基于 Nudge 策略的饮食教育干预对 2 型糖尿病患者的影响：聚类随机对照试验》。

IF 4.6 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & metabolism Pub Date : 2024-07-07 DOI:10.1016/j.diabet.2024.101563

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引用次数: 0

摘要

目的：我们旨在评估利用推导策略对 2 型糖尿病患者进行饮食教育干预的临床效果：我们的目的是评估利用推导策略对 2 型糖尿病（T2DM）患者进行饮食教育干预的临床效果：背景：T2DM 及其相关并发症在全球的流行给健康带来了巨大挑战。虽然饮食教育干预对血糖管理的益处已得到广泛认可，但患者往往难以坚持饮食建议。实施 "劝导 "策略可为改变 T2DM 患者的不健康饮食行为和加强糖尿病控制提供一个有前景的解决方案：这是一项更广泛的分组随机试验中的一项子研究，该试验评估了基于推力的饮食教育和传统饮食教育干预的效果。在基线和干预3个月后，对来自中国北京6个基层医疗机构的147名T2DM患者的HbA1c、空腹血糖（FBG）、体重指数（BMI）、血脂水平、血压、饮食行为和糖尿病困扰进行了评估：结果：134 名参与者在两个时间点的所有结果测量均已完成。结果显示，与对照组相比，干预组在 HbA1c、FBG、BMI、总胆固醇、低密度脂蛋白胆固醇、血压、总能量摄入、碳水化合物摄入、脂肪摄入和蛋白质摄入方面的降幅明显更大，糖尿病困扰程度也更低。干预组还保持了高密度脂蛋白胆固醇水平，蔬菜摄入量明显增加，而甘油三酯的变化在两组中相似：本研究证明，基于推导策略的饮食教育干预能有效改善血糖、体重指数、血脂水平和血压，促进患者饮食行为和糖尿病困扰的改变。这些研究结果表明，实施推导策略有助于优化 T2DM 饮食管理和患者的整体健康。

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Effects of nudge strategy-based dietary education intervention in patients with type 2 diabetes mellitus: A cluster randomized controlled trial

Objectives

We aimed to assess the clinical effects of dietary education intervention utilizing the nudge strategy in individuals with type 2 diabetes mellitus (T2DM).

Background

The global prevalence of T2DM and its associated complications presents a significant health challenge. While the benefits of dietary education intervention for blood glucose management are widely acknowledged, patients often struggle to adhere to dietary recommendations. The implementation of the nudge strategy may offer a promising solution to change unhealthy dietary behavior and enhance diabetes control among individuals with T2DM.

Methods

This is a sub-study within a broader cluster-randomized trial that evaluated the effects of nudge-based dietary education and traditional dietary education intervention. Measurements of HbA1c, fasting blood glucose (FBG), body mass index (BMI), blood lipid levels, blood pressure, dietary behavior, and diabetes distress were assessed at baseline and 3 months after the intervention in 147 individuals with T2DM from six primary care practices in Beijing, China.

Results

All outcome measurements were complete at two time points for 134 participants. Results showed that compared to the control group, the intervention group achieved a significantly greater reduction in HbA1c, FBG, BMI, total cholesterol, low-density lipoprotein cholesterol, blood pressure, total energy intake, carbohydrate intake, fat intake, and protein intake and had lower diabetes distress. The intervention group also maintained HDL-C levels and had a significantly greater increase in vegetable intake, while changes in triglycerides were similar in the two groups.

Conclusion

The present study provides evidence that nudge strategy-based dietary education intervention is effective in improving blood glucose, BMI, blood lipid levels, and blood pressure and facilitating changes in patients' dietary behavior and diabetes distress. These findings suggest that implementing nudge strategies can contribute to the optimization of T2DM dietary management and overall patient well-being.

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来源期刊

Diabetes & metabolism 医学-内分泌学与代谢

CiteScore

12.00

自引率

4.20%

发文量

审稿时长

13 days

期刊介绍： A high quality scientific journal with an international readership Official publication of the SFD, Diabetes & Metabolism, publishes high-quality papers by leading teams, forming a close link between hospital and research units. Diabetes & Metabolism is published in English language and is indexed in all major databases with its impact factor constantly progressing. Diabetes & Metabolism contains original articles, short reports and comprehensive reviews.