Translating the Diabetes Prevention Program Into Practice A Review of Community Interventions
Translating the Diabetes Prevention Program Into Practice A Review of Community Interventions
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DOI：
10.1177/0145721708330153
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发表时间：
2009-03-01
影响因子：
3.9
通讯作者：
Jackson, Lindsey
中科院分区：
文献类型：
--
作者：
Jackson, Lindsey
PurposeThe的目的是总结社区干预的基础上，美国国立卫生研究院（NIH）糖尿病预防计划（DPP）的课程，并描述课程的差异及其对结果measurement.MethodsA关键字搜索PubMed和相关文章的引文列表的审查产生了161篇文章。关注的主要结局是DPP研究目标的实现：体重减轻5%至7%，中度体力活动增加至每周至少150分钟。还包括代谢综合征组分改善的次要结局。纳入标准包括应用DPP为基础的课程，以社区设置和出版物在English.ResultsSeven文章被列入审查。干预措施在各种环境中进行。所有人都显示出显着的体重减轻后立即DPP为基础的课程，长度从6到24周不等。其中三个在12个月内具有重要意义。两篇文章报告了体力活动的改善。两篇文章报道改善代谢综合征components.ConclusionAlthough最有效的干预措施，2型糖尿病的预防可能尚未确定，DPP为基础的干预措施显示出长期可持续性的承诺。DPP干预在治疗各种环境中的超重和肥胖方面是有效的，因此可以预防以超重和肥胖为风险因素的慢性疾病。公共卫生从业人员可以利用这种成功的干预措施来帮助个人过上更健康的生活。
PurposeThe purpose of this review is to summarize community interventions based on the National Institutes of Health (NIH) Diabetes Prevention Program (DPP) curriculum and to describe differences in curriculum and its effect on outcome measurements.MethodsA keyword search of PubMed and review of citation lists of relevant articles yielded 161 articles. Primary outcomes of interest were achievement of the DPP study goals: 5% to 7% loss of body weight and increased moderate physical activity to at least 150 minutes per week. A secondary outcome of improvement in metabolic syndrome components was also included. Inclusion criteria included application of a DPP-based curriculum to a community setting and publication in English.ResultsSeven articles were included in the review. Interventions were conducted across a variety of settings. All showed a significant amount of weight loss immediately following a DPP-based curriculum, varying in length from 6 to 24 weeks. Three held significance by 12 months. Two articles reported on physical activity improvements. Two articles reported improvement in metabolic syndrome components.ConclusionAlthough the most effective intervention for type 2 diabetes prevention may not yet be identified, DPP-based interventions show promise for long-term sustainability. The DPP intervention is effective in treating overweight and obesity across a variety of settings and thus may prevent chronic diseases in which overweight and obesity are risk factors. Public health practitioners can use this successful intervention to help individuals lead healthier lives.