天津医药

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运动对中老年糖尿病患者血糖及血压的影响

肖卉1,王建华2,张誉文2,田园2   

  1. 1. 天津医科大学公共卫生学院流行病学教研室
    2. 天津医科大学公共卫生学院
  • 收稿日期:2010-05-31 修回日期:2010-07-12 出版日期:2010-10-15 发布日期:2010-10-15
  • 通讯作者: 肖卉

Effects of comprehensive intervention on elderly diabetes patients

  • Received:2010-05-31 Revised:2010-07-12 Published:2010-10-15 Online:2010-10-15

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摘要： 摘要 目的：探讨社区综合干预对中老年糖尿病患者体力活动、血糖及糖尿病相关危险因素的影响。方法：查阅天津市王顶堤社区居民健康档案选取124名糖尿病患者，并随机分为干预组和对照组。干预组实施6个月的综合干预措施，对照组不实施任何干预措施。用SPSS for Windows l3.0软件包对两组人群干预前后的体力活动、血糖及糖尿病相关危险因素的变化进行协方差和多元方差分析。结果：干预组研究对象经综合干预后，总体力活动代谢当量平均增加了446.01±801.74MET/周，空腹血糖平均下降1.40±2.16 mmol/L，餐后血糖平均下降了1.39±2.99 mmol/L，收缩压平均下降9.64±14.01mmHg，腰臀比降低及体重指数均降低。两组人群这些指标的变化均有统计学差异(P<0.05)。结论：社区综合干预模式可有效降低中老年糖尿病患者的血糖及相关危险因素。

关键词: 糖尿病, 2型, 运动干预, 健康教育, 协方差分析, 多元方差分析

Abstract: Abstract Objective: The aim of this project was to investigate the effects of a community comprehensive intervention program on middle aged and the elderly diabetes patients. It includes improvement of exercise, blood glucose, blood pressure and diabetes -related risk factors. Methods: A randomized controlled community trial was conducted. 124 diabetes patients were selected and randomly assigned to intervention group and control group. The intervention group was given comprehensive intervention for 6 months. The control group was not given any intervention. The changes of two groups’ physical activity, blood glucose, blood pressure and diabetes-related risk factors before and after intervention were analyzed using SSPS 13.0 software package carry out covariance and multivariate analysis of variance. Results: The results showed that intervention group ’ s total physical activity MET on average increased by 446.01 ± 801.74MET / week, fasting serum glucose level reduced by1.40±2.16 mmol/L, two-hour post prandial blood glucose fell by an average 1.39 ± 2.99 mmol / L, waist to hip ratio reduced and body mass index reduced over an 6-month integrated intervention. Both of them had significant statistically difference between two groups (P<0.05). Conclusion: Results of the study indicates that integrated intervention model can be effective in control of diabetes and its related risk factors in elderly diabetes patients.

Key words: diabetes mellitus, type 2, exercise intervention, health education, covariance analysis, multivariate analysis of variance