Clinic-based support to help overweight patients with type 2 diabetes increase physical activity and lose weight
Clinic-based support to help overweight patients with type 2 diabetes increase physical activity and lose weight
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DOI：
10.1001/archinternmed.2007.13
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发表时间：
2008-01-28
影响因子：
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通讯作者：
Bock, Beth C.
中科院分区：
文献类型：
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作者：
Christian, James G.;Bessesen, Daniel H.;Bock, Beth C.
背景资料：我们的目的是测试的效果，医生提供简短的健康生活方式咨询，2型糖尿病患者在平时的护理visits.Methods：我们进行了一项随机对照试验，为期12个月的干预，在2个大型社区卫生中心，招募310例患者的体重指数（计算为体重公斤除以身高米平方）为25或更大。在干预组中，使用定制的计算机程序设置营养和体力活动的自我管理目标。然后，医生在每次门诊访视时对目标进行审查。对照组仅接受印刷的健康教育材料。结果：干预组的推荐体力活动水平从基线时的26%增加到12个月时的53%（P
Background: Our objective was to test the effect of physicians providing brief health lifestyle counseling to patients with type 2 diabetes mellitus during usual care visits.Methods: We conducted a randomized controlled trial of a 12-month intervention at 2 large community health centers, enrolling 310 patients with a body mass index (calculated as weight in kilograms divided by height in meters squared) of 25 or greater. In the intervention group, self-management goals for nutrition and physical activity were set using a tailored computer program. Goals were then reviewed at each clinic visit by physicians. The control group received only printed health education materials. The main outcome measures included change in physical activity and body weight.Results: In the intervention group, recommended levels of physical activity increased from 26% at baseline to 53% at 12 months (P