Validation of a counseling strategy to promote the adoption and the maintenance of physical activity by type 2 diabetic subjects
Validation of a counseling strategy to promote the adoption and the maintenance of physical activity by type 2 diabetic subjects
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DOI：
10.2337/diacare.26.2.404
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发表时间：
2003-02-01
期刊：
影响因子：
16.2
通讯作者：
De Feo, P
中科院分区：
文献类型：
--
作者：
Di Loreto, C;Fanelli, C;De Feo, P
目的：有足够的证据表明，体育锻炼是治疗2型糖尿病的有效手段。本研究旨在验证一种咨询策略，该策略可被医生在日常门诊实践中使用，以促进2型糖尿病患者接受和维持体育活动。研究设计和方法：在两组匹配的随机2型糖尿病患者中，将行为疗法（n = 182）与常规护理治疗（n = 158）的长期（2年）疗效进行比较，这些患者已转介到我们的门诊糖尿病中心。干预的结果是患者通过自愿的身体活动达到每周1010代谢当量(METs)-h的能量消耗。结果：2年后，干预组69%的患者（27.1 +/- 2.0 METs X h/周）和对照组18%的患者（4.1 +/- 0.8 METs X h/周）达到了目标（P < 0.001）， BMI（干预组28.9 +/- 0.2，对照组30.4 +/- 0.3 kg/m(2)）和HbA(1c)（干预组7.0 +/- 0.1，对照组7.6 +/- 0.1%）显著改善（P < 0.001）。结论：这项随机对照研究表明，医生可以激励大多数2型糖尿病患者进行长期锻炼，并强调了日常实践中个体行为方法的价值。
OBJECTIVE - There is enough evidence that physical activity is an effective therapeutic tool in the management of type 2 diabetes. The present study was designed to validate a counseling strategy that could be used by physicians in their daily outpatient practice to promote the adoption and maintenance of physical activity by type 2 diabetic subjects.RESEARCH DESIGN AND METHODS - The long-term (2-year) efficacy of the behavioral approach (n = 182) was compared with usual care treatment (n = 158) in two matched, randomized groups of patients with type 2 diabetes who had been referred to our Outpatient Diabetes Center. The outcome of the intervention was consistent patient achievement of an energy expenditure of >10 metabolic equivalents (METs)-h/week through voluntary physical activity.RESULTS - After 2 years, 69% of the patients in the intervention group (27.1 +/- 2.0 METs X h/week) and 18% of the control group (4.1 +/- 0.8 METs X h/week) achieved the target (P < 0.001) with significant (P < 0.001) improvements in BMI (intervention group 28.9 +/- 0.2 versus control group 30.4 +/- 0.3 kg/m(2)) and HbA(1c) (intervention group 7.0 +/- 0.1 versus control group 7.6 +/- 0.1%).CONCLUSIONS - This randomized, controlled study shows that physicians can motivate most patients with type 2 diabetes to exercise long-term and emphasizes the value of individual behavioral approaches in daily practice.