273806Dayton VA Medical Center, Dayton, OH, USA.
6614University of Pittsburgh, Pittsburgh, PA, USA.
Am J Health Promot. 2021 Jul;35(6):784-793. doi: 10.1177/0890117121997308. Epub 2021 Mar 4.
To examine the effectiveness of 3 lifestyle intervention programs in an active duty military population.
Experimental design with stratified random assignment to 1 of 3 intervention groups. Measures were taken at baseline, 3 months and 6 months.
A Military Treatment Facility in the western U.S.
SUBJECTS/INTERVENTION: 122 active duty service members were enrolled and randomly assigned to 1 of 3 lifestyle intervention programs: the Diabetes Prevention Program-Group Lifestyle Balance (DPP-GLB), the Better Body Better Life (BBBL) program or the Fitness Improvement Program (FIP).
weight, abdominal circumference, lipid and HbA1c levels, physical activity, and well-being as measured by the RAND SF-36 questionnaire.
Statistical analyses were performed to assess changes over time.
83 participants completed the study (BBBL N = 23, FIP N = 30, DPP-GLB N = 30). The DPP-GLB participants had statistically significant decreases in weight (-3.1 pounds, = .01) and abdominal circumference (-0.9 inches; = .01) over time. HbA1c was also significantly lower in this group at 6 months compared to baseline ( = .036). There were no statistically significant changes in weight, abdominal circumference, or HbA1c in the FIP or BBBL groups. No significant changes were observed in lipids in any of the groups.
Results from this study indicate that the DPP-GLB program may be effective in reducing weight, abdominal circumference, and HbA1c in an active duty U.S. military population.
研究 3 种生活方式干预方案在现役军人中的有效性。
采用实验设计，按分层随机分组分配至 3 种干预组中的 1 种。在基线、3 个月和 6 个月时进行测量。
美国西部的一家军事治疗机构。
受试者/干预措施：122 名现役军人参加并随机分配至 3 种生活方式干预方案中的 1 种：糖尿病预防计划-团体生活方式平衡（DPP-GLB）、更好的身体更好的生活（BBBL）计划或健身改善计划（FIP）。
体重、腰围、血脂和糖化血红蛋白（HbA1c）水平、身体活动和 RAND SF-36 问卷测量的幸福感。
进行统计分析以评估随时间的变化。
83 名参与者完成了研究（BBBL 组 N = 23，FIP 组 N = 30，DPP-GLB 组 N = 30）。DPP-GLB 组的体重（-3.1 磅，P =.01）和腰围（-0.9 英寸，P =.01）随时间呈统计学显著下降。与基线相比，该组在 6 个月时的 HbA1c 也显著降低（P =.036）。FIP 或 BBLB 组的体重、腰围或 HbA1c 均无统计学显著变化。在任何一组中，血脂均未观察到显著变化。
本研究结果表明，DPP-GLB 方案可能有效降低美国现役军人的体重、腰围和 HbA1c。
