Effectiveness of a pragmatic education program designed to promote walking activity in individuals with impaired glucose tolerance: a randomized controlled trial.
Effectiveness of a pragmatic education program designed to promote walking activity in individuals with impaired glucose tolerance: a randomized controlled trial.
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DOI：
10.2337/dc09-0130
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发表时间：
2009-08
期刊：
影响因子：
16.2
通讯作者：
Khunti K
中科院分区：
文献类型：
--
作者：
Yates T;Davies M;Gorely T;Bull F;Khunti K
研究一个实用的有组织的教育计划是否能有效地促进糖耐量受损（IGT）患者的身体活动和改善糖耐量。超重和肥胖的IGT患者从英国莱斯特大学医院正在进行的筛查研究中招募，参与者被随机分配到三组中的一组。第一组接受了一个3小时的以小组为基础的结构化教育计划，该计划旨在通过个性化的每日步数目标和计步器来促进步行活动。第二组接受了一个3小时的以小组为基础的结构化教育计划，该计划旨在通过通用的基于时间的目标来促进步行活动。第三组收到简短的信息单张（对照组）。结果包括口服葡萄糖耐量试验、标准人体测量、活动和心理变量。随访时间为3、6、12个月。本研究共纳入87例个体（66%为男性，平均年龄65岁）。12个月时，与对照组相比，计步器组2小时后血糖和空腹血糖分别显著降低- 1.31 mmol/l （95% CI为- 2.20至- 0.43）和- 0.32 mmol/l（- 0.59至- 0.03）。在接受标准教育计划的患者中，血糖控制没有明显改善。本研究表明，结合计步器使用的实用结构化教育计划对改善IGT患者的葡萄糖耐量是有效的。这一结果可能对未来以初级保健为基础的糖尿病预防举措具有重要意义。
To investigate whether a pragmatic structured education program with and without pedometer use is effective for promoting physical activity and improving glucose tolerance in those with impaired glucose tolerance (IGT). Overweight and obese individuals with IGT were recruited from ongoing screening studies at the University Hospitals of Leicester, U.K. Participants were randomly assigned to one of three groups. Group 1 received a 3-h group-based structured education program designed to promote walking activity using personalized steps-per-day goals and pedometers. Group 2 received a 3-h group-based structured education program designed to promote walking activity using generic time-based goals. Group 3 received a brief information leaflet (control condition). Outcomes included an oral glucose tolerance test, standard anthropometric measures, ambulatory activity, and psychological variables. Follow-up was conducted at 3, 6, and 12 months. A total of 87 individuals (66% male, mean age 65 years) were included in this study. At 12 months, significant decreases in 2-h postchallenge glucose and fasting glucose of −1.31 mmol/l (95% CI −2.20 to −0.43) and −0.32 mmol/l (−0.59 to −0.03), respectively, were seen in the pedometer group compared with the control group. No significant improvements in glucose control were seen in those given the standard education program. This study suggests that a pragmatic structured education program that incorporates pedometer use is effective for improving glucose tolerance in those with IGT. This result is likely to have important implications for future primary care–based diabetes prevention initiatives.
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影响因子：
1.6
作者：
Eastep, E;Beveridge, S;Shultz, B
通讯作者：
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影响因子：
8.2
作者：
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DOI：
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发表时间：
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影响因子：
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作者：
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影响因子：
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作者：
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