阿拉伯裔美国人的糖尿病预防群体生活方式干预的可行性。
Feasibility of group lifestyle intervention for diabetes prevention in Arab Americans.
机构信息
Department of Pharmacy Practice, Wayne State University, MI, USA.
出版信息
Diabetes Res Clin Pract. 2011 Mar;91(3):307-15. doi: 10.1016/j.diabres.2010.11.032. Epub 2010 Dec 17.
AIMS
To assess the feasibility and acceptability of a community-based, culturally-specific, Diabetes Prevention Program (DPP)-adapted, group lifestyle intervention in Arab-Americans.
METHODS
Overweight (BMI ≥ 27 kg/m(2)) Arab-Americans aged ≥ 30 years and without a history of diabetes were recruited to participate in a 24-week group lifestyle intervention. The DPP core-curriculum was culturally rewritten, translated into Arabic, and delivered in weekly sessions over a 12-week period. Follow-up was performed at week-24. The primary goals were to achieve ≥ 7% weight loss and ≥ 150 min/week of physical activity. An intent-to-treat analysis was performed.
RESULTS
Of the 71 participants (mean age ± SD 47 ± 10 years, 38% males), 44% achieved ≥ 7% weight loss, 59% achieved ≥ 5% reduction in weight, and 78% reached the physical activity goal of ≥ 150-min/week. The mean ± SD weight loss was 5.2 ± 4.4 kg at week-24 (p<0.0001), Marked reduction in body measurements, daily energy and fat intake were noted. Retention was high with 86% completing the intervention.
CONCLUSIONS
This trial demonstrates that a culturally-specific, DPP-adapted, group lifestyle intervention implemented in a community setting is feasible and effective in Arab-Americans.
目的
评估基于社区、具有文化针对性、经糖尿病预防计划（DPP）改编的团体生活方式干预措施在阿拉伯裔美国人中实施的可行性和可接受性。
方法
招募超重（BMI≥27kg/m²）且年龄≥30 岁、无糖尿病病史的阿拉伯裔美国人参加为期 24 周的团体生活方式干预。DPP 的核心课程经过文化改写、翻译成阿拉伯语，并在 12 周的时间内每周进行一次授课。在第 24 周进行随访。主要目标是实现≥7%的体重减轻和≥150 分钟/周的身体活动量。采用意向治疗分析。
结果
在 71 名参与者中（平均年龄±标准差 47±10 岁，38%为男性），44%的人实现了≥7%的体重减轻，59%的人体重减轻≥5%，78%的人达到了≥150 分钟/周的身体活动目标。第 24 周时的平均体重减轻为 5.2±4.4kg（p<0.0001），身体测量、每日能量和脂肪摄入量均显著减少。保留率高，86%的人完成了干预。
结论
这项试验表明，在社区环境中实施具有文化针对性、经 DPP 改编的团体生活方式干预措施在阿拉伯裔美国人中是可行且有效的。
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