Taing Cecilia Y, Gibson Alice A, Colagiuri Stephen, Vita Philip, Cardona-Morrell Magnolia, Bauman Adrian, Moore Michael, Williams Mandy, Milat Andrew, Hony Jacky, Lin Sophia, Gwizd Melissa, Fiatarone Singh Maria A
The University of Sydney, Exercise, Health and Performance Faculty Research Group, Lidcombe, NSW 2141, Australia.
The University of Sydney, The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney, NSW 2006, Australia; The University of Sydney, Charles Perkins Centre, Sydney, NSW 2006, Australia.
Diabetes Res Clin Pract. 2017 Oct;132:118-126. doi: 10.1016/j.diabres.2017.07.032. Epub 2017 Aug 7.
There is strong and consistent evidence from large scale randomised controlled trials that type 2 diabetes can be prevented or delayed through lifestyle modification which improves diet quality, increases physical activity and achieves weight loss in people at risk. Worldwide, the prevalence of type 2 diabetes is increasing in individuals of Chinese descent. Culturally tailored programs are required to address the risk in the Chinese population. This paper analyses effectiveness of a culturally tailored community-based lifestyle modification program (Sydney Diabetes Prevention Program (SDPP)) targeting Mandarin speakers. The SDPP was a 12 month translational study aiming to promote increased physical activity and dietary changes. Effectiveness was assessed through the improvement of anthropometric, metabolic, physical activity and dietary outcomes and number of goals met.
Seventy-eight Mandarin-speaking participants at a high risk (Australian Diabetes Risk, AUSDRISK≥15) of developing diabetes were recruited for this study.
In this cohort, waist circumference, total cholesterol and fat intake significantly improved at the 12-month review. In comparison to the English-speaking stream, the Mandarin-speaking stream achieved fewer improvements in outcomes and goals.
The SDPP was not effective in reducing the risk factors associated with developing type 2 diabetes in this cohort of high risk Mandarin-speaking individuals living in Sydney.
大规模随机对照试验提供了强有力且一致的证据，表明通过改善饮食质量、增加身体活动以及促使有患病风险的人群实现体重减轻等生活方式的改变，可以预防或延缓2型糖尿病。在全球范围内，2型糖尿病在华裔人群中的患病率正在上升。需要制定符合文化特点的项目来应对中国人群中的这种风险。本文分析了一项针对说普通话人群的、符合文化特点的社区生活方式改变项目（悉尼糖尿病预防项目，SDPP）的有效性。SDPP是一项为期12个月的转化研究，旨在促进身体活动增加和饮食改变。通过人体测量、代谢、身体活动和饮食结果的改善以及达成的目标数量来评估有效性。
本研究招募了78名患糖尿病风险高（澳大利亚糖尿病风险评分，AUSDRISK≥15）的说普通话的参与者。
在这个队列中，在12个月的复查时，腰围、总胆固醇和脂肪摄入量有显著改善。与说英语的组相比，说普通话的组在结果和目标方面的改善较少。
对于居住在悉尼的这个高风险说普通话人群队列，SDPP在降低与患2型糖尿病相关的风险因素方面并不有效。
