Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: A randomized clinical trial
Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: A randomized clinical trial
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DOI：
10.1016/j.diabres.2008.01.006
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发表时间：
2008-06-01
影响因子：
5.1
通讯作者：
Chipkin, Stuart R.
中科院分区：
文献类型：
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作者：
Allen, Nancy A.;Fain, James A.;Chipkin, Stuart R.
尽管已知的好处，60%的糖尿病患者不从事定期的体力活动（PA）。本试点研究测试的效果咨询干预，使用连续血糖监测系统（CGMS）反馈PA自我效能，PA水平，和生理variables.Methods：成人（N = 52）与2型糖尿病（非胰岛素需要，不活动）被随机干预（n = 27）或对照组（n = 25）。两组均接受90 min的糖尿病教育，4周后电话随访。干预组同时接受基于自我效能理论的心理咨询。该干预包括对每个参与者的CGMS图的反馈，并使用角色模型CGMS图来清楚地描述对PA的葡萄糖降低。结果：接受干预的参与者在8周时坚持活动/抵抗复发的自我效能得分高于对照组（p < 0.05），表明对维持PA计划更有信心。干预组参与者轻度/久坐活动分钟数显著减少（P < 0.05），中度活动分钟数显著增加（p < 0.05），HbA 1c和BMI显著降低（p < 0.05）。这些数据表明，使用CGMS反馈对2型糖尿病患者进行PA咨询干预可能会改善PA水平并减少糖尿病的危险因素。相关并发症。(c)2008爱思唯尔爱尔兰有限公司保留所有权利。
Aims: Despite the known benefits, 60% of individuals with diabetes do not engage in regular physical activity (PA). This pilot study tested the effects of a counseling intervention using continuous glucose monitoring system (CGMS) feedback on PA self-efficacy, PA levels, and physiological variables.Methods: Adults (N = 52) with type 2 diabetes (non-insulin requiring, inactive) were randomized to intervention (n = 27) or control (n = 25) groups. Both groups received 90 min of diabetes education with a follow-up phone call 4 weeks later. The intervention group also received counseling derived from self-efficacy theory. This intervention included feedback on each participant's CGMS graph and used role model CGMS graphs to clearly depict glucose reductions in response to PA. Outcomes were assessed at baseline and 8 weeks.Results: Participants receiving the intervention had higher self-efficacy scores than the control group for sticking to activity/resisting relapse at 8 weeks (p < 0.05), indicating more confidence in maintaining a PA program. Intervention group participants light/sedentary activity minutes decreased significantly (p < 0.05), moderate activity minutes increased significantly (p < 0.05), and, HbA1c and BMI decreased significantly (p < 0.05).Conclusions: These data suggest that PA counseling interventions using CGMS feedback for individuals with type 2 diabetes may improve PA levels and reduce risk factors for diabetes-related complications. (c) 2008 Elsevier Ireland Ltd. All rights reserved.