摘要
Objective The purpose of this study is to examine the association between delivery of healthcare provider’s advice about lifestyle management and lifestyle behavioural change in pre-diabetes management in adults who were overweight or obese.Design This cross-sectional study included adults with body mass index(BMI)≥25 kg/m^(2)and reporting pre-diabetes in USA.Outcomes included the prevalence of receiving provider’s advice on lifestyle management and patterns of practicing lifestyle change.The association between delivery of provider’s advice and lifestyle-related behavioural change in pre-diabetes management was examined.Setting US Continuous National Health and Nutrition Examination Survey(2013-2018).Participants A total of 1039 adults with BMI≥25 kg/m^(2)reported pre-diabetes.Results Of eligible adults with pre-diabetes,76.8%received provider’s advice about lifestyle change.The advice group showed higher proportions of ongoing lifestyle change than no advice group,including weight reduction/control(80.1%vs 70.9%,p=0.018),exercise(70.9%vs 60.9%,p=0.013)and diet modifications(83.8%vs 61.8%,p<0.001).After adjustment,those receiving provider’s advice were more likely to increase exercise(OR 1.63,95%CI 1.12 to 2.38)and modify diet(OR 3.0,95%CI 1.82 to 4.96).Conclusion Over 75%of US adults who were overweight or obese and reported pre-diabetes received healthcare provider’s advice about reducing the risk of diabetes through lifestyle change.Provider’s advice increased the likelihood of lifestyle-related behavioural change to exercise and diet.
