Vanroy Jari, Seghers Jan, Bogaerts An, Devloo Karlien, De Cock Stijn, Boen Filip
Department of Kinesiology, KU Leuven, Leuven, Flemish Brabant, Belgium.
Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, Leuven, Flemish Brabant, Belgium.
PLoS One. 2017 Apr 6;12(4):e0174805. doi: 10.1371/journal.pone.0174805. eCollection 2017.
This pilot trial evaluated the short- and long-term effects of a six-week need-supportive physical activity (PA) intervention among patients with type 2 diabetes mellitus, on health-related (HbA1c and physical fitness) and behavioral (objectively-measured and self-reported PA) outcomes.
To support the basic psychological needs for autonomy, relatedness and competence, the intervention included one in- and outtake session with a PA coach, an individualized PA program and a weekly PA group session. The intervention was set up in collaboration with a health insurance fund and with general practitioners. A total of forty-eight patients participated in the study and were randomly assigned to an intervention (n = 27) or a waiting-list control condition (n = 21).
Linear mixed models did not reveal any significant interaction effects between time and condition (ps > .05). However, significant time effects across conditions were found: a decrease in HbA1c at short term and increases in self-reported PA at both short and long term and in physical fitness at long term (ps < .05).
Although the intervention as a whole did not produce the expected impact, there seems a potential for brief but regular expert visit and measurement.
本初步试验评估了为期六周的需求支持性体育活动（PA）干预对2型糖尿病患者健康相关（糖化血红蛋白和体能）及行为（客观测量和自我报告的体育活动）结果的短期和长期影响。
为满足自主、归属和能力等基本心理需求，干预措施包括与一名体育活动教练进行一次入组和一次出组面谈、一个个性化的体育活动计划以及每周一次的体育活动小组面谈。该干预是与一家健康保险基金和全科医生合作开展的。共有48名患者参与了这项研究，并被随机分配到干预组（n = 27）或等待名单对照组（n = 21）。
线性混合模型未显示时间和分组之间存在任何显著的交互作用（p值 >.05）。然而，发现各分组在时间上存在显著影响：短期内糖化血红蛋白降低，短期内和长期自我报告的体育活动增加，长期体能增加（p值 <.05）。
尽管整体干预未产生预期影响，但简短且定期的专家问诊和测量似乎具有潜力。
