Using Continuous Glucose Monitoring to Motivate Physical Activity in Overweight and Obese Adults: A Pilot Study.
Using Continuous Glucose Monitoring to Motivate Physical Activity in Overweight and Obese Adults: A Pilot Study.
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DOI：
10.1158/1055-9965.epi-19-0906
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发表时间：
2020-04
期刊：
影响因子：
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通讯作者：
Schembre SM
中科院分区：
文献类型：
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作者：
Liao Y;Basen-Engquist KM;Urbauer DL;Bevers TB;Hawk E;Schembre SM
有规律的体力活动(PA)与患多种癌症的风险较低有关。然而，三分之二的超重/肥胖成年人缺乏足够的活动量；再加上超重的不利影响，他们患癌症的风险更大。这些人没有参与足够的PA的一个原因可能是他们缺乏改变当前行为的动机，因为他们认为自己在为可能的未来收益而努力，而没有明显的短期好处。需要有创新的方法来帮助个人认识到PA的直接健康益处，从而增加他们的动力。这项试点干预测试了PA教育模块，其中包括一对一咨询会议，强调PA对血糖模式的急性影响，然后使用连续血糖监测仪(CGM)和Fitbit进行为期10天的自我监测期。参与者对教育模块的可接受性进行了5分的利克特量表评分，并完成了评估动机准备变化阶段的调查。19名超重/肥胖的成年人(84%为女性)完成了这项研究。参与者对咨询课程在提高PA相关知识(平均值=4.22)、增强动力(平均值=4.29)和提供与个人相关的信息(平均值=4.35)方面给予了很高的评价。自我监控期的可接受性总分CGM为4.46分，Fitbit为4.51分。参与者报告说，预想阶段显著减少，行动阶段增加(p<；.05)。CGM是PA干预的一种可行工具。来自CGM的信息可以作为基于生物的反馈来激励PA。
Regular physical activity (PA) is associated with a lower risk of several types of cancers. However, two-thirds of overweight/obese adults are not sufficiently active; this, in combination with the unfavorable effect of excess body weight, puts them at greater risk for cancer. One reason that these individuals do not engage in enough PA may be their lack of motivation to change their current behavior due to the perception of putting in effort for possible future gain without obvious short-term benefits. There is a need for innovative ways to help individuals recognize the immediate health benefits of PA and thus increase their motivation. This pilot intervention tested a PA education module that included a one-on-one counseling session highlighting the acute effects of PA on glucose patterns, followed by a 10-day self-monitoring period with a continuous glucose monitor (CGM) and a Fitbit. Participants rated the acceptability of the education module on a 5-point Likert scale and completed surveys assessing stages of change for motivational readiness. Nineteen overweight/obese adults (84% female) completed the study. Participants gave high ratings to the counseling session for improving their PA-related knowledge (mean=4.22), increasing motivation (mean=4.29), and providing personally-relevant information (mean=4.35). The summary acceptability scores for self-monitoring period were 4.46 for CGM and 4.51 for Fitbit. Participants reported a significant decrease in the pre-contemplation stage and an increase in the action stage (p<.05). CGM is a feasible tool for PA interventions. Information from CGM could be used as biological-based feedback to motivate PA.