基于社区的运动和生活方式项目对老年2型糖尿病患者的健康改善能否维持?一项后续研究

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM Diabetology Pub Date : 2022-05-19 DOI:10.3390/diabetology3020025
M. Kirwan, K. Gwynne, Thomas Laing, Mellissa Hay, Noureen Chowdhury, C. Chiu
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引用次数: 1

摘要

背景:老年人总是希望呆在家里。Beat是一项基于社区的运动和生活方式干预,采用循证策略帮助老年2型糖尿病(T2DM)患者改善身体和功能健康,这对保持独立性至关重要。这项现实世界的随访研究评估了Beat It的疗效,以及老年T2DM患者是否能够在完成后一年内保持身体活动、腰围和健康方面的改善。方法:我们之前已经报道了Beat It短期疗效的方法和结果。本文报告了Beat it在项目完成后12个月的人体测量和身体健康结果,并将其与保持身体独立性所需的有效健康标准进行了比较。结果:方案后观察到的改善在12个月时保持(n = 43)。虽然达到健身标准的参与者人数在项目结束后有所增加,但并不是所有的增加都能保持12个月。结论:这项研究提供了有希望的早期证据,表明一个为期8周,20小时,以社区为基础的临床医生主导的运动和生活方式项目可以改善老年T2DM患者的健康状况,这些患者在项目完成后至少保留了一年。
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Can Health Improvements from a Community-Based Exercise and Lifestyle Program for Older Adults with Type 2 Diabetes Be Maintained? A Follow up Study
Background: Older people consistently report a desire to remain at home. Beat It is a community-based exercise and lifestyle intervention that uses evidence-based strategies to assist older people with type 2 diabetes mellitus (T2DM) to improve physical and functional fitness, which are crucial to maintain independence. This follow up, real-world study assessed the efficacy of Beat It and whether older adults with T2DM were able to maintain improvements in physical activity, waist circumference and fitness one year post completion. Methods: We have previously reported methods and results of short-term outcomes of Beat It. This paper reports anthropometric measurements and physical fitness outcomes of Beat it at 12-months post program completion and compares them to validated standards of fitness required to retain physical independence. Results: Improvements that were observed post program were maintained at 12 months (n = 43). While the number of participants who met fitness standards increased post program, not all increases were maintained at 12 months. Conclusions: This study provides promising early evidence that an eight-week, twenty-hour community-based clinician-led exercise and lifestyle program can improve health outcomes in older adults with T2DM which were retained for at least a year after program completion.
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