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卫生专业人员的接触频率对高危糖尿病个体生活方式干预反应的影响。

Impact of health professionals' contact frequency on response to a lifestyle intervention with individuals at high risk for diabetes.

机构信息

Étienne-LeBel Clinical Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada.

出版信息

Diabetes Res Clin Pract. 2012 May;96(2):129-34. doi: 10.1016/j.diabres.2011.12.019. Epub 2012 Jan 14.

DOI:10.1016/j.diabres.2011.12.019
PMID:22245692
Abstract

AIM

To determine the independent effects of total and each health professional's frequency of contacts, on changes in anthropometric measures and physical capacity following a lifestyle intervention offered by a multi-disciplinary team in adults at high risk for type 2 diabetes.

MATERIALS AND METHODS

A 12-month lifestyle intervention was performed in 48 adults with prediabetes. Participants were randomly assigned to either an individual counselling group (every six weeks)+an optional series of 25 group seminars (every week) or to the group seminars only. Physical activity level, energy intake, anthropometric measures, and physical capacity were assessed.

RESULTS

Total frequency of contacts with any professional was associated with change in body weight, BMI and, waist circumference (all P ≤.05). However, no frequency of contacts with a specific professional was associated with the studied outcomes, except for changes in physical capacity. The latest was significantly improved in participants who attended at least two group sessions with the kinesiologist (P=.02).

DISCUSSION

To improve anthropometric measures, total contact frequency seems to be more important than contact frequency with any specific professionals. However, to improve physical capacity, meeting with a kinesiologist for two or more occasions, in group sessions, seems to be an effective strategy.

摘要

目的

确定总接触次数和每位健康专业人员接触次数的独立影响,对于多学科团队为 2 型糖尿病高危成年人提供的生活方式干预后,人体测量指标和身体能力的变化。

材料和方法

对 48 名患有前驱糖尿病的成年人进行为期 12 个月的生活方式干预。参与者被随机分配到个体咨询组(每六周一次)+可选的 25 次小组研讨会(每周一次)或仅参加小组研讨会。评估身体活动水平、能量摄入、人体测量指标和身体能力。

结果

与任何专业人士的总接触次数与体重、BMI 和腰围的变化相关(均 P≤.05)。然而,没有与特定专业人士的接触次数与研究结果相关,除了身体能力的变化。参加运动生理学家至少两次小组会议的参与者,其身体能力明显改善(P=.02)。

讨论

为了改善人体测量指标,总接触频率似乎比与任何特定专业人员的接触频率更重要。然而,为了提高身体能力,与运动生理学家进行两次或更多次小组会议似乎是一种有效的策略。

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