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国家糖尿病预防计划的吸收,保留和结果,按入学者的特点和计划类型进行分类
William H Herman1, Claudia Villatoro2, Kevin L Joiner3
1Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, MI, USA; Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Diabetes research and clinical practice
|July 21, 2023
概括
国家糖尿病预防计划 (NDPP) 帮助糖尿病前期患者获得健康益处. 吸收和保留因节目类型而异,但所有格式的总体结果都是积极的.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病前期影响成人人口的很大一部分,增加了2型糖尿病的风险.
- 国家糖尿病预防计划 (NDPP) 是美国疾病预防控制中心认可的一项生活方式改变计划,旨在预防或延迟2型糖尿病.
- 了解招生模式和计划有效性对于优化公共卫生干预至关重要.
研究的目的:
- 评估国家糖尿病预防计划 (NDPP) 的吸收,保留和健康结果.
- 为了比较这些结果在不同的程序交付格式和入学特征.
- 在现实环境中识别影响程序选择和成功的因素.
主要方法:
- 一组776名糖尿病前期和超重/肥胖的成年人被纳入了四种NDPP类型之一:面对面 (临床或社区),专注于健身或在线.
- 通过保险公司记录和调查,收集了关于入学者的特征,计划选择,保留和健康结果的数据.
- 进行了统计分析,以根据计划类型和参与者人口统计数据来比较结果.
主要成果:
- 患有高血压和心血管疾病的老年人更有可能选择基于课堂的课程.
- 节目选择受到时间,地点和对饮食或体育活动的关注的影响.
- 与其他格式相比,以课堂为基础的面对面课程显示了更高的保留能力,减肥和身体活动的改善. 然而,在计划类型之间没有观察到血压,脂质水平,自我评估健康,生活质量或2型糖尿病发病率的显著差异.
结论:
- 所有国家糖尿病预防计划 (NDPP) 格式都为糖尿病前期患者提供健康益处.
- 虽然面对面的课堂设置可能会提高留学能力和一些生活方式的改变,但整体临床结果和糖尿病发病率在不同方案模式中是可比的.
- 计划的可访问性和参与者的偏好在参与和成功中发挥着作用.
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