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Bozulmuş Açlık Glukozu Görülen Kadınlarda Beslenme ve Fiziksel Aktiviteye Yönelik Girişimlerinin Etkinliği: Toplum Tabanlı Girişimsel Çalışma

Year 2013, , 23 - 32, 24.04.2013
https://doi.org/10.20518/tjph.173074

Abstract

Amaç: Bozulmuş açlık glukozu saptanan 30-65 yaş kadınlara uygulanan beslenme ve fiziksel aktivite girişimlerinin kişilere düzenli aralıklarla telefon görüşmeleriyle hatırlatılmasının, bireylerde açlık glukoz düzeyini düzeltmedeki etkinliğini incelemektir.

Yöntem: Tüm girişim (n=117) ve kontrol (n=99) grubuna sağlıklı beslenme şekli ve fiziksel aktivite önerilerini içeren bir seminer sunuldu. Seminer sonunda katılımcılara bu önerileri içeren birer broşür verildi. Girişim grubuna ayrıca diyet ve fiziksel aktivite ile ilgili yaşam tarzı önerilerini hatırlatan trafik ışıklarından uyarlanmış renkli haftalık tablolar verildi. Girişim grubundaki kadınlar 12 hafta boyunca haftada bir telefonla arandı. Açlık kan şekeri sonuç değişkeni ise hem girişim hem de kontrol grupları için bakıldı. On iki haftalık izlem sonunda toplam olarak 32 girişim ve 17 kontrol grubu ile araştırma tamamlandı.

Bulgular: Girişim grubunda 3 aylık izlem sonunda besinlerdeki yeşil renk sıklığında (16.2±4.1’den 15.1±3.7’ye, p=0.03) başlangıca göre istatistiksel olarak anlamlı bir azalma görüldü. Üç ayın sonunda fiziksel aktivitedeki yeşil renk sıklığında (0.5±0.7‘den 0.4±0.7’ye, p=0.25) istatistiksel olarak anlamlı bir değişiklik gözlenmedi. Girişim ve kontrol grupları açlık kan şekeri düzeyi açısından 3 aylık izlemin sonunda karşılaştırıldığında girişim grubunun açlık kan şekeri düzeyinin (117.0±25.8) kontrol grubuna (109.5±9.2) göre arttığı (p=0.69) gözlendi. Bu farkın istatistiksel olarak anlamlı olmadığı görüldü.

Sonuç: Çalışmamızda, sağlıklı beslenme ve fiziksel aktiviteyi artırmak için yapılan düzenli hatırlatıcı telefon görüşmelerinin açlık kan şekeri düzeyini düşürmede etkin olmadığı görüldü. Toplum düzeyinde yapılan girişimsel çalışmalarda katılımı artıracak yeni yöntemler aranmalıdır.

References

  • Baysal, A. Diyet El Kitabı. Ankara: Hatipoğlu Baskı, 2002:225-53.
  • Baysal A. Beslenme. Ankara: Hatipoğlu Baskı, 2002:9-19.
  • Mahan, L. Krause’s Food & Nutrition Therapy. Second Edition. Saunders, 2008:766-802.
  • American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2006;29:43-8. URL: http://care.diabetesjournals.org/cgi/rep rint/29/suppl_1/s43.
  • Diet, Nutrition and The Prevention of Chronic Diseases. World Health Organ Tech Rep Ser 2003;91:1–149. URL: http://www.ncbi.nlm.nih.gov/pubmed/1 2768890.
  • The Diabetes Prevention Program Research Group. Trategies to Identify Adults at Risk for Type 2 Diabetes. Diabetes Care 2005;28:150–56.
  • Gillies C, Abrams K. Pharmacological and Lifestyle Intervention to Prevent or Delay Type 2 Diabetes in People with Impaired Glucose Tolerance, 2007;334:299. BMJ
  • Eriksson KF, Lindgarde F. Prevention of Type Diabetes Mellitus by Diet and Physical Exercise: the 6-year Malmo Feasibility Study. Diabetologia 1991;34:891–8.
  • Ergör G, Soysal A, Sözmen K et al. Balcova heart study: rationale and methodology of the Turkish cohort. Int J Public Health. 2012;57:535-42.
  • Unal B, Sözmen K, Uçku R et al. High prevalence of cardiovascular risk factors in a Western urban Turkish population: a community-based Kardiyol Derg 2013;13(1):000-000. study, Anadolu 11. Portney L. Clinical Research. Appleton&Lange USA. 1993.
  • Schulze MB, Hu FB. Primary Prevention Of Diabetes: What Can Be Done And How Much Can Be Prevented? Ann Rev Public Health.2005;26:67-445.
  • Oh K, Hu FB, Cho E, et al. Carbohydrate Intake, Glycemic Index, Glycemic Load, And Dietary Fiber In Relation To Risk Of Stroke In Women. Am J Epidemiol 2005;161:161-9.
  • Montonen J, Knekt P, Härkänen T, et al. Dietary Patterns and the Incidence of Type 2 DiabetesAm J Epidemiol 2005;161:219–27.
  • Eriksson KF, Lindgärde F. No excess 12- year mortality in men with impaired glucose tolerance who participated in the Malmö Preventive Trial with diet and exercise. Diabetologia.1998;41(9):1010- 6.
  • Ford ES, Mokdad AH. Fruit And Vegetable Consumption And Diabetes Mellitus Incidence Among U.S. Adults. Prev Med. 2001;32:33–9.
  • Lindstrom J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson J, Hemio K. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention 2006;368:1673-9. Lancet
  • Lindstrom J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksoon J. The Finnish Diabetes Prevention Study (DPS): Lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 2003;26:3230-6.
  • Pan X, Li g, Hu Y, Wang J, Yang W, An Z. Effects of diet and exercise in preventing NIDMM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 1997;20:537-44.

Effectiveness of Interventions Related to Nutrition and Physical Activity in Women with Impaired Fasting Glucose: A Randomized Controlled Community Trial

Year 2013, , 23 - 32, 24.04.2013
https://doi.org/10.20518/tjph.173074

Abstract

Objectives: This study determined whether fasting glucose levels in Turkish women with impaired fasting glucose aged 30-65 years could be improved by regular telephone calls reminding them not to consume food with a high glycemic index and to undertake regular physical activity.

Methods: All subjects/participants in the intervention (n=117) and control (n=99) groups attented a seminar on healthy eating and physical activity. Women in the intervention group were then called weekly and motivated by using charts that were designed with colors adopted from traffic lights. After 12 weeks of intervention both groups were invited for blood tests. In total, 32 intervention and 17 controls responded to this last visit.

Results: In the intervention group, the numbers of green colour codes for nutrition decreased (from 16.2±4.1 to 15.1±3.7, p=0.03) but the numbers of green colour codes for activity was not changed significantly (from 0.5±0.7 to 0.4±0.7, p=0.25) in the third month. At the third month the fasting blood glucose was higher in the intervention group (117.0±25.8) than in the control group (109.5±9.2) (p=0.69).

Conclusions: In our study, simple regular telephone calls were not sufficient to motivate the study participants to stay in the study and to take advice about dietary and physical activity. Further studies should be designed to evaluate different and new lifestyle change interventions for high risk individuals in Turkey. 

References

  • Baysal, A. Diyet El Kitabı. Ankara: Hatipoğlu Baskı, 2002:225-53.
  • Baysal A. Beslenme. Ankara: Hatipoğlu Baskı, 2002:9-19.
  • Mahan, L. Krause’s Food & Nutrition Therapy. Second Edition. Saunders, 2008:766-802.
  • American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2006;29:43-8. URL: http://care.diabetesjournals.org/cgi/rep rint/29/suppl_1/s43.
  • Diet, Nutrition and The Prevention of Chronic Diseases. World Health Organ Tech Rep Ser 2003;91:1–149. URL: http://www.ncbi.nlm.nih.gov/pubmed/1 2768890.
  • The Diabetes Prevention Program Research Group. Trategies to Identify Adults at Risk for Type 2 Diabetes. Diabetes Care 2005;28:150–56.
  • Gillies C, Abrams K. Pharmacological and Lifestyle Intervention to Prevent or Delay Type 2 Diabetes in People with Impaired Glucose Tolerance, 2007;334:299. BMJ
  • Eriksson KF, Lindgarde F. Prevention of Type Diabetes Mellitus by Diet and Physical Exercise: the 6-year Malmo Feasibility Study. Diabetologia 1991;34:891–8.
  • Ergör G, Soysal A, Sözmen K et al. Balcova heart study: rationale and methodology of the Turkish cohort. Int J Public Health. 2012;57:535-42.
  • Unal B, Sözmen K, Uçku R et al. High prevalence of cardiovascular risk factors in a Western urban Turkish population: a community-based Kardiyol Derg 2013;13(1):000-000. study, Anadolu 11. Portney L. Clinical Research. Appleton&Lange USA. 1993.
  • Schulze MB, Hu FB. Primary Prevention Of Diabetes: What Can Be Done And How Much Can Be Prevented? Ann Rev Public Health.2005;26:67-445.
  • Oh K, Hu FB, Cho E, et al. Carbohydrate Intake, Glycemic Index, Glycemic Load, And Dietary Fiber In Relation To Risk Of Stroke In Women. Am J Epidemiol 2005;161:161-9.
  • Montonen J, Knekt P, Härkänen T, et al. Dietary Patterns and the Incidence of Type 2 DiabetesAm J Epidemiol 2005;161:219–27.
  • Eriksson KF, Lindgärde F. No excess 12- year mortality in men with impaired glucose tolerance who participated in the Malmö Preventive Trial with diet and exercise. Diabetologia.1998;41(9):1010- 6.
  • Ford ES, Mokdad AH. Fruit And Vegetable Consumption And Diabetes Mellitus Incidence Among U.S. Adults. Prev Med. 2001;32:33–9.
  • Lindstrom J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson J, Hemio K. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention 2006;368:1673-9. Lancet
  • Lindstrom J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksoon J. The Finnish Diabetes Prevention Study (DPS): Lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 2003;26:3230-6.
  • Pan X, Li g, Hu Y, Wang J, Yang W, An Z. Effects of diet and exercise in preventing NIDMM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 1997;20:537-44.
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Simge Yılmaz

Belgin Unal This is me

Publication Date April 24, 2013
Submission Date December 12, 2015
Published in Issue Year 2013

Cite

APA Yılmaz, S., & Unal, B. (2013). Effectiveness of Interventions Related to Nutrition and Physical Activity in Women with Impaired Fasting Glucose: A Randomized Controlled Community Trial. Turkish Journal of Public Health, 11(1), 23-32. https://doi.org/10.20518/tjph.173074
AMA Yılmaz S, Unal B. Effectiveness of Interventions Related to Nutrition and Physical Activity in Women with Impaired Fasting Glucose: A Randomized Controlled Community Trial. TJPH. April 2013;11(1):23-32. doi:10.20518/tjph.173074
Chicago Yılmaz, Simge, and Belgin Unal. “Effectiveness of Interventions Related to Nutrition and Physical Activity in Women With Impaired Fasting Glucose: A Randomized Controlled Community Trial”. Turkish Journal of Public Health 11, no. 1 (April 2013): 23-32. https://doi.org/10.20518/tjph.173074.
EndNote Yılmaz S, Unal B (April 1, 2013) Effectiveness of Interventions Related to Nutrition and Physical Activity in Women with Impaired Fasting Glucose: A Randomized Controlled Community Trial. Turkish Journal of Public Health 11 1 23–32.
IEEE S. Yılmaz and B. Unal, “Effectiveness of Interventions Related to Nutrition and Physical Activity in Women with Impaired Fasting Glucose: A Randomized Controlled Community Trial”, TJPH, vol. 11, no. 1, pp. 23–32, 2013, doi: 10.20518/tjph.173074.
ISNAD Yılmaz, Simge - Unal, Belgin. “Effectiveness of Interventions Related to Nutrition and Physical Activity in Women With Impaired Fasting Glucose: A Randomized Controlled Community Trial”. Turkish Journal of Public Health 11/1 (April 2013), 23-32. https://doi.org/10.20518/tjph.173074.
JAMA Yılmaz S, Unal B. Effectiveness of Interventions Related to Nutrition and Physical Activity in Women with Impaired Fasting Glucose: A Randomized Controlled Community Trial. TJPH. 2013;11:23–32.
MLA Yılmaz, Simge and Belgin Unal. “Effectiveness of Interventions Related to Nutrition and Physical Activity in Women With Impaired Fasting Glucose: A Randomized Controlled Community Trial”. Turkish Journal of Public Health, vol. 11, no. 1, 2013, pp. 23-32, doi:10.20518/tjph.173074.
Vancouver Yılmaz S, Unal B. Effectiveness of Interventions Related to Nutrition and Physical Activity in Women with Impaired Fasting Glucose: A Randomized Controlled Community Trial. TJPH. 2013;11(1):23-32.

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