• 作者：Consuelo Ariza Copado^a ; ^{cheloariza@yahoo.es} ; Vicente Gavara Palomar^a ; Alfonso Muñ ; oz Ureñ ; a^b ; Fuensanta Aguera Mengual^a ; Magdalena Soto Mart&#237 ; nez^a ; José ; Ramó ; n Lorca Serralta^a
• 关键词：Diabetes mellitus tipo 2 ; Educació ; n en salud ; Ejercicio ; Atenció ; n Primaria de Salud
• 刊名：Atenci贸n Primaria
• 出版年：2011
• 期刊代码：pca69_02126567
• 类别：med
• 出版时间：August 2011
• 卷：43
• 期：8
• 页码：398-406
• 文件大小：195 K

Objective

To study the improvement of metabolic control and cardiovascular risk factors, adherence, self-monitoring, self-care, attitudes and motivation in subjects with Type 2 Diabetes (DM2) in a specific Health Care Area after group intervention through the community: diabetes education (DE) and physical exercise (PE).

Design

A single blind, randomised controlled clinical trial. Intervention: group 1: DE; group 2: ED and PE; group 3: only PE, and 鈥渃ontrol鈥?group-4: Individual consultations.

Location

Urban health centre/municipal sports centre.

Participants

108 DM2, age: 40-70, glycated haemoglobin (HbA₁c) 鈮?8.5%, blood pressure (BP) <160/90 and body mass index (BMI) < 45, excluding those with chronic complications and/or acute decompensation.

Interventions

During 6 months, 8 workshops were held for group education and monitored aerobic physical exercise of moderate intensity (3 hours a week).

Main measurements

Primary variable pre- and post- intervention: reduction in HbA₁c; other variables: examination and analytical data, therapeutic compliance, self-monitoring, self-care, attitudes and motivation (DAS-3SP survey).

Results

After intervention, more diabetics had a lower HbA₁c following a full intervention: 鈥淒E鈥?and 鈥淧E鈥? RR: 1.93 (0.85-4.40) and exercise, RR: 1.56 (0.65-3.76). With simultaneous DE and PE, the BMI, RR: 1.61 (0.85-3.03) and LDL cholesterol, RR: 1.82 (0.99-3.36), of many subjects decreased. Dietary compliance, RR: 1.29 (0.32-5.22) and exercise, RR: 1.93 (0.76-4.91) also increased, more patients performing their own checks, RR: 3.86 (0.90-16.55) and improving motivation/attitudes in 鈥渟trict control management鈥? RR: 1.48 (0.94-2.34). With PE, systolic and diastolic BP decreased in more patients RR: 1.35 (0.72-2.52), 1.87 (0.72-4.84) while in the DE group only diastolic values decreased 1.80 (0.69-4.67).

Conclusions

Patient conditions improve more with the combination of DE and PE, though the results are not statistically significant, probably due to insufficient sample size.