促进 2 型糖尿病静坐生活的老年马来人进行身体活动：一项随机对照试验方案。

Promoting physical activity in sedentary elderly Malays with type 2 diabetes: a protocol for randomised controlled trial.

机构信息

Department of Family Medicine, Universiti Putra, Malaysia, Serdang, Selangor, Malaysia.

出版信息

BMJ Open. 2012 Nov 15;2(6). doi: 10.1136/bmjopen-2012-002119. Print 2012.

DOI:10.1136/bmjopen-2012-002119

PMID:23161092

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3533096/

Abstract

INTRODUCTION

Like many countries Malaysia is facing an increase in the number of people with type 2 diabetes mellitus diabetes (T2DM) and modifiable lifestyle factors such as sedentary behaviour are important drivers of this increase. The level of physical activity is low among elderly Malay people. In Malaysia, strategies to promote physical activity in elderly Malay people with T2DM are not well documented in the research literature. This paper discusses an intervention to increase physical activity in elderly Malay people with T2DM. The aim of our study was to evaluate the effectiveness of personalised feedback alone and in combination with peer support in promoting and maintaining physical activity in comparison with usual care.

METHODS AND ANALYSIS

A three-arm randomised controlled trial will be conducted among sedentary Malay adults aged 60 years and above with T2DM attending an urban primary healthcare clinic in Malaysia. The participants will be randomised into three groups for a 12-week intervention with a follow-up at 24 and 36 weeks to assess adherence. The primary outcome of this study is pedometer-determined physical activity. Glycaemic and blood pressure control, body composition, cardiorespiratory fitness, balance, lipid profile, health-related quality of life, psychological well-being, social support and self-efficacy for exercise are the secondary measures. Linear mixed models will be used to determine the effect of the intervention over time and between groups. ETHICAL AND DISSEMINATION: The Monash University Human Research Ethics Committee and the Malaysian Ministry of Health's Medical Research Ethics Committee approved this protocol. The findings of this study will be presented at international conferences and published in peer-reviewed journals.

TRIAL REGISTRATION

This study protocol has been registered with the Malaysian National Medical Research Registry and with the Current Controlled Trial Ltd (http://www.controlled-trials.com/ISRCTN71447000/).

摘要

简介

与许多国家一样，马来西亚也面临着 2 型糖尿病（T2DM）患者人数的增加，而久坐等生活方式因素是导致这种增加的重要因素。老年马来人身体活动水平较低。在马来西亚，针对 T2DM 老年马来人的身体活动促进策略在研究文献中并未得到很好的记录。本文讨论了一项旨在提高 T2DM 老年马来人身体活动水平的干预措施。我们的研究目的是评估个性化反馈单独以及与同伴支持相结合在促进和维持身体活动方面的效果，与常规护理相比。

方法和分析

将在马来西亚城市初级保健诊所就诊的年龄在 60 岁及以上、患有 T2DM 的马来久坐成年人中进行一项三臂随机对照试验。参与者将随机分为三组，进行为期 12 周的干预，在 24 周和 36 周时进行随访以评估依从性。本研究的主要结局是计步器测定的身体活动量。血糖和血压控制、身体成分、心肺功能、平衡、血脂谱、健康相关生活质量、心理幸福感、社会支持和锻炼自我效能感是次要测量指标。线性混合模型将用于确定干预措施随时间的效果以及组间效果。