TY - JOUR
AU - Wu Y.
AU - L. Yan
AU - Yu R
AU - Wang H
AU - Ke L
AU - Yang Z
AU - Gong E
AU - Guo H
AU - Liu J
AU - Gu Y
AB - <p>
INTRODUCTION: Though diet and exercise modification is effective in preventing diabetes and hypertension, community-based models for lifestyle intervention for managing these conditions that are practical and effective are few. METHODS: A community-based lifestyle intervention trial was conducted in 5 community clinics in Tianjin, China. Trained physicians used energy monitors and software as tools to provide eight individualized lifestyle consultation sessions (zhiji management) to 273 residents with mild hypertension (including prehypertension) or diabetes (including prediabetes). The recruitment was based on a waitlist control design. The early group (n = 175) received the 3-month intervention and the late group served as controls; afterward, the early group was followed up while the late group received the 3-month intervention. Selected characteristics between the 2 groups were compared by chi(2) tests, continuous variables paired t tests, and independent t tests. RESULTS: Compared with baseline, the intervention significantly increased effective (3-6 metabolic equivalents and &gt;6 minutes) physical activity by 54.6 kilocalories per day (P &lt; .01) and decreased total dietary intake by 328.5 kilocalories per day (P &lt; .01). The net differences between early group (intervention) and late group (control phase) were significant (P &lt; .01) for weight, waist circumference, systolic and diastolic blood pressure, 2-hour postprandial glucose, and hemoglobin A1c. CONCLUSION: This community-based lifestyle zhiji management program produced short-term beneficial changes in activity, diet, and clinical parameters in patients with mild diabetes or hypertension. Larger and longer trials are needed to fully evaluate the effectiveness and feasibility of this model.
</p>

AD - Tianjin Health Insurance Research Association, Tianjin, China.<br/>The George Institute for Global Health at Peking University Health Science Center, Beijing, China, and Northwestern University, Chicago, Illinois.<br/>Health Promotion Working Committee, National Center for Medical Education Development, Beijing, China.<br/>The George Institute for Global Health at Peking University Health Science Center, Beijing, China.<br/>Department of Rehabilitation, The First Affiliated Hospital of Tianjin Chinese Traditional Medicine University, Tianjin, China.<br/>The George Institute for Global Health at Peking University Health Science Center, Floor 18, Tower B, Horizon Tower, No. 6 Zhichun Road, Haidian, Beijing, 100088 China. E-mail: ywu@georgeinstitute.org.cn.
AN - 24831288
BT - Preventing Chronic Disease
DP - NLM
ET - 2014/05/17
LA - eng
LB - CHINA
N1 - Yu, Ruijun<br/>Yan, Lijing L<br/>Wang, Hanliang<br/>Ke, Liang<br/>Yang, Zhou<br/>Gong, Enying<br/>Guo, Hui<br/>Liu, Jun<br/>Gu, Yuting<br/>Wu, Yangfeng<br/>United States<br/>Prev Chronic Dis. 2014 May 15;11:E84. doi: 10.5888/pcd11.120333.
N2 - <p>
INTRODUCTION: Though diet and exercise modification is effective in preventing diabetes and hypertension, community-based models for lifestyle intervention for managing these conditions that are practical and effective are few. METHODS: A community-based lifestyle intervention trial was conducted in 5 community clinics in Tianjin, China. Trained physicians used energy monitors and software as tools to provide eight individualized lifestyle consultation sessions (zhiji management) to 273 residents with mild hypertension (including prehypertension) or diabetes (including prediabetes). The recruitment was based on a waitlist control design. The early group (n = 175) received the 3-month intervention and the late group served as controls; afterward, the early group was followed up while the late group received the 3-month intervention. Selected characteristics between the 2 groups were compared by chi(2) tests, continuous variables paired t tests, and independent t tests. RESULTS: Compared with baseline, the intervention significantly increased effective (3-6 metabolic equivalents and &gt;6 minutes) physical activity by 54.6 kilocalories per day (P &lt; .01) and decreased total dietary intake by 328.5 kilocalories per day (P &lt; .01). The net differences between early group (intervention) and late group (control phase) were significant (P &lt; .01) for weight, waist circumference, systolic and diastolic blood pressure, 2-hour postprandial glucose, and hemoglobin A1c. CONCLUSION: This community-based lifestyle zhiji management program produced short-term beneficial changes in activity, diet, and clinical parameters in patients with mild diabetes or hypertension. Larger and longer trials are needed to fully evaluate the effectiveness and feasibility of this model.
</p>

PY - 2014
SN - 1545-1151 (Electronic)
EP - E84
T2 - Preventing Chronic Disease
TI - Effectiveness of a community-based individualized lifestyle intervention among older adults with diabetes and hypertension, Tianjin, China, 2008-2009
VL - 11
ER -