Preventing Chronic Disease | Effectiveness of a Community-Based Individualized Lifestyle Intervention Among Older Adults With Diabetes and Hypertension, Tianjin, China, 2008–2009 - CDC
Effectiveness of a Community-Based Individualized Lifestyle Intervention Among Older Adults With Diabetes and Hypertension, Tianjin, China, 2008–2009
Ruijun Yu, PhD; Lijing L. Yan, PhD, MPH; Hanliang Wang, PhD; Liang Ke, MIPH; Zhou Yang, AA; Enying Gong, BA; Hui Guo, MPH; Jun Liu, LLB; Yuting Gu, BSc; Yangfeng Wu, MD, PhD
Suggested citation for this article: Yu R, Yan LL, Wang H, Ke L, Yang Z, Gong E, et al. Effectiveness of a Community-Based Individualized Lifestyle Intervention Among Older Adults With Diabetes and Hypertension, Tianjin, China, 2008–2009. Prev Chronic Dis 2014;11:120333. DOI: http://dx.doi.org/10.5888/pcd11.120333
.
.PEER REVIEWED
Abstract
Introduction
Though diet and exercise modification is effective in preventing diabetes and hypertension, community-based models for lifestyle intervention for managing these conditions that are practical and effective are few.
Though diet and exercise modification is effective in preventing diabetes and hypertension, community-based models for lifestyle intervention for managing these conditions that are practical and effective are few.
Methods
A community-based lifestyle intervention trial was conducted in 5 community clinics in Tianjin, China. Trained physicians used energy monitors and software as tools to provide eight individualized lifestyle consultation sessions (zhiji management) to 273 residents with mild hypertension (including prehypertension) or diabetes (including prediabetes). The recruitment was based on a waitlist control design. The early group (n = 175) received the 3-month intervention and the late group served as controls; afterward, the early group was followed up while the late group received the 3-month intervention. Selected characteristics between the 2 groups were compared by χ2 tests, continuous variables paired ttests, and independent t tests.
A community-based lifestyle intervention trial was conducted in 5 community clinics in Tianjin, China. Trained physicians used energy monitors and software as tools to provide eight individualized lifestyle consultation sessions (zhiji management) to 273 residents with mild hypertension (including prehypertension) or diabetes (including prediabetes). The recruitment was based on a waitlist control design. The early group (n = 175) received the 3-month intervention and the late group served as controls; afterward, the early group was followed up while the late group received the 3-month intervention. Selected characteristics between the 2 groups were compared by χ2 tests, continuous variables paired ttests, and independent t tests.
Results
Compared with baseline, the intervention significantly increased effective (3–6 metabolic equivalents and >6 minutes) physical activity by 54.6 kilocalories per day (P < .01) and decreased total dietary intake by 328.5 kilocalories per day (P < .01). The net differences between early group (intervention) and late group (control phase) were significant (P < .01) for weight, waist circumference, systolic and diastolic blood pressure, 2-hour postprandial glucose, and hemoglobin A1c.
Compared with baseline, the intervention significantly increased effective (3–6 metabolic equivalents and >6 minutes) physical activity by 54.6 kilocalories per day (P < .01) and decreased total dietary intake by 328.5 kilocalories per day (P < .01). The net differences between early group (intervention) and late group (control phase) were significant (P < .01) for weight, waist circumference, systolic and diastolic blood pressure, 2-hour postprandial glucose, and hemoglobin A1c.
Conclusion
This community-based lifestyle zhiji management program produced short-term beneficial changes in activity, diet, and clinical parameters in patients with mild diabetes or hypertension. Larger and longer trials are needed to fully evaluate the effectiveness and feasibility of this model.
This community-based lifestyle zhiji management program produced short-term beneficial changes in activity, diet, and clinical parameters in patients with mild diabetes or hypertension. Larger and longer trials are needed to fully evaluate the effectiveness and feasibility of this model.
Acknowledgments
Ruijun Yu, Lijing L. Yan, and Hanliang Wang contributed equally to conducting this study and writing the article. The authors would like to thank Changping Jin (Tianjin Department of Labor and Social Security), Yun Zhao (Tianjin Health Insurance Research Association), Weishu Ma (Tianjin Chinese Traditional Medicine University), Maomao Xi (Peking Union Medical College), and Yishan Zhu (The George Institute for Global Health) for their assistance, and all of the community physicians and patients in this study for their cooperation and participation.
This study was financially supported by the Tianjin Department of Labor and Social Security and the UnitedHealth Group Chronic Disease Initiative. Except for project approval and financial support, the funders have not been involved in study design, data collection, analysis, interpretation, the writing of the report, or any other aspects of the study.
Author Information
Corresponding Author: Yangfeng Wu, MD, PhD, The George Institute for Global Health at Peking University Health Science Center, Floor 18, Tower B, Horizon Tower, No. 6 Zhichun Road, Haidian, Beijing, 100088 China. Telephone: +86 10 8280 0577, ext. 600. E-mail: ywu@georgeinstitute.org.cn.
Author Affiliations: Ruijun Yu, Jun Liu, Tianjin Health Insurance Research Association, Tianjin, China; Lijing L. Yan, The George Institute for Global Health at Peking University Health Science Center, Beijing, China, and Northwestern University, Chicago, Illinois; Hanliang Wang, Zhou Yang, Health Promotion Working Committee, National Center for Medical Education Development, Beijing, China; Liang Ke, Enying Gong, Hui Guo, The George Institute for Global Health at Peking University Health Science Center, Beijing, China; Yuting Gu, Department of Rehabilitation, The First Affiliated Hospital of Tianjin Chinese Traditional Medicine University, Tianjin, China.
.png)
No hay comentarios:
Publicar un comentario