一个基于大学的糖尿病预防倡议的十二个月范围和有效性
Maryam Gholami1, Nicholas J Jackson2, Tamra Loeb2
1Altman Clinical and Translational Research Institute, University of California, San Diego, California.
American journal of preventive medicine
|September 23, 2023
概括
基于大学的糖尿病预防计划 (DPP) 有效地减少了不同人群的体重. 虽然仅仅邀请并没有影响体重,但加州大学 (UC) DPP的入学导致了显著的体重减轻.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肥胖和糖尿病风险是严重的公共卫生问题.
- 加利福尼亚大学 (UC) 实施了一项糖尿病预防计划 (DPP) 来解决这些问题.
- 检查基于大学的DPP交付的覆盖范围和有效性至关重要.
研究的目的:
- 评估基于大学的糖尿病预防计划 (DPP) 对体重变化的有效性.
- 评估UC DPP在不同受益人中的影响力.
- 为了比较DPP登记者,收到邀请的非登记者和对照者之间的重量变化.
主要方法:
- 使用2012-2022年电子健康记录,行政数据和DPP队列数据进行比较研究.
- 进行了间断时间序列分析,以比较三个组的12个月体重变化:UC DPP入学者,收到邀请的非入学者和对照者.
- 涉及6231名超重/肥胖的联合基金受益人.
主要成果:
- 报名参加UC DPP的学生年龄较大,主要是女性,种族多样化.
- 在12个月的时间里,UC DPP的学生平均体重减轻了0.68磅/月.
- 与收到邀请的非登记者相比,登记者体重减轻显著增加 (调整后的差异 = -0.95磅/月,p<0.001).
结论:
- UC DPP有效地覆盖了多元化的受众群体,并促进了减肥.
- 仅仅邀请信没有显著影响体重变化,而没有计划入学.
- 基于大学的DPP交付模型显示,增加高危成年人获得有效体重管理干预措施的机会是有前途的.
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