移动应用程序对新诊断的II型糖尿病患者身体活动促进作用的有效性——一项随机对照试验
Effectiveness of Mobile Application for Promotion of Physical Activity Among Newly Diagnosed Patients of Type II Diabetes - A Randomized Controlled Trial.
作者信息
Patnaik Lipilekha, Panigrahi Sandeep Kumar, Sahoo Abhay Kumar, Mishra Debahuti, Muduli Anil Kumar, Beura Saswatika
机构信息
Department of Community Medicine, IMS and SUM Hospital, Siksha 'O' Anusandhan Deemed to be University, Khordha, Bhubaneswar, Odisha, India.
Department of Endocrinology, IMS and SUM Hospital, Siksha 'O' Anusandhan Deemed to be University, Khordha, Bhubaneswar, Odisha, India.
出版信息
Int J Prev Med. 2022 Apr 5;13:54. doi: 10.4103/ijpvm.IJPVM_92_20. eCollection 2022.
BACKGROUND
Mobile health intervention shows the positive effects on the management of chronic diseases. Therefore, the study was planned to study the effectiveness of a mobile-based application promotion of physical activity among newly diagnosed patients with type II diabetes.
METHODS
The present study was a parallel-design randomized controlled trial conducted over 2 years. The participants were type II diabetes patients between 18 and 60 years within 3 months of diagnosis who attended the endocrinology outpatient department having knowledge of using smart phone. The sample size was calculated to be 66 and 33 for each arm. The block random design method was adopted for allocation into different arms. A pretested interview schedule was used for the collection of data. Outcomes included body mass index, waist circumference, body fat percentage, and changes in the physical activity was obtained by global physical activity questionnaire (GPAQ). The information thus collected were processed and analyzed using SPSS v 20.
RESULTS
The study included 66 patients aged between 18 and 60 years, out of which 33 were enrolled into control and 33 into intervention group. The mean age of the participants was 42.29 ± 9.5 years ranged from 25 years to 59 years, 65.2% were males and 34.8% were females. It was observed that a higher proportion of intervention participants met WHO recommendations of physical activity level. Total metabolic equivalent of task (MET) value per minute (Mean ± SD) was 1347.27 ± 1028.5 in the control group and 1223.03 ± 584.87 in intervention group at baseline and was not different ( = 0.538). The total MET value per minute was found to be higher among the intervention group in all follow-ups. There was a significant decrease in weight, BMI, waist circumference, hip circumference, body fat percentage, and systolic blood pressure (SBP) in the intervention group.
CONCLUSIONS
Cost-effective, simple mobile applications may help in routine clinical practice to encourage the patients for the promotion of physical activity.
背景
移动健康干预对慢性病管理显示出积极效果。因此，本研究旨在探讨一款基于移动应用程序对新诊断的II型糖尿病患者身体活动促进的有效性。
方法
本研究为一项为期2年的平行设计随机对照试验。参与者为年龄在18至60岁之间、诊断后3个月内就诊于内分泌门诊且了解使用智能手机的II型糖尿病患者。计算得出每组样本量为66例和33例。采用区组随机设计方法进行分组。使用经过预测试的访谈问卷收集数据。结局指标包括体重指数、腰围、体脂百分比，身体活动变化通过全球身体活动问卷（GPAQ）获得。所收集的信息使用SPSS v 20进行处理和分析。
结果
该研究纳入了66例年龄在18至60岁之间的患者，其中33例被纳入对照组，33例被纳入干预组。参与者的平均年龄为42.29±9.5岁，年龄范围为25岁至59岁，男性占65.2%，女性占34.8%。观察到较高比例的干预组参与者达到了世界卫生组织的身体活动水平建议。对照组和干预组在基线时每分钟的总代谢当量（MET）值（均值±标准差）分别为1347.27±1028.5和1223.03±584.87，两者无差异（P = 0.538）。在所有随访中，干预组每分钟的总MET值均较高。干预组的体重、体重指数、腰围、臀围、体脂百分比和收缩压（SBP）均有显著下降。
结论
经济高效、简单的移动应用程序可能有助于在日常临床实践中鼓励患者促进身体活动。
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