数字体重自我监测对改善糖尿病临床结果的影响:准随机研究
Yifat Fundoiano-Hershcovitz1, Marilyn D Ritholz2, David L Horwitz3
1Dario Health, Caesarea, Israel.
Journal of medical Internet research
|April 2, 2024
概括
数字自我监测体重显著改善了2型糖尿病患者的血糖 (BG) 水平,并降低了BMI. 体重变化与BG波动有关,突出显示了患者在慢性疾病管理中的权力.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 数字健康数字健康
背景情况:
- 2型糖尿病 (T2D) 和肥胖管理具有挑战性,大多数T2D患者超重或肥胖.
- 需要有效的干预措施来同时管理这两种情况并改善患者的治疗结果.
- 缺乏关于体重自我监测对血糖控制的影响的现实证据.
研究的目的:
- 评估数字体重自我监测在改善T2D管理中的血糖 (BG) 水平方面的有效性.
- 为了探索体重变化是否介导BG波动.
主要方法:
- 一个回顾性,现实世界的准随机研究匹配了具有和没有体重监测 (WM) 功能的用户.
- 分析了6个月的干预前后综合体质和体重数据.
- 使用零碎混合模型来评估BG和重量轨迹以及重量对BG的滞后影响.
主要成果:
- 与非监测组不同的是,WM组显示出显著的BG减少 (P<.001) 和BMI下降 (P<.001).
- 患者内部和患者之间的体重变化与BG水平正相关 (P<.001,P=.008).
- 在1个月滞后的BMI和BG水平 (P=.36) 之间没有发现相关性.
结论:
- 数字体重自我监测为T2D患者的BG水平管理提供了显著的好处.
- 建议在慢性疾病管理中整合数字自我监测工具.
- 有证据表明,患者赋权和理解糖尿病护理中的体重-BG动态起着作用.
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