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研究协议:将糖尿病预防计划带给GEriatric人口.

Jeannette M Beasley1,2, Emily A Johnston2, Mary Ann Sevick2,3

  • 1Department of Nutrition and Food Studies, New York University, New York, NY, United States.

Frontiers in medicine
|June 5, 2023
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概括

糖尿病预防计划 (DPP) 显示,老年人从生活方式干预中受益. 这项研究比较了老年人群的个人和虚拟DPP交付,以改善糖尿病前期管理.

关键词:
预防糖尿病 预防糖尿病实施科学 实施科学改变生活方式,改变生活方式.营养 营养 营养 营养年龄较大的成年人.身体活动 身体活动社会支持社会支持虚,虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚,

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科学领域:

  • 老年医学 老年医学
  • 预防性心脏病学 预防性心脏病学
  • 公共卫生干预 公共卫生干预

背景情况:

  • 糖尿病预防计划 (DPP) 通过强化生活方式干预,在老年人中显著降低了糖尿病风险.
  • 尽管已被证明有效,但65岁及以上患有糖尿病前期的美国成年人参与全国DPP仍然很低.
  • 对于这个日益增长的人口群体,有必要适应并提供基于证据的糖尿病预防计划.

研究的目的:

  • 为了比较针对老年人 (DPP-TOAT) 的面对面DPP计划与虚拟交付模式 (V-DPP-TOAT) 的有效性和实施情况.
  • 评估六个月的体重减轻作为主要的有效性结果,以及干预会议的出席率作为主要的实施结果.
  • 为老年人群提供基于证据的生活方式干预措施的最佳交付策略提供信息.

主要方法:

  • 将糖尿病预防计划带到GEriatric人口 (桥) 试验是一个随机对照试验,涉及230名参与者.
  • 参与者通过电子健康记录进行招募,并随机分配到面对面的DPP-TOAT或V-DPP-TOAT手臂.
  • 使用非劣质设计来比较这两种交付方法.

主要成果:

  • 主要有效性结局:6个月的体重减轻.
  • 主要实施结果:干预会议的出席率.
  • 该研究将提供关于面对面与虚拟交付相比较成功的数据.

结论:

  • 调查结果将指导开发最佳实践,以向老年人提供DPP.
  • 这项研究旨在提高老年人群在糖尿病预防工作中的可访问性和参与度.
  • 成功实施量身定制的DPP模型可以解决美国老年人糖尿病前期高患病率的问题.