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基于微信的生活方式干预对糖尿病前期患者血糖、血脂水平的影响
Influence of Lifestyle Intervention Based on WeChat on Blood Glucose and Lipid Levels in Pre-Diabetic Patients

DOI: 10.12677/NS.2022.113055, PP. 324-331

Keywords: 糖尿病前期，生活方式干预，微信
Prediabetes, Lifestyle Intervention, WeChat

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Abstract:

目的：探讨基于微信的生活方式干预对糖尿病前期患者血糖、血脂水平的影响。方法：选取2020年3月至2021年11月于杭州师范大学附属医院就诊的符合入组标准的146例糖尿病前期患者作为研究对象，按随机数字表法分为研究组和对照组，每组73例。实验组采用饮食加运动的生活方式干预，对照组给予常规治疗及健康宣教，不进行特殊干预，两组患者均干预3个月并比较两组患者干预前后的体重、身体质量指数(BMI)、腰围(WC)、空腹血糖(FBG)、餐后两小时血糖(2hPG)、糖化血红蛋白(HbA1c)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)。结果：干预前，两组患者在各指标间的差异均无统计学意义(P > 0.05)；干预后，实验组各指标水平均低于本组干预前，对照组除BMI、L-DLC外各指标水平均低于本组干预前，差异均具有统计学意义(P < 0.05)；经组间比较，干预后实验组体重、BMI、WC、FBG、2hPG、HbA1、TG、TC、LDL-C水平均明显低于对照组，两组组间差异具有统计学意义(P < 0.05)。结论：基于微信的生活方式干预能够有效改善糖尿病前期患者的血糖、血脂水平，提高患者的自我管理能力，具有一定的应用价值。
Objective: To investigate the effects of lifestyle intervention based on WeChat on blood glucose and lipid levels in pre-diabetic patients. Methods: A total of 146 patients with pre-diabetes who met the inclusion criteria and were admitted in the Affiliated Hospital of Hangzhou Normal University from March 2020 to November 2021 were selected as the study subjects. They were divided into study group and control group by random number table method, with 73 patients in each group. The study group was given lifestyle intervention; the control group was given conventional treatment and health education with no special intervention. The intervention period was 3 months. Body mass index (BMI) , waist circumference (WC) , fasting blood glucose (FBG), 2 h postprandial blood glucose(2hPG), glycosylated hemoglobin (HbA1c), triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) levels before and after intervention were compared in the two groups. Results: Before intervention, there was no statistically significant difference between the two groups in each index (P > 0.05). After intervention, the level of each index in the study group was lower than that before intervention, and the level of each index except BMI and L-DLC in the control group was lower than that before intervention, and the differences between the two groups were statistically significant (P < 0.05). After the intervention, the levels of body weight, BMI, WC, FBG, 2hPG, HbA1, TG, TC and LDL-C in the experimental group were significantly lower than those in

References

[1]  中国2型糖尿病防治指南(2017年版) [J]. 中国实用内科杂志, 2018, 38(4): 292-344.
[2]  Wang, L.M., Gao, P., Zhang, M., et al. (2017) Prevalence and Ethnic Pattern of Diabetes and Prediabetes in China in 2013. JAMA: The Journal of the American Medical Association, 317, 2515-2523.
https://doi.org/10.1001/jama.2017.7596
[3]  中国成人糖尿病前期干预的专家共识[J]. 中华内分泌代谢杂志, 2020(5): 371-380.
[4]  陈云, 吴爱娟, 姜玲玲, 陈亚梅. 基于行为转变理论微信健康教育平台对2型糖尿病患者自我管理效果的影响[J]. 交通医学, 2021, 35(3): 312-314.
[5]  郑丽, 王光华, 鲁晶晶, 秦静. 微信群健康教育对糖尿病患者疾病认知及健康行为的影响[J]. 中国健康教育, 2021, 37(2): 183-186.
[6]  Shilpa, S., et al. (2021) Women’s Usage Behavior and Perceived Usefulness with Using a Mobile Health Application for Gestational Diabetes Mellitus: Mixed-Methods Study. International Journal of Environmental Research and Public Health, 18, 6670.
https://doi.org/10.3390/ijerph18126670
[7]  Naoki, S., Yoshitake, O., Kazuhiko, K., Akiko, S., Kaoru, T., Juichi, S., Sadao, S., Kazuo, I., Masayuki, K., Mitsuhiko, N. and Hideshi, K. (2021) Impact of Telephone Support Programme Using Telemonitoring on Stage of Change towards Healthy Eating and Active Exercise in People with Prediabetes. Journal of Telemedicine and Telecare, 27, 307-313.
https://doi.org/10.1177/1357633X211010981
[8]  Cook, G., Burton, L., Hoogenboom, B.J. and Voight, M. (2014) Functional Movement Screening: The Use of Fundamental Movements as an Assessment of Function Part 2. International Journal of Sports Physical Therapy, 9, 396-409.
[9]  MacDonald, J., Schaefer, M. and Stumph, J. (2021) The Preparticipation Physical Evaluation. American Family Physician, 103, 539-546.
[10]  莫永珍. 糖尿病患者的饮食治疗和教育[J]. 中华护理杂志, 2006, 41(5): 477-478.
[11]  Kaur, H., Singla, N. and Jain, R. (2021) Role of Nutrition Counseling and Lifestyle Modification in Managing Prediabetes. Food and Nutrition Bulletin, 42, 584-596.
https://doi.org/10.1177/03795721211025434
[12]  汪亚群, 楼青青, 嵇加佳, 张小波, 李唯佳. 抗阻运动对糖尿病前期患者糖脂代谢的影响[J]. 中华物理医学与康复杂志, 2015, 37(4): 294-297.
[13]  杨光燃, 袁申元, 傅汉菁, 万钢, 朱良湘, 袁明霞, 潘素芳, 卜祥雷, 张建东, 杜雪平, 李玉玲, 季宇, 谷晓宁, 李月, 崔学利, 白薇, 陈玉洁, 王自明, 程淑艳, 高迎, 柳德元, 王益品. 颈围、腰围、腰臀比对2型糖尿病患者超重、肥胖及代谢综合征评价作用的比较研究[J]. 中国全科医学, 2016, 19(7): 781-785.
[14]  Jenkins, N.T. and Hagberg, J.M. (2011) Aerobic Training Effects on Glucose Tolerance in Prediabetic and Normoglycemic Humans. Medicine & Science in Sports & Exercise, 43, 2231-2240.
https://doi.org/10.1249/MSS.0b013e318223b5f9
[15]  Fett, C., Fett, W. and Marchini, J. (2009) Circuit Weight Training vs Jogging in Metabolic Risk Factors of Overweight/Obese Women. Arquivos Brasileiros de Cardiologia, 93, 519-525.
https://doi.org/10.1590/S0066-782X2009001100013
[16]  Goodpaster, B.H., Katsiaras, A. and Kelley, D.E. (2003) Enhanced Fat Oxidation through Physical Activity Is Associated with Improvements in Insulin Sensitivity in Obesity. Diabetes, 52, 2191-2197.
https://doi.org/10.2337/diabetes.52.9.2191
[17]  Bittel, A.J., Bittel, D.C., Mittendorfer, B., Patterson, B.W., Okun-ade, A.L., Yoshino, J., Porter, L.C., Abumrad, N.A., Reeds, D.N. and Cade, W.T. (2020) A Single Bout of Resistance Exercise Improves Postprandial Lipid Metabolism in Overweight/Obese Men with Prediabetes. Diabetologia, 63, 611-623.
https://doi.org/10.1007/s00125-019-05070-x
[18]  Colberg, S.R., Sigal, R.J., Fernhall, B., Regensteiner, J.G., Blissmer, B.J., Rubin, R.R., Chasan-Taber, L., Albright, A.L. and Braun, B. (2010) Exercise and Type 2 Diabetes: The American College of Sports Medicine and the American Diabetes Association: Joint Position Statement Executive Summary. Diabetes Care, 33, e147-e167.
https://doi.org/10.2337/dc10-9990
[19]  Black, L.E., Swan, P.D. and Alvar, B.A. (2010) Effects of Intensity and Volume on Insulin Sensitivity during Acute Bouts of Resistance Training. The Journal of Strength & Conditioning Re-search, 24, 1109-1116.
https://doi.org/10.1519/JSC.0b013e3181cbab6d
[20]  Mann, S., Beedie, C. and Jimenez, A. (2014) Differential Ef-fects of Aerobic Exercise, Resistance Training and Combined Exercise Modalities on Cholesterol and the Lipid Profile: Review, Synthesis and Recommendations. Sports Medicine (Auckland, N.Z.), 44, 211-221.
https://doi.org/10.1007/s40279-013-0110-5
[21]  Barnard, R.J., Lattimore, L., Holly, R., et al. (1982) Response of Non-Insulin-Dependent Diabetic Patients to an Intensive Program of Diet and Exercise. Diabetes Care, 5, 370-374.
https://doi.org/10.2337/diacare.5.4.370
[22]  Pi-Sunyer, X., Blackburn, G., Brancati, F.L., et al. (2007) Reduction in Weight and Cardiovascular Disease Risk Factors in Individuals with Type 2 Diabetes: One-Year Results of the Look AHEAD Trial. Diabetes Care, 30, 1374-1383.
https://doi.org/10.2337/dc07-0048
[23]  石瑞峰, 郭晓蕙, 章秋. 我国成人2型糖尿病自我管理教育与支持的现状与展望[J]. 中华糖尿病杂志, 2021, 13(2): 121-124.
[24]  徐雷, 李健. 上海某社区糖尿病前期人群微信干预的效果及成本分析[J]. 中国全科医学, 2021, 24(4): 438-441.
[25]  程远尊, 祁梦君, 张贤贤, 张利霞. 微信集群干预对糖尿病前期病人饮食及血糖控制的影响[J]. 护理研究, 2018, 32(12): 1882-1885.
[26]  Gordon, B.A., Benson, A.C., Bird, S., et al. (2009) Resistance Training Improves Metabolic Health in Type 2 Diabetes: A Systematic Review. Diabetes Research and Clinical Practice, 83, 157-175.
https://doi.org/10.1016/j.diabres.2008.11.024
[27]  吴楚越, 李乃适. 移动健康技术在糖尿病患者自我管理中的应用[J]. 中华健康管理学杂志, 2019(3): 259-261.
[28]  郭泽浩, 李乃适. 以移动健康为核心的糖尿病及糖尿病前期综合管理: 以新型冠状病毒肺炎流行为契机[J]. 中华健康管理学杂志, 2020, 14(3): 290-294

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