The Center for Outcome Research and Education, School of Medicine, Kansas University Medical Center, Kansas City, KS (Dr Dodani)
CATX Inc, Gladwyne, PA (Dr Fields)
Diabetes Educ. 2010 May-Jun;36(3):465-72. doi: 10.1177/0145721710366756.
The purpose of this study was to determine the effects of a behavioral faith-based diabetes prevention program called the Fit Body and Soul program in a semi-urban African-American church using a community-based participatory approach.
The 12-session Fit Body and Soul program was modified from the group lifestyle balance intervention that was modified from the successful National Institute of Health (NIH) funded Diabetes Prevention Program. The Fit Body and Soul program was implemented in a semi-urban African-American church community. Based on the results of physical examinations and increased body mass index (BMI > or = 25), 40 adult members of the church were identified as being at high risk for diabetes. Four church ministers, after receiving Fit Body and Soul program training for 2 days, served as study interventionists. The primary objective was weight loss of at least 5% by the end of the 12-session Fit Body and Soul intervention.
Screening of church participants was conducted at the Gospel Water Branch Baptist Church in Augusta, Georgia. A total of 40 individuals having a BMI > or = 25 were selected. Of the 40, a total of 35 (87.5%) attended at least 10 sessions and provided information required for the study. Of the 35, a total of 48% lost at least 5% of baseline weight, 26% lost 7% or more, and 14% lost >10% of baseline weight.
This pilot trial suggests that carrying out a larger Fit Body and Soul study in a faith-based setting, using behavioral lifestyle interventions, in the context of a diabetes prevention program for African American communities is feasible, as is the possibility that subjects in that larger study will achieve a clinically significant degree of weight loss.
本研究旨在采用社区参与式方法，在一个半城市的非裔美国教堂中，通过行为信仰为基础的糖尿病预防计划（称为 Fit Body and Soul 计划），确定该计划的效果。
将 12 节的 Fit Body and Soul 计划从团体生活方式平衡干预计划中修改而来，后者是对成功的美国国立卫生研究院（NIH）资助的糖尿病预防计划进行修改。Fit Body and Soul 计划在一个半城市的非裔美国教堂社区中实施。根据体检和体重指数（BMI≥25）增加的结果，确定教堂的 40 名成年成员存在糖尿病高危风险。4 位教堂部长在接受了为期 2 天的 Fit Body and Soul 计划培训后，担任了研究干预者。主要目标是在 12 节 Fit Body and Soul 干预结束时体重减轻至少 5%。
在佐治亚州奥古斯塔的福音水浸信会教堂对教堂参与者进行了筛选。共选择了 40 名 BMI≥25 的个体。在这 40 名参与者中，共有 35 名（87.5%）至少参加了 10 次会议，并提供了研究所需的信息。在这 35 名参与者中，共有 48%的人减轻了至少 5%的基线体重，26%的人减轻了 7%或更多，14%的人减轻了超过基线体重的 10%。
这项初步试验表明，在一个以信仰为基础的环境中，通过行为生活方式干预，在非裔美国社区的糖尿病预防计划中开展更大规模的 Fit Body and Soul 研究是可行的，而且在更大规模的研究中，研究对象可能会实现有临床意义的体重减轻。
