Effects of short-term intensive lifestyle intervention on community patients with impaired glucose regulation

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Author:
TANG Yu-ping(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
LI Mao-lian(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
HE Jun-hua(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
BIAN Yun-fei(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
LI Jun-nan(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
SHEN Xiu-min(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
LI Ai-qing(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
ZHU Xian-qing(Nursing College of Shanxi Medical University,Taiyuan 030001, China)
Journal Title:
CHINESE JOURNAL OF HEALTH MANAGEMENT
Issue:
Volume 3, Issue 04, 2009
DOI:
10.3760/cma.j.issn.1674-0815.2009.04.006
Key Word:
Life style;Early intervention(education);Community health services

Abstract: Objective To evaluate the effects of the short-term intervention lifestyle intervention on metabolic measurements of community patients with impaired glucose regulation (IGR). Methods A total of 90 IGR participants were randomly assigned to the control group (n=45) or the intervention group (n= 45). The subjects in the control group received routine diet and physical exercise advice once a month. The subjects in the intervention group received additional individualized diet counseling and circuit-type resistance training. Metabolic parameters were compared before or after the intervention between the two groups. Results In oral glucose tolerance test (OGTT),2-h plasma glucose (PG) and homeostasis model of insulin resistance index (HOMA-IR) were significantly decreased in the intervention group at 3 months(F= 13.47 or 82.25 ,both P < 0.05). Body mass index (t=-2.44, P<0.05), systolic blood pressure (t= -3.39, P<0.05), diastolic blood pressure (t=-3.97, P<0.05), fasting plasma glucose (t=-3.89, P<0.05),2-h PG (t=-7.22,P <0.05) ,total cholesterol (t=-2.72,P<0.05),low-density lipoprotein cholesterol (t=-2.74, P<0.05), and glycosylated hemoglobin A1 C (t=-3.73, P<0.05) were significantly declined in the intervention group compared to the control group (all P<0.05). Conclusions Intensive lifestyle intervention can significantly improve the metabolic markers of IGR subjects and should be used to prevent type 2 diabetes.

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