评估完全健康改善计划（CHIP）对血糖、血压和体重的影响。
Evaluating the Influence of the Complete Health Improvement Program (CHIP) on Blood Glucose, Blood Pressure, and Weight.
作者信息
Davis Jennifer Leigh
机构信息
Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice, Department of Graduate Nursing, Clarke University, Dubuque, IA, USA.
出版信息
J Lifestyle Med. 2021 Jan 31;11(1):33-37. doi: 10.15280/jlm.2021.11.1.33.
BACKGROUND
Diabetes, hypertension, and obesity are vastly prevalent in the United States. Lifestyle modification programs can aid in controlling chronic disease. The aim of the study was to evaluate the health outcomes of the Complete Health Improvement Program (CHIP) concerning blood glucose, blood pressure, and weight. CHIP is a lifestyle medicine education program involving diet modification and increased physical activity.
METHODS
A quantitative, summative program evaluation was performed to measure the outcomes of CHIP. Pre and post data sets were collected on 73 individuals who completed the 12-week CHIP program. Pre and post program blood glucose levels, blood pressure readings, and weight measurements were analyzed using a paired t-test with a 95% confidence level. Analysis determined influence of the intervention on the biomarkers.
RESULTS
The post-intervention group means showed decreases in blood glucose, blood pressure, and weight. Statistical analysis revealed significant decreases in blood glucose (p = 0.008) and weight (p = 0.000). Blood pressure readings did not have statistically significant decreases (p = 0.403); however, the pre-intervention blood pressure readings were in the normotensive range.
CONCLUSION
Results indicated that the Complete Health Improvement Program decreased participants' blood glucose levels, blood pressure readings, and weight measurements. Statistically significant decreases in blood glucose and weight suggest enhanced control of diabetes and obesity through utilization of CHIP.
背景
糖尿病、高血压和肥胖在美国极为普遍。生活方式改变计划有助于控制慢性病。本研究的目的是评估完全健康改善计划（CHIP）在血糖、血压和体重方面的健康结果。CHIP是一项生活方式医学教育计划，包括饮食调整和增加体育活动。
方法
进行了一项定量的总结性计划评估，以衡量CHIP的结果。收集了73名完成12周CHIP计划的个体的前后数据集。使用95%置信水平的配对t检验分析计划前后的血糖水平、血压读数和体重测量值。分析确定了干预对生物标志物的影响。
结果
干预后组的平均值显示血糖、血压和体重下降。统计分析显示血糖（p = 0.008）和体重（p = 0.000）显著下降。血压读数没有统计学上的显著下降（p = 0.403）；然而，干预前的血压读数处于正常血压范围内。
结论
结果表明，完全健康改善计划降低了参与者的血糖水平、血压读数和体重测量值。血糖和体重的统计学显著下降表明通过使用CHIP可增强对糖尿病和肥胖的控制。
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