岳阳楼社区糖尿病高危人群非药物干预效果

Effect of non-drug intervention on diabetic high-risk population in communities of Yueyanglou District

目的探讨2型糖尿病高危个体非药物干预的效果。方法运用知己能量监测仪和知己健康管理软件对岳阳楼区三个社区筛查人群中的2型糖尿病高危个体71例进行运动和饮食管理指导,进行3个月的强化期管理和9个月的随访,建立Epidata数据库,用SPSS13.0软件包对数据进行统计学分析。结果经对高危个体12个月的生活方式干预,体重、腰围、体脂率、收缩压、舒张压、血糖、总胆固醇、甘油三酯的变化差异有统计学意义(t=11.70、9.86、9.52、9.45、7.89、4.87、2.43、3.86,P<0.05)。但高密度脂蛋白和低密度脂蛋白变化差异无统计学意义,日平均总运动量、有效运动量、有效运动时间、日平均膳食摄入能量均比一年前有显著改善,差异有统计学意义(P<0.01)。干预组的腰围、血压、空腹血糖、总胆固醇、甘油三脂与对照组一年后差异亦有统计学意义(P<0.01)。结论对依从性好的2型糖尿病高危个体进行生活方式干预可以产生显著效果,值得宣传和推广。

Objective To explore the effectiveness of non- drug intervention on adults with high risk of developing type 2 dia- betes mellitus. Methods Seventy - one adults with high risk of developing type 2 diabetes mellitus in 3 communities of Yueyanglou District were selected by diabetes risk screening and managed with Zhiji energy monitor and Zhiji health management software. 3 - month intensive health management and 9 - month follow - up were conducted. Epidata database and SPSS13.0 software were used {or data analysis. Results After 12 - month life- style intervention, there were statistically significant dif- ferences in the changes of the adults＇ weight, waistline, body fat rate, systolic and diastolic blood pressure, blood sugar, total cholesterol and triglyceride （t=11.70, t=9.86, t=9.52 t=9.45, t=7.89, t=4.87, t=2.43, t=3.86, all P〈0.05）. But no statistically significant differences were found in the changes of the adults＇ high density lipoprotein cholesterol and low density lipoprotein cholesterol. The average total amount of daily exercise, the amount of effective exercise, the amount of time of effective exercise and the average daily dietary intake of the adults were significantly improved as compared with those a year ago （P（0.01）. After 12- month life- style intervention, there were statistically significant differences in waistline, blood pres-sure, fasting blood sugar, total cholesterol and triglyceride between the intervention group and the control group （P 〈 0.01）. Conclusions Life- style intervention on diabetic high - risk adults is effective if they have good compliance, and it is worth publicizing and promoting.