无效，但可能对血糖控制有效。

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Culturally appropriate lifestyle interventions promote weight loss in rural dwelling people with type 2 diabetes

Question

Do lifestyle interventions reduce weight and improve glycaemic control in rural dwelling people with type 2 diabetes?

Study design

Three-arm randomised controlled trial (intensive lifestyle intervention; less intensive intervention; usual care).

Main results

At 12 months, people receiving intensive lifestyle interventions lost significantly more weight than people from the usual care group (intensive lifestyle $ν$ usual care: 49% $ν$ 25%, p<0.05). There was no significant difference between the less intensive lifestyle and usual care groups. Glycaemic index was reduced in all groups (p<0.05). However, there was no significant difference in glycaemic index between groups.

Authors’ conclusions

Tailored lifestyle interventions promote weight loss and improve glycaemic control in rural dwelling people with type 2 diabetes. This approach is ineffective for weight loss if delivered in the timeframe reimbursed by health insurance, but may be effective for glycaemic control.

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