Vadstrup Eva S, Frølich Anne, Perrild Hans, Borg Eva, Røder Michael
Department of Endocrinology and Gastroenterology, Bispebjerg University Hospital, Copenhagen, Denmark.
BMC Public Health. 2009 May 29;9:166. doi: 10.1186/1471-2458-9-166.
Current guidelines recommend education, physical activity and changes in diet for type 2 diabetes patients, yet the composition and organization of non-pharmacological care are still controversial. Therefore, it is very important that programmes aiming to improve non-pharmacological treatment of type 2 diabetes are developed and evaluated. The Copenhagen Type 2 Diabetes Rehabilitation Project aims to evaluate the effectiveness of a new group-based lifestyle rehabilitation programme in a Health Care Centre in primary care.
METHODS/DESIGN: The group-based diabetes rehabilitation programme consists of empowerment-based education, supervised exercise and dietary intervention. The effectiveness of this multi-disciplinary intervention is compared with conventional individual counselling in a Diabetes Outpatient Clinic and evaluated in a prospective and randomized controlled trial. During the recruitment period of 18 months 180 type 2 diabetes patients will be randomized to the intervention group and the control group. Effects on glycaemic control, quality of life, self-rated diabetes symptoms, body composition, blood pressure, lipids, insulin resistance, beta-cell function and physical fitness will be examined after 6, 12 and 24 months.
The Copenhagen Type 2 Diabetes Rehabilitation Project evaluates a multi-disciplinary non-pharmacological intervention programme in a primary care setting and provides important information about how to organize non-pharmacological care for type 2 diabetes patients.
(ClinicalTrials.gov) registration number: NCT00284609.
当前指南建议对2型糖尿病患者进行教育、体育锻炼和饮食调整，但非药物治疗的构成和组织仍存在争议。因此，制定并评估旨在改善2型糖尿病非药物治疗的方案非常重要。哥本哈根2型糖尿病康复项目旨在评估在初级保健中心开展的一项新的基于小组的生活方式康复项目的效果。
方法/设计：基于小组的糖尿病康复项目包括赋权教育、监督下的锻炼和饮食干预。将这种多学科干预的效果与糖尿病门诊的传统个体咨询进行比较，并在前瞻性随机对照试验中进行评估。在为期18个月的招募期内，180名2型糖尿病患者将被随机分为干预组和对照组。在6个月、12个月和24个月后，将检查对血糖控制、生活质量、自我评估的糖尿病症状、身体成分、血压、血脂、胰岛素抵抗、β细胞功能和体能的影响。
哥本哈根2型糖尿病康复项目在初级保健环境中评估了一个多学科非药物干预项目，并提供了有关如何为2型糖尿病患者组织非药物治疗的重要信息。
（ClinicalTrials.gov）注册号：NCT00284609。
