监测手握力以激励 2 型糖尿病患者改变生活方式 - 一项实用随机对照试验。
Monitoring handgrip strength to motivate lifestyle choices for patients with diabetes type 2 - a pragmatic randomised controlled trial.
机构信息
Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Primary Health Care Research, Education, Development and Innovation, Region Västra Götaland, Sweden.
出版信息
Scand J Prim Health Care. 2024 Dec;42(4):617-632. doi: 10.1080/02813432.2024.2373298. Epub 2024 Jul 4.
METHODS
Measurement of HGS with Jamar dynamometers was added to annual check-ups for patients with T2DM by diabetes nurses in primary care with feedback about normal values for age and sex in the intervention group. The control group had standard check-ups. Change in self-reported PA level was measured with questionnaires.
RESULTS
Seven clinics and 334 patients participated. The intervention led to similar effects on PA in both groups. Patients with T2DM had comparable HGS to the general public. Regression analyses showed statistically significantly higher HGS in the intervention group than in the control group at follow-up and no improvement in PA, HbA1c, or waist circumference. Increased HGS was found for older people, men, and people with normal-to-high inclusion HGS, while patients with low inclusion HGS reduced their strength levels.
CONCLUSIONS
Measuring HGS and giving feedback to patients with T2DM can lead to increased HGS but does not seem to affect general PA level, HbA1c, or waist circumference. People over 65 years, men, and people with normal-to-high HGS were influenced positively by the intervention. Patients with low HGS may need personalised support to increase physical activity and improve function. NCT03693521.
方法
初级保健中的糖尿病护士在对 2 型糖尿病患者进行年度检查时增加了使用 Jamar 测力计测量 HGS，并为干预组提供了年龄和性别正常值的反馈。对照组进行标准检查。通过问卷测量自我报告的 PA 水平的变化。
结果
有 7 个诊所和 334 名患者参与。干预对两组的 PA 产生了类似的影响。2 型糖尿病患者的 HGS 与普通人群相当。回归分析显示，随访时干预组的 HGS 明显高于对照组，PA、HbA1c 或腰围没有改善。在干预组中，年龄较大的人、男性和 HGS 正常至较高的人 HGS 更高，而 HGS 较低的患者则降低了他们的力量水平。
结论
测量 HGS 并向 2 型糖尿病患者提供反馈可能会导致 HGS 增加，但似乎不会影响一般 PA 水平、HbA1c 或腰围。65 岁以上的人、男性和 HGS 正常至较高的人受到干预的积极影响。HGS 较低的患者可能需要个性化的支持来增加体力活动和改善功能。NCT03693521。
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