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烹饪课程:一种增强临床价值的糖尿病自我管理支持干预措施。

Cooking Classes: A Diabetes Self-Management Support Intervention Enhancing Clinical Values.

机构信息

Nutrition and Food Services, Louis Stokes Cleveland Veterans Affairs Medical Center (LSCVAMC), Cleveland, Ohio (Ms Byrne, Mr Kurmas).

Department of Medicine, Baylor College of Medicine, Houston, Texas (Dr Utech).

出版信息

Diabetes Educ. 2017 Dec;43(6):600-607. doi: 10.1177/0145721717737741. Epub 2017 Oct 19.

Abstract

Purpose The purpose of this study is to examine the relationship between Healthy Teaching Kitchen (HTK) attendance among veterans who are diagnosed with type 2 diabetes mellitus (T2DM) and clinical outcomes as measured by A1C and blood pressure. Methods This retrospective chart review collected data from veterans with T2DM who participated in the Diabetes Self-Management Support (DSMS) HTK program at the Louis Stokes Cleveland VA Medical Center (LSCVAMC) between February 2013 and May 2016. Data collected included demographic information, frequency of DSMS HTK attendance, 3 A1C values, and 3 blood pressure values. Each subject was assigned to 1 of 4 quartiles based on frequency of DSMS HTK attendance. Results A1C values of all groups improved over time, regardless of DSMS HTK attendance quartile. However, as total DSMS HTK class attendance increased, there was a significant decrease in the A1C difference score. Conclusions Participation in a DSMS program that focuses on healthy, economical cooking skills may lead to a significant improvement in A1C regardless of frequency of attendance. However, individuals with more frequent attendance may experience additional improvement in glycemic control.

摘要

目的 本研究旨在探讨 2 型糖尿病(T2DM)退伍军人参加健康教学厨房(HTK)的频率与糖化血红蛋白(A1C)和血压等临床结果之间的关系。

方法 本回顾性图表研究收集了 2013 年 2 月至 2016 年 5 月期间在路易斯·斯托克斯·克利夫兰退伍军人事务医疗中心(LSCVAMC)参加糖尿病自我管理支持(DSMS)HTK 项目的 T2DM 退伍军人的数据。收集的数据包括人口统计学信息、DSMS HTK 参加频率、3 个 A1C 值和 3 个血压值。根据 DSMS HTK 参加频率,每个受试者被分配到 4 个四分位数中的 1 个。

结果 所有组的 A1C 值随着时间的推移都有所改善,无论 DSMS HTK 参加四分位如何。然而,随着 DSMS 整体课堂出勤率的提高,A1C 差值显著下降。

结论 参加注重健康、经济烹饪技巧的 DSMS 项目可能会导致 A1C 显著改善,无论参加频率如何。然而,参加频率更高的个体可能会在血糖控制方面有额外的改善。

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