CAJ | 학술논문

目的：探索强化生活方式干预对空腹血糖受损（ IFG ）人群的影响。方法采取前瞻性研究方法，随机抽取南宁市、柳州市4个社区IFG患者300例，采用抓阄法随机分成4组：对照组（ A组）、单纯运动治疗组（ B1组）、饮食控制加运动组（ B2组）、饮食控制加标准量化运动方案组（ B3组）。监测各组干预前及干预1年、2年后FBG、2hPG、HbA1 c、TC、TG、HDL、LDL、体重、腰臀比，采用抑郁自评量表（ SDS）评价干预前后抑郁情况。结果干预1年、2年后相对于A组、B1组、B2组，B3组IFG患者TC、TG、HDL、LDL、体重、腰臀比、HbA1 c、FBG、2hPG指标改善效果更明显（P＜0．05）；（2）B3组IFG转归率高于另外3组（P＜0．05）；B3组抑郁检出率均低于其他3组，SDS得分均低于其他3组（ P＜0．05）。结论加强饮食控制＋运动处方的生活干预方式可有效改善IFG患者的血糖、血脂，提高空腹血糖转归率。
목적：탐색강화생활방식간예대공복혈당수손（ IFG ）인군적영향。방법채취전첨성연구방법，수궤추취남저시、류주시4개사구IFG환자300례，채용조구법수궤분성4조：대조조（ A조）、단순운동치료조（ B1조）、음식공제가운동조（ B2조）、음식공제가표준양화운동방안조（ B3조）。감측각조간예전급간예1년、2년후FBG、2hPG、HbA1 c、TC、TG、HDL、LDL、체중、요둔비，채용억욱자평량표（ SDS）평개간예전후억욱정황。결과간예1년、2년후상대우A조、B1조、B2조，B3조IFG환자TC、TG、HDL、LDL、체중、요둔비、HbA1 c、FBG、2hPG지표개선효과경명현（P＜0．05）；（2）B3조IFG전귀솔고우령외3조（P＜0．05）；B3조억욱검출솔균저우기타3조，SDS득분균저우기타3조（ P＜0．05）。결론가강음식공제＋운동처방적생활간예방식가유효개선IFG환자적혈당、혈지，제고공복혈당전귀솔。
Objective To explore the effects of lifestyle intervention including exercise training and dietary therapy on patients with impaired fasting glucose ( IFG) .Methods We adopted prospective study method and selected 400 IFG cases from four communities in Nanning and Liuzhou .The patients were divided randomly into four groups:control group(group A),exercise training group(group B1),ordinary dietary therapy and exercise training group (group B2),dietary therapy and exercise prescription training group (group B3).FBG,2hPG,HbA1 c,TG,TC,HDL,LDL,body weight and waist to hip ratio were monitored in each group as well as SDS was adopted to evaluate the patients′depression state before and after intervention.Results ① Compared with group A,B1,B2,TG,TC,HDL,LDL,body weight,waist-to-hip ratio, HbA1c,FPG,2hPG of IFG patients in group B3 improved significantly after 1-or 2-year intervention (P<0.05).②The recovery rate of blood glucose of IFG patients in group B 3 was significantly higher than those in the other groups (P<0.05).③The positive rate of depression and SDS score of patients in group B 3 were significantly lower than those in the other groups (P<0.05).Conclusion The combined application of exercise prescription training and strengthened dietary therapy in lifestyle intervention can improve blood glucose ,blood lipids of IFG patients effectively , which might elevate the recovery rate of FBG .