我国慢性病防治成功案例——中国大庆糖尿病预防研究的分析及启示
An enlightenment from a chronic disease prevention——the China Da Qing Diabetes Prevention Study
为降低糖尿病发病率、死亡率,促进健康,提高生命质量,以健康教育和行为干预为主要内容的“中国大庆糖尿病预防研究”(以下简称“大庆研究”)于20世纪80年代在大庆市启动,576例糖耐量受损对象被纳入研究,随机分为干预组(包括运动干预组、饮食干预组、运动和饮食综合干预组)和对照组.6年干预期末及20年随访调查均表明行为干预可以显著降低糖耐量受损对象2型糖尿病的发病率.该项研究的实施表明糖尿病可以通过健康教育和行为干预成功预防,同时加强多部门合作、调整卫生服务方向、发展卫生专业人员队伍等是糖尿病等慢性病社区预防的关键.
更多To reduce morbidity and mortality and improve quality of life for patients with diabetes,the China Da Qing Diabetes Prevention Study was initiated as health education and behavior intervention in the 1980s in Daqing City.576 subjects with impaired glucose tolerance (IGT) were recruited and randonized into a clinical trial,either to a control group or to one of three active treatment groups:diet only,exercise only,or diet plus exercise.Follow-up evaluation examinations were conducted 2-year intervals over a 6-year period and after 20-year period to identify subjects who developed diabetes mellitus.Diet and/or exercise interventions led to a significant decrease in the incidence of diabetes over a 6-year and 20-year period among those with IGT.The implementation of this study indicates that diabetes can be prevented through health education and behavioral intervention,and the prevention of diabetes and other chronic diseases should also focused on strengthening the muhi-sectoral cooperation,developing professional skills of health care providers,re-orientating health care services toward prevention of illness and promotion of health.
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