悉尼澳大利亚萨摩亚人基于教会的生活方式干预的结果——Le Taeao Afua 糖尿病预防计划。

Outcomes of a church-based lifestyle intervention among Australian Samoans in Sydney - Le Taeao Afua diabetes prevention program.

机构信息

School of Science and Health, Western Sydney University, Australia.

School of Science and Health, Western Sydney University, Australia; Diabetes Obesity Metabolism Translational Research Unit, Western Sydney University, Australia; Translational Health Research Institute, Western Sydney University, Australia.

出版信息

Diabetes Res Clin Pract. 2020 Feb;160:108000. doi: 10.1016/j.diabres.2020.108000. Epub 2020 Jan 3.

DOI:10.1016/j.diabres.2020.108000

PMID:31904445

Abstract

AIMS

To evaluate the effectiveness of a culturally adapted, church-based lifestyle intervention among Australian Samoans living in Sydney.

METHODS

This was a prospective, pre-post study of a church-wide education and support programme delivered by Community Coach Facilitators and Peer Support Facilitators to prevent, and promote self-management of, Type 2 diabetes. Participants completed questionnaires, anthropometric and HbA1c measurements before and 3-8 months after the intervention. The primary outcome was HbA1c.

RESULTS

Overall, 68/107(63.5%) participants completed both before and after intervention data collection (mean age 48.9 ± 14.2 years; 57.2% female). HbA1c dropped significantly between baseline and follow-up among participants with known diabetes (8.1 ± 2.4% (65 mmol/mol) vs 7.4 ± 1.8% (57 mmol/mol); p = 0.040) and non-significantly among participants with newly diagnosed diabetes (8.0 ± 2.1% (64 mmol/mol) vs 7.1 ± 2.3 (54 mmol/mol); p = 0.131). Participants with no diabetes increased their weekly moderate and vigorous physical activity (316.1 ± 291.6mins vs 562.4 ± 486.6mins; p = 0.007) and their diabetes knowledge also improved post-intervention (42.0 ± 13.5% to 61.3 ± 20.2%; p < 0.001). There were no significant reductions in blood pressure, BMI or waist circumference at follow-up.

CONCLUSIONS

A structured, church-based, culturally tailored lifestyle intervention showed a number of improvements in diabetes risk among Samoans in Sydney. The intervention however, requires a more rigorous testing in a larger randomised controlled trial over a longer time period.

摘要

目的

评估一种文化适应的、基于教会的生活方式干预措施在悉尼生活的澳大利亚萨摩亚人中间预防 2 型糖尿病及促进其自我管理的效果。

方法

这是一项针对教会范围内的教育和支持计划的前瞻性、前后自身对照研究，由社区教练促进者和同伴支持促进者提供，以预防和促进 2 型糖尿病的自我管理。参与者在干预前和干预后 3-8 个月完成问卷、人体测量和糖化血红蛋白（HbA1c）测量。主要结局指标是 HbA1c。

结果

共有 68/107（63.5%）名参与者完成了干预前后的数据收集（平均年龄 48.9±14.2 岁；57.2%为女性）。已知患有糖尿病的参与者的 HbA1c 在基线和随访之间显著下降（8.1±2.4%（65mmol/mol）比 7.4±1.8%（57mmol/mol）；p=0.040），新诊断为糖尿病的参与者的 HbA1c 则无显著下降（8.0±2.1%（64mmol/mol）比 7.1±2.3%（54mmol/mol）；p=0.131）。无糖尿病的参与者每周适度和剧烈的身体活动增加（316.1±291.6min 比 562.4±486.6min；p=0.007），糖尿病知识也在干预后得到改善（42.0±13.5%比 61.3±20.2%；p<0.001）。在随访时，血压、BMI 或腰围没有显著降低。