Randomized controlled trial of two forms of self-management group education in Japanese people with impaired glucose tolerance.
Randomized controlled trial of two forms of self-management group education in Japanese people with impaired glucose tolerance.
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对葡萄糖耐受性受损的日本人的两种形式的自我管理小组教育的随机对照试验。
DOI：
10.3164/jcbn.2008050
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发表时间：
2008-09
影响因子：
2.4
通讯作者：
Kajiyama, Shizuo
中科院分区：
文献类型：
--
作者：
Imai, Saeko;Kozai, Hana;Naruse, Yuko;Watanabe, Kanji;Fukui, Michiaki;Hasegawa, Goji;Obayashi, Hiroshi;Nakamura, Naoto;Naito, Yuji;Yoshikawa, Toshikazu;Kajiyama, Shizuo
本研究的目的是确定对糖耐量受损受试者进行糖尿病预防教育的有效性。总共 100 名糖耐量受损且血红蛋白 A1c (HbA1c) 水平≥5.5% 至 <6.1% 的受试者被随机分配到支持组或对照组。所有受试者在 6 个月内接受了 8 次课程的教育。支持小组由 10 名成员组成，他们与营养师或护士合作，通过采用以参与者为中心的方法学习应对技能。支持组的参与者被要求写日记，监测体重、食物摄入量和血糖水平，而对照组则参加几次讲座。分配到支持组的受试者的平均 HbA1c 水平从基线时的 5.77 ± 0.36% 降低至终点时的 5.39 ± 0.24% (p<0.01)。支持组的体重、总胆固醇 (TC)、低密度脂蛋白胆固醇 (LDL-C) 和甘油三酯 (TG) 水平也有所下降 (p<0.01)，而对照组受试者的这些指数没有明显下降。干预后，支持组参与者的餐后 2 小时血糖水平有所改善。当与教育工作者和其他团队成员合作进行时，支持小组教育可以有效改善参与者的血糖控制。
The aim of this study was to determine the effectiveness of education on diabetes prevention in subjects with impaired glucose tolerance. A total of 100 subjects of impaired glucose tolerance with hemoglobin A1c (HbA1c) levels ≥5.5 to <6.1% were assigned randomly to either support or control groups. All subjects received education in 8 sessions over a 6-month period. The support group consisted of 10 members collaborating with a dietitian or a nurse who learned coping skills by employing a participant-centered approach. Participants in the support group were required to keep a diary that monitored weight, food intake and blood glucose levels, while the control group attended several lectures. Subjects assigned to the support group had a reduction in mean HbA1c levels from 5.77 ± 0.36% at baseline to 5.39 ± 0.24% at the endpoint (p<0.01). Weight, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and triglyceride (TG) levels also decreased (p<0.01) in the support group, whereas subjects in the control group had no observable reduction in these indices. After intervention, participants of the support group had improvements in their 2-h post-meal blood glucose levels. Support group education can be effective for improving glycemic control in participants when carried out in collaboration with educators and other team members.
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影响因子：
3.9
作者：
Ackermann, Ronald T.;Marrero, David G.
通讯作者：
Marrero, David G.
影响因子：
16.2
作者：
Nicolucci, A;Cavaliere, D;Olivieri, M
通讯作者：
Olivieri, M
影响因子：
16.2
作者：
SEKIKAWA, A;TOMINAGA, M;MIYAZAWA, K
通讯作者：
MIYAZAWA, K
影响因子：
5.1
作者：
OHKUBO, Y;KISHIKAWA, H;SHICHIRI, M
通讯作者：
SHICHIRI, M
影响因子：
16.2
作者：
BLOOMGARDEN, ZT;KARMALLY, W;BROWN, WV
通讯作者：
BROWN, WV