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地中海生活方式项目对有心脏病风险女性的多种风险行为及心理社会结局的影响。

Effects of the mediterranean lifestyle program on multiple risk behaviors and psychosocial outcomes among women at risk for heart disease.

作者信息

Toobert Deborah J, Strycker Lisa A, Glasgow Russell E, Barrera Manuel, Angell Karyn

机构信息

Oregon Research Institute, Eugene 97403-1983, USA.

出版信息

Ann Behav Med. 2005 Apr;29(2):128-37. doi: 10.1207/s15324796abm2902_7.

DOI:10.1207/s15324796abm2902_7
PMID:15823786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1557654/
Abstract

BACKGROUND

The Mediterranean Lifestyle Program was evaluated for its effects on multiple behavioral risk factors for coronary heart disease (CHD) among postmenopausal women with diabetes.

PURPOSE

Our purpose is to test a comprehensive lifestyle management intervention to reduce CHD risk in postmenopausal women with type 2 diabetes.

METHODS

Participants (N = 279) were randomized to usual care (UC) or Mediterranean Lifestyle Program, a lifestyle change intervention aimed at the behavioral risk factors (eating patterns, physical activity, stress management, and social support) affecting risk for CHD in postmenopausal women with type 2 diabetes.

RESULTS

In original and intent-to-treat analyses, Mediterranean Lifestyle Program participants showed significantly greater improvement in dietary behaviors, physical activity, stress management, perceived support, and weight loss at 6 months compared to UC.

CONCLUSIONS

This study demonstrated the effectiveness of the Mediterranean Lifestyle Program in improving self-care among women with type 2 diabetes, showed that postmenopausal women could make comprehensive lifestyle changes, and provided evidence that a program using social-cognitive strategies and peer support can be used to modify multiple lifestyle behaviors.

摘要

背景

对地中海生活方式项目进行评估，以了解其对患有糖尿病的绝经后女性冠心病（CHD）多种行为危险因素的影响。

目的

我们的目的是测试一种全面的生活方式管理干预措施，以降低2型糖尿病绝经后女性患冠心病的风险。

方法

参与者（N = 279）被随机分为常规护理（UC）组或地中海生活方式项目组，后者是一种生活方式改变干预措施，针对影响2型糖尿病绝经后女性冠心病风险的行为危险因素（饮食模式、体育活动、压力管理和社会支持）。

结果

在原始分析和意向性分析中，与常规护理组相比，地中海生活方式项目组的参与者在6个月时在饮食行为、体育活动、压力管理、感知支持和体重减轻方面有显著更大的改善。

结论

本研究证明了地中海生活方式项目在改善2型糖尿病女性自我护理方面的有效性，表明绝经后女性可以进行全面的生活方式改变，并提供了证据，证明使用社会认知策略和同伴支持的项目可用于改变多种生活方式行为。

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