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Development of lifestyle modification program for community based health care services.

为社区医疗保健服务制定生活方式改变计划。

基本信息

批准号：
18500528
负责人：
ARAO Takashi
金额：
$ 1.25万
依托单位：
Waseda University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2007
项目状态：
已结题

项目摘要

Purpose ; To compare the effects of a behavioral intervention program(BIP) and a conventional health education program(CHP) on promoting physical activity and healthy dietary habits, and improving risk factors for cardiovascular diseases in middle-aged people.Method ; One hundred subjects were randomly assigned to either the BIP or CHP group. The subjects in both groups participated in the same intervention protocol(2-hr monthly group sessions over 4 months). The BIP was based on behavior theory and social cognitive theory, and constructed using behavioral strategies(e.g., goal setting, self-monitoring, rewards, and social support). The CHP was constructed of lectures on lifestyle-related diseases, exercise, and nutrition. Primary outcomes were number of daily walking steps, self-reported physical activity, and food(total energy, fat, and vegetable) intakes. Secondary outcomes were BMI, waist circumference, blood pressure, and blood chemicals. The data collection was done at the baseline, the end of the intervention, 6 months and 12 months after the end of the intervention.Results ; An ANOVA-test showed a significant interaction between group and time for the number of daily walking steps and a leisure time physical activity. Both indices showed significantly larger increases in the BIP group than in the CHP group at the end of the intervention and during follow-up period. There were no significant interactions for any food intakes. None of the secondary outcomes showed a significant interaction. However, subgroup analysis of obese women(BMI>24) showed significant interactions which showed significantly greater decreases in every secondary outcome. The change in HOMA-IR negatively correlated with the change in leisure-time physical activity in the BIP group.Conclusion ; The BIP facilitated greater improvement in physical activity than the CHP in middle-aged people and improved obesity and glucose metabolism in obese women.

目的;比较行为干预计划（BIP）和传统的健康教育计划（CHP）促进体力活动和健康的饮食习惯，并改善心血管疾病的危险因素，在middle-aged people.Method的效果; 100名受试者被随机分配到无论是BIP或CHP组。两组受试者均参加相同的干预方案（4个月内每月2小时的小组会议）。BIP基于行为理论和社会认知理论，并使用行为策略（例如，目标设定、自我监控、奖励和社会支持）。卫生保健中心由关于生活方式相关疾病、运动和营养的讲座组成。主要结果是每日步行步数，自我报告的身体活动和食物（总能量，脂肪和蔬菜）摄入量。次要结果是BMI、腰围、血压和血液化学物质。数据收集是在基线，干预结束后，6个月和12个月后结束的intervention.Results ;方差分析检验显示组和时间之间的相互作用，每天步行步数和休闲时间的身体活动。在干预结束时和随访期间，BIP组的这两个指数的增幅均显著大于CHP组。任何食物摄入量都没有显著的相互作用。次要结局均未显示出显著的相互作用。然而，肥胖女性（BMI>24）的亚组分析显示了显着的相互作用，显示了每个次要结局的显着更大的下降。HOMA-IR的变化呈负相关的变化，在闲暇时间的体力活动在BIP group.Conclusion ; BIP促进更大的改善体力活动比CHP在中年人和改善肥胖和糖代谢的肥胖妇女。