Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Prog Cardiovasc Dis. 2020 Nov-Dec;63(6):775-785. doi: 10.1016/j.pcad.2020.06.012. Epub 2020 Jun 27.
One third of the U.S. adult population is estimated to have prediabetes. Hispanics have a 50% higher type 2 diabetes (T2DM) death rate compared to non-Hispanic whites, yet low participation in lifestyle change programs, making this subgroup an important target for prevention efforts. The purpose of this study was to determine the effects of an exercise intervention implementing the Center for Disease Control and Prevention National Diabetes Prevention Program (NDPP) plus recreational soccer (RS) in Hispanic men.
Overweight and obese Hispanic men, aged 30-57 years with prediabetes at screening were recruited from the community. Trained soccer coaches led 30-min facilitated discussion of the NDPP modules after each RS session, with two weekly sessions delivered over 12 wks, then once a wk until 24 wks. The 1-h RS sessions followed the Football Fitness curriculum structure. Standardized study assessments included objectively measured physical activity via fitness tracker, physical fitness via validated field tests, global positional system soccer specific metrics and behavior change questionnaires. Mixed models assessed the outcomes as a function of time and cohort and incorporated an unstructured covariance structure to examine the difference between baseline, 12 and 24 wks. All analyses were conducted as intent-to-treat and generated using SAS v 9.4.
Hispanic males (n = 41; mean age 41.9 [6.2 SD] years) were obese at baseline (mean BMI 32.7, standard error [0.7]). After 24 wks of the NDPP+RS intervention, there were significant beneficial changes in vertical jump (2.8 [1.3] cm; p = 0.048), agility and lower extremity muscular power (figure 8-run) at 12 wks (-4.7% change; p = 0.001) and 24 wks (-7.2% change; p < 0.0001), predicted VO max (12 wks: 1.9%; p = 0.007; 24 wks 1.0%; p = 0.036), modified push-ups increased 22% (p < 0.0001) at 12 wks and 31% (p < 0.0001) at 24 wks, dynamic sit-ups increased 10% (p = 0.005) at 12 wks and 15% (p < 0.0001) at 24 wks.
Among middle-aged Latino men, broad-ranging significant improvements in physical fitness were observed after 24 wks participating in lifestyle education plus RS in a single arm feasibility trial.
据估计，美国成年人口中有三分之一患有前驱糖尿病。与非西班牙裔白人相比，西班牙裔的 2 型糖尿病（T2DM）死亡率要高出 50%，然而他们参与生活方式改变计划的比例较低，这使得这一亚组成为预防工作的重要目标。本研究的目的是确定在西班牙裔男性中实施疾病控制与预防中心国家糖尿病预防计划（NDPP）加娱乐性足球（RS）的运动干预对西班牙裔男性的影响。
从社区中招募筛查时患有前驱糖尿病的超重和肥胖西班牙裔男性，年龄在 30-57 岁之间。经过培训的足球教练在每次 RS 课程后引导 30 分钟的 NDPP 模块讨论，每周进行两次，共 12 周，然后每周一次直到 24 周。RS 课程遵循足球健身课程结构。通过健身追踪器对身体活动进行客观测量，通过经过验证的现场测试进行身体适应性测量，通过全球定位系统进行特定于足球的测量以及行为改变问卷进行评估。混合模型评估了随时间和队列的结果，并采用非结构化协方差结构来检查基线、12 周和 24 周之间的差异。所有分析均作为意向治疗进行，并使用 SAS v 9.4 生成。
西班牙裔男性（n=41；平均年龄 41.9[6.2SD]岁）在基线时肥胖（平均 BMI 32.7，标准误差[0.7]）。在接受 NDPP+RS 干预 24 周后，垂直跳跃（2.8[1.3]cm；p=0.048）、敏捷性和下肢肌肉力量（8 字形跑步）在 12 周时（-4.7%的变化；p=0.001）和 24 周时（-7.2%的变化；p<0.0001）、预测 VO max（12 周：1.9%；p=0.007；24 周 1.0%；p=0.036）、改良俯卧撑增加 22%（p<0.0001）在 12 周和 31%（p<0.0001）在 24 周时、动态仰卧起坐增加 10%（p=0.005）在 12 周和 15%（p<0.0001）在 24 周时，都有显著的改善。
在一项单臂可行性试验中，中年拉丁裔男性在参与生活方式教育加 RS 24 周后，观察到身体适应性的广泛显著改善。
