上海市某社区糖调节受损患者健步走干预效果评价  

Health Effect of Walking for Patients with Impaired Glucose Regulation in Community

作　　者：章昱[1] 李洋[2] 李枫[2] 张桦[3] 章亚萍[3] 权力[1] 吴益生[1] 

机构地区：[1]上海市闸北区疾病预防控制中心,上海200072 [2]复旦大学公共卫生学院,上海200032 [3]上海市闸北区临汾社区卫生服务中心,上海200070

出　　处：《中国初级卫生保健》2009年第9期21-23,共3页Chinese Primary Health Care

基　　金：上海市公共卫生优秀青年人才培养计划

摘　　要：目的评价糖调节受损(IGR)患者健步走干预的效果。方法采用自身前后对照的流行病学干预方法,以社区内60名IGR患者为研究对象,在社区医生的指导下,以计步器评估和促进运动,进行6个月的健步走运动干预。结果在60名IGR患者中,51人完成了为期6个月的健步干预,干预前日均步数为9169.04±2069.47步,干预后日均步数为10054.39±2541.21步;糖化血红蛋白(HbAlc)从干预前的5.93%下降到干预后的5.15%;自认为经6个月的锻炼后精神和身体都感觉更好。结论在IGR患者中,使用计步器评估和促进运动,进行强化健步走干预,可以降低其糖化血红蛋白水平,从而提高生活质量。OBJECTIVE To evaluate the health effect of walking for patients with impaired glucose regulation in community. METHODS A self-control epidemiological intervention trial was conducted. 60 patients with IGR were recruited into a 6-month walking program, each wearing a pedometer to assess and motivate the physical activity behavior every day under community doctors’ instructions. RESULTS 51 patients with IGR fulfilled 6-month intervention. Their average steps before and after intervention were 9 169.04±2 069.47 and 10 054.39±2 541.21, respectively, while their glycosylated hemoglobin Ale declined from 5.93% to 5.15%. The patients also said they felt better, both mentally and physically, after 6-month sustainable of walking. CONCLUSION Walking program conducted among patients with IGR by wearing a pedometer to assess and motivate physical activity behavior decreases HbAlc,and thus improves health and living conditions.

关 键 词：健步 计步器 糖调节受损 糖化血红蛋白 

分 类 号：R714.66[医药卫生—妇产科学]