社区2型糖尿病个性化步行运动干预效果评价

Evaluation on Intervention Effect of Individual Walking Motion in Patients with Type 2 Diabetes in Community

目的探讨不同强度步行运动对2型糖尿病患者的干预效果,为进一步在社区中实施有效的干预措施提供依据。方法选择大连市2处社区中104名2型糖尿病患者作为调查对象,每月进行1次糖尿病防治知识专题讲座。根据患者身体状况及本人爱好按每10岁为1个年龄组分别随机划入干预A组(3次/周,30 min/次)、干预B组(3次/周,60 min/次)、干预C组(5次/周,60 min/次)和对照组,3个运动干预组在6个月干预期间分别进行不同强度的步行运动,对照组在干预期间,不接受具体的运动指导。结果半年运动干预后,干预组对糖尿病知识的知晓率较干预前有显著提高,对照组干预前后对糖尿病知识的知晓率无显著变化。除对照组外,干预后各干预组的步数、有效步数、步行运动消耗能量均有显著性增加(P<0.01)。干预A组的血糖水平和胆固醇水平较干预前有所降低(P<0.05),其他各项指标无显著性变化(P>0.05);干预B组与干预C组血糖水平、胆固醇水平和甘油三酯水平均较干预前有明显改善(P<0.01)。结论个性化步行运动干预能够有效提高患者对运动治疗的依从性。不同强度的步行运动能有效地调节和控制血糖水平,达到改善糖代谢、降低血脂的目的。

[Objective]To study the intervention effect of walking motion in different intensity in patients with type 2 diabetes,provide the basis for further implementation of effective intervention measures in community. [Methods]The diabetes prevention lectures was conducted among all investigation object every one month.According to physical condition and individual hobby,104 diabetes patients were randomly divided into the intervention group A（three times a week,30 min each time）,intervention group B（three times a week,60 min each time）,intervention group C（five times a week,60 min each time） and the control group.Three intervention groups were treated with walking motion in different intensity for six months,and the control group was not given exercise instruction. [Results]After six months of exercise intervention,the awareness rates of knowledge about diabetes of intervention groups increased as compared with that before intervention,and there was no significant difference in awareness rates of knowledge about diabetes of the control group between before and after intervention.Except the control group,the step number,the effective step number and energy consumption of walking motion in all intervention groups had increased significantly after intervention（P0.01）.The levels of blood glucose and cholesterol of intervention group A after intervention decreased compared with before intervention（P0.05）,and there was no obvious change in other indexes（P0.05）.After intervention,the levels of blood glucose,cholesterol and triglyceride of intervention group B and intervention group C has improved compared with before intervention（P0.01）. [Conclusion]The individual walking motion can increase the patients＇ compliableness of exercise therapy.The walking motion in different intensity can effectively regulate and control the level of blood glucose,improve the glucose metabolism and reduce the level of blood lipid.