A Novel Diabetes Prevention Intervention Using a Mobile App: A Randomized Controlled Trial With Overweight Adults at Risk.
A Novel Diabetes Prevention Intervention Using a Mobile App: A Randomized Controlled Trial With Overweight Adults at Risk.
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DOI：
10.1016/j.amepre.2015.01.003
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发表时间：
2015-08
影响因子：
5.5
通讯作者：
Vittinghoff E
中科院分区：
文献类型：
--
作者：
Fukuoka Y;Gay CL;Joiner KL;Vittinghoff E
移动电话技术可能是一种成本效益高且方便的方式，可以提供行之有效的减肥干预措施，从而预防或延迟2型糖尿病的发病。本研究的目的是研究糖尿病预防干预结合移动应用程序和计步器对有2型糖尿病风险的英语超重成年人的可行性和有效性。个随机对照试验。参与者包括61名超重成人，平均年龄（SD）为55.2（9.0）岁。77%为女性，48%为少数民族，基线BMI为33.3（6.0）。该课程改编自糖尿病预防计划，将面对面会议的频率从16次减少到6次，并以家庭锻炼计划取代小组锻炼计划。一项研究开发的手机应用程序和计步器增强了干预，并提供了自我监测工具。减肥。数据收集于2012年和2013年，并于2014年进行分析。在意向治疗分析中，干预组（n=30）在基线和5个月随访期间平均减少6.2 (5.9)kg(- 6.8%[5.7%])，而对照组（n=31）增加0.3 (3.0)kg (0.3% [5.7%]) （p<0.001）。干预组每天增加2551步（4712步），对照组每天减少734步（3308步）（p<0.001）。相比之下，干预组臀围减小幅度更大（p<0.001）；血压（p<0.05）；摄入饱和脂肪（p=0.007）和含糖饮料（p=0.02）。干预对空腹血脂或血糖水平没有显著影响。这种改进的移动应用程序和计步器联合干预对超重成年人的显著减肥效果值得在更大规模的试验中进一步研究。
Mobile phone technology may be a cost-effective and convenient way to deliver proven weight-loss interventions and thereby prevent or delay onset of type 2 diabetes. The purpose of this study was to examine the feasibility and efficacy of a diabetes prevention intervention combined with a mobile app and pedometer in English-speaking overweight adults at risk for type 2 diabetes. RCT. Participants included 61 overweight adults with a mean age (SD) of 55.2 (9.0) years. Seventy-seven percent were women, 48% were racial/ethnic minorities, and baseline BMI was 33.3 (6.0). The curriculum was adapted from the Diabetes Prevention Program, with the frequency of in-person sessions reduced from 16 to six sessions and group exercise sessions replaced by a home-based exercise program. A study-developed mobile phone app and pedometer augmented the intervention and provided self-monitoring tools. Weight loss. Data were collected in 2012 and 2013 and were analyzed in 2014. In intention-to-treat analyses, the intervention group (n=30) lost an average of 6.2 (5.9) kg (−6.8% [5.7%]) between baseline and 5-month follow-up compared to the control group’s (n=31) gain of 0.3 (3.0) kg (0.3% [5.7%]) (p<0.001). The intervention group’s steps per day increased by 2,551 (4,712) compared to the control group’s decrease of 734 (3,308) steps per day (p<0.001). In comparison, the intervention group had greater reductions in hip circumference (p<0.001); blood pressure (p<0.05); and intake of saturated fat (p=0.007) and sugar-sweetened beverages (p=0.02). The intervention had no significant effect on fasting lipid or glucose levels. The significant weight loss resulting from this modified combined mobile app and pedometer intervention for overweight adults warrants further investigation in a larger trial.