针对2型糖尿病肥胖患者的数字户外炼计划:一种非劣质性随机对照试验
Jian Cui1, Qiang Liu2, Lihua Huang3
1Department of Physical Education, China University of Geosciences (Beijing), Beijing, China.
Frontiers in endocrinology
|August 18, 2025
概括
使用智能手机应用程序进行为期12周的数字户外炼计划,证明与改善2型糖尿病 (T2DM) 管理的临床计划相比,其效果并不逊色. 这种可访问的数字方法为T2DM患者提供了具有成本效益的替代方案.
科学领域:
- 数字健康数字健康
- 运动科学 运动科学
- 代谢性疾病管理
背景情况:
- 肥胖和身体不活动加剧了2型糖尿病 (T2DM).
- 基于诊所的炼计划面临着许多患者的出席障碍.
- 数字干预提供了改善T2DM管理的访问和遵守能力的潜力.
研究的目的:
- 为了评估一个为期12周的数字户外炼计划与标准的临床炼的非劣等性.
- 为了比较含糖血红蛋白 (HbA1c),体重指数 (BMI) 和身体健康的变化.
- 评估数字干预措施的遵守性和成本效益.
主要方法:
- 一个随机控制的非劣势性试验,涉及240名患有T2DM的肥胖成年人.
- 通过智能手机应用程序进行的数字户外运动 (DOE) 计划和基于诊所的运动 (CBE) 计划之间的比较.
- 主要结局:HbA1c的变化;次要结局:BMI,健康状况,生活质量,坚持和成本.
主要成果:
- 在12周后,DOE和CBE两组都显示出HbA1c和BMI的可比显著降低.
- 身体健康和生活质量在两组中都得到了类似的改善.
- 能源部的干预比CBE的干预更具成本效益.
结论:
- 基于智能手机的户外炼与改善T2DM肥胖成年人的血糖控制和BMI的临床计划相比,并不劣.
- 数字炼计划展示了高度的坚持,并提供了一个可扩展,具有成本效益的替代方案.
- 这种方法通过克服参与实践的传统障碍来加强T2DM的管理.
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