Efficacy of lifestyle intervention program for Arab women with prediabetes using social media as an alternative platform of delivery.
Efficacy of lifestyle intervention program for Arab women with prediabetes using social media as an alternative platform of delivery.
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使用社交媒体作为糖尿病前期的阿拉伯妇女的生活方式干预计划的疗效作为替代的交付平台。
DOI：
10.1111/jdi.13531
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发表时间：
2021-10
影响因子：
3.2
通讯作者：
McCullough F
中科院分区：
文献类型：
--
作者：
Al-Hamdan R;Avery A;Al-Disi D;Sabico S;Al-Daghri NM;McCullough F
这项为期6个月的干预性研究旨在调查不同教育计划在初级保健转介的糖尿病前期沙特女性中的有效性。共有253名（100名小组教育计划[GEP]，84名WhatsApp教育计划[WEP]和69名对照组[CG]）合格参与者被邀请参加研究，其中120名接受干预（40名GEP，43名WEP和37名CG）。GEP参与者通过每两个月一次的支持会议获得了针对性的个性化生活方式调整建议，WEP参与者接受了相同的干预，但通过社交媒体（WhatsApp）提供。CG接受标准护理。在基线、3个月和6个月时测量人体测量学、生化特征和大量营养素摄入量。主要终点为糖化血红蛋白和体重，血脂和饮食变化为次要终点。干预后所有组的糖化血红蛋白均显著改善（GEP基线6.0 ± 0.2 vs 6个月5.5 ± 0.54; P < 0.001，WEP 6.0 ± 0.26 vs 5.3 ± 0.51; P < 0.001，CG 6.0 ± 0.37 vs 5.7 ± 0.49; P < 0.001），但组间比较无差异（P = 0.33）。组内比较显示体重减轻，但仅在GEP组（90.6 kg ± 27.3 vs 84.8 kg ± 24.3; P < 0.01），组间比较有显著性差异（P = 0.003）。还观察到能量（g）摄入（P = 0.005）以及甘油三酯（P < 0.001）和低密度脂蛋白胆固醇（P = 0.001）的组间比较显著，均有利于GEP组。糖尿病预防计划，无论是通过重点教育小组，社交媒体还是标准护理，在改善沙特糖尿病前期妇女的糖化血红蛋白水平方面同样有效，但重点教育小组在成功减肥方面更有效。无论是通过重点教育团体、社交媒体还是标准护理提供的教育计划，在改善沙特糖尿病前期女性的HbA 1c水平方面都同样有效。这可能是由于能量摄入减少和身体活动的有利增加。数字平台可以提供一个更容易获得和资源密集度更低的选择，同样有效。
This 6‐month interventional study aimed to investigate the effectiveness of different educational programs among Saudi women with prediabetes referred by primary care. A total of 253 (100 group education program [GEP], 84 WhatsApp education program [WEP] and 69 control group [CG]) eligible participants were invited to take part in the study, out of whom 120 received intervention (40 GEP, 43 WEP and 37 CG). GEP participants received focused, individualized lifestyle modification advice with bimonthly support sessions, WEP participants received the same intervention, but delivered through social media (WhatsApp). The CG received standard care. Anthropometrics, biochemical profiles and macronutrient intake were measured at baseline, and 3 and 6 months. The primary end‐points were glycated hemoglobin and weight, with lipids and dietary changes as secondary outcomes. Glycated hemoglobin significantly improved in all groups post‐intervention (GEP baseline 6.0 ± 0.2 vs 6 months 5.5 ± 0.54; P < 0.001, WEP 6.0 ± 0.26 vs 5.3 ± 0.51; P < 0.001, CG 6.0 ± 0.37 vs 5.7 ± 0.49; P < 0.001), but with no difference in between‐group comparisons (P = 0.33). Within‐group comparisons showed a reduction in weight, but only in the GEP group (90.6 kg ± 27.3 vs 84.8 kg ± 24.3; P < 0.01), and this was significant in between‐group comparison (P = 0.003). Significant between‐group comparisons with respect to energy (g) intake (P = 0.005) were also observed, as well as triglycerides (P < 0.001) and low‐density lipoprotein cholesterol (P = 0.001), all in favor of the GEP group. Diabetes prevention programs, whether delivered through a focused educational group, social media or standard care, are equally efficacious in improving glycated hemoglobin levels among Saudi women with prediabetes, but a focused educational group was more effective in terms of successful weight loss. Education programs whether delivered through a focused educational group, social media or standard care, are equally efficacious in improving HbA1c levels among Saudi women with prediabetes. This may have been due to reduced energy intakes and favourable increases in physical activity. Digital platforms may offer a more accessible and less resource intensive option that is equally effective.
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影响因子：
4.4
作者：
Daoud, Farah;El Bcheraoui, Charbel;Mokdad, Ali H.
通讯作者：
Mokdad, Ali H.
DOI：
10.1016/j.bbrc.2017.06.090
发表时间：
2017-08-26
影响因子：
3.1
作者：
Park, Chan Yoon;Park, Soyoung;Han, Sung Nim
通讯作者：
Han, Sung Nim
影响因子：
5.9
作者：
Alfawaz, Hanan A.;Wani, Kaiser;Al-Daghri, Nasser M.
通讯作者：
Al-Daghri, Nasser M.
影响因子：
2.2
作者：
Alturki, Ryan;Gay, Valerie
通讯作者：
Gay, Valerie
影响因子：
105.7
作者：
Torgerson, DJ
通讯作者：
Torgerson, DJ