A digital health-supported Prediabetes Intervention, Management and Evaluation (PRIME) Program improves Healthy Eating Index score: A cluster randomized controlled trial

IF 3.4 3区医学 Q2 NUTRITION & DIETETICS

Nutrition Research Pub Date : 2025-04-14 DOI:10.1016/j.nutres.2025.04.005

Choon Ming Ng , Kah Woon Teoh , Chun Wie Chong , Yi Ling Ng , J Simon Bell , Shaun Wen Huey Lee

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引用次数: 0

Abstract

There has been increasing interest in digital health-supported interventions to facilitate lifestyle change for diabetes prevention. In this secondary analysis of a digital health-supported Prediabetes Intervention, Management and Evaluation (PRIME) cluster randomized controlled trial, we hypothesized that PRIME can improve dietary outcomes among overweight/obese people with prediabetes in Malaysia (n = 82). PRIME Program was only meant for the healthy population without any significant conditions other than prediabetes and metabolic syndrome. The intervention group received the PRIME mobile app equipped with nutrition education modules, online peer support for motivation, nutrition quizzes for reinforcement, and face-to-face personalized counseling sessions by health coaches, supported with real-time health data while control group received usual care. The outcomes included dietary quality, nutrient intake, and food group consumption. Adjusted mixed model analysis showed that the intervention group had a significant improvement in the total healthy eating index score (+7.69%, 95% CI: 3.53-11.85, P < .001), vegetables (+0.68 servings/d, 95% CI: 0.26-1.11, P = .002), refined grains (–0.61 servings/d, 95% CI: –1.01 to –0.21, P = .003) and sodium intake (–436.06 mg, 95% CI: –677.46 to –194.66, P < .001) when compared to the control group. The present study provided data to inform practice directed at supporting the implementation of a digital health-supported lifestyle intervention in complementing and augmenting existing strategies for diabetes prevention among high-risk groups in Malaysia.

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数字健康支持的前驱糖尿病干预、管理和评估（PRIME）计划提高健康饮食指数评分：一项随机对照试验

人们对促进改变生活方式以预防糖尿病的数字健康支持干预措施越来越感兴趣。在对数字健康支持的前驱糖尿病干预、管理和评估（PRIME）集群随机对照试验的二级分析中，我们假设PRIME可以改善马来西亚超重/肥胖的前驱糖尿病患者的饮食结局（n = 82）。PRIME计划只适用于健康人群，除了前驱糖尿病和代谢综合征外，没有任何其他显著疾病。干预组接受配备营养教育模块的PRIME移动应用程序，在线同伴支持以激励，营养测试以强化，健康教练面对面的个性化咨询课程，并提供实时健康数据支持，对照组接受常规护理。结果包括饮食质量、营养摄入和食物组消费。调整混合模型分析显示，干预组在健康饮食指数总分上有显著改善(+7.69%,95% CI: 3.53-11.85, P <；.001)、蔬菜（+0.68份/天，95% CI: 0.26-1.11, P = 0.002）、精制谷物（-0.61份/天，95% CI: -1.01至-0.21,P = 0.003）和钠摄入量(-436.06毫克，95% CI: -677.46至-194.66,P <；.001)。本研究提供了数据，为实践提供信息，旨在支持实施数字健康支持的生活方式干预措施，以补充和扩大马来西亚高危群体预防糖尿病的现有战略。

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来源期刊

Nutrition Research 医学-营养学

CiteScore

7.60

自引率

2.20%

发文量

107

审稿时长

58 days

期刊介绍： Nutrition Research publishes original research articles, communications, and reviews on basic and applied nutrition. The mission of Nutrition Research is to serve as the journal for global communication of nutrition and life sciences research on diet and health. The field of nutrition sciences includes, but is not limited to, the study of nutrients during growth, reproduction, aging, health, and disease. Articles covering basic and applied research on all aspects of nutrition sciences are encouraged, including: nutritional biochemistry and metabolism; metabolomics, nutrient gene interactions; nutrient requirements for health; nutrition and disease; digestion and absorption; nutritional anthropology; epidemiology; the influence of socioeconomic and cultural factors on nutrition of the individual and the community; the impact of nutrient intake on disease response and behavior; the consequences of nutritional deficiency on growth and development, endocrine and nervous systems, and immunity; nutrition and gut microbiota; food intolerance and allergy; nutrient drug interactions; nutrition and aging; nutrition and cancer; obesity; diabetes; and intervention programs.