Monitoring handgrip strength to motivate lifestyle choices for patients with diabetes type 2 - a pragmatic randomised controlled trial.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-12-01 Epub Date: 2024-07-04 DOI:10.1080/02813432.2024.2373298

Lena Bornhöft, Susanne Bernhardsson, Lena Nordeman, Anna Grimby-Ekman, Maria Dottori, Maria E H Larsson

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引用次数: 0

Abstract

Methods: Measurement of HGS with Jamar dynamometers was added to annual check-ups for patients with T2DM by diabetes nurses in primary care with feedback about normal values for age and sex in the intervention group. The control group had standard check-ups. Change in self-reported PA level was measured with questionnaires.

Results: Seven clinics and 334 patients participated. The intervention led to similar effects on PA in both groups. Patients with T2DM had comparable HGS to the general public. Regression analyses showed statistically significantly higher HGS in the intervention group than in the control group at follow-up and no improvement in PA, HbA1c, or waist circumference. Increased HGS was found for older people, men, and people with normal-to-high inclusion HGS, while patients with low inclusion HGS reduced their strength levels.

Conclusions: Measuring HGS and giving feedback to patients with T2DM can lead to increased HGS but does not seem to affect general PA level, HbA1c, or waist circumference. People over 65 years, men, and people with normal-to-high HGS were influenced positively by the intervention. Patients with low HGS may need personalised support to increase physical activity and improve function.ClinicalTrials registration: NCT03693521.

查看原文本刊更多论文

监测手握力以激励 2 型糖尿病患者选择生活方式--一项实用随机对照试验。

方法：干预组的糖尿病护士在为 T2DM 患者进行年度体检时，使用杰玛测力计对 HGS 进行测量，并提供有关年龄和性别正常值的反馈信息。对照组则进行标准体检。通过问卷调查测量自我报告的活动量水平的变化：结果：7 家诊所和 334 名患者参与了干预。干预对两组患者的活动量产生了相似的效果。T2DM 患者的 HGS 与普通人相当。回归分析显示，干预组的 HGS 在随访时明显高于对照组，而 PA、HbA1c 或腰围没有改善。老年人、男性和包容性 HGS 从正常到较高的人群的 HGS 有所提高，而包容性 HGS 较低的患者的体力水平有所下降：结论：测量 HGS 并向 T2DM 患者提供反馈可提高 HGS，但似乎不会影响一般 PA 水平、HbA1c 或腰围。65岁以上人群、男性和HGS正常至偏高的人群受到了干预措施的积极影响。HGS较低的患者可能需要个性化的支持来增加体育锻炼和改善功能：临床试验注册：NCT03693521。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.