【作者】 董艳； 赵长峰； 胡藩； 于连龙； 王政； 王淑娥；

【Author】 Dong Yan~* Zhao Changfeng Hu Fan Yu Lianlong Wang Zheng Wang Shu’e (* Clinical Laboratory,QiluHospital of ShandongUniversity,Jinan 250012,China)

【机构】 山东大学齐鲁医院检验科； 山东大学公共卫生学院营养与食品卫生学系； 济南天瑞健康信息咨询有限公司； 山东省疾病预防控制中心食品营养所；

【摘要】 目的:探索早餐饮食干预模式对控制2型糖尿病的效果。方法:对从济南市历下区、历城区、市中区、槐荫区和天桥区各社区筛选的207例中老年2型糖尿病患者进行早餐饮食干预90天,为其配制特定早餐,同时对其午餐和晚餐加以指导,采用自身对照的流行病学研究方法进行统计分析。结果:与干预前比较,干预后患者的空腹血糖、餐后2小时血糖、糖化血红蛋白水平均有显著性下降(P<0.05,P<0.01);体重、BMI和体脂百分含量显著降低(P<0.01,P<0.05)。干预前,101人超重,超重率为48.8%,50人肥胖,肥胖率为24.2%,干预后,85人超重,超重率为41.1%,38人肥胖,肥胖率为18.4%,女性超重肥胖构成比发生明显变化(χ~2=6.364,P<0.05),男性超重肥胖构成比变化无统计学意义(χ~2=2.495,P>0.05)。患者的药物使用情况呈现总体减少趋势。结论:早餐干预模式在控制2型糖尿病患者尤其是女性患者的血糖和体重方面具有明显的效果,具有推广应用价值。更多还原

【Abstract】 Objective:To explore the effect of health management of breakfast intervention model to type 2 diabetes. Methods:From July to September 2011,among middle-aged and elderly population in Lixia,Licheng, Shizhong,Huaiyin and Tianqiao districts of Ji’nan city,207 selected type 2 diabetes patients were under dietary intervention for 90 days with specific prepared breakfastand guidance of lunch and dinner,and the epidemiologic method of self control for analysis.Results:Compared with before intervention,the levels of both fasting blood - glucose and blood-glucose 2 hours after meal,HbAlcof the patients after intervention lowered significantly(P<0.05,P<0.01); weight,BMI and the body fat percentage of the patients after intervention were obviously lower(P<0.01,P<0.05); Before the intervention,101 people were overweight,overweight rate was 48.8%,50 people were obesity,obesity rate was 24.2%;after the intervention,85 people wereoverweight,overweight rate was 41.1%,and people were obesity, obesity rate was 18.4%.Overweight obesity constituent ratio of women has changed obviously(χ~2=6.364,P< 0.05).Overweight obesity constituent ratio of men has no significantly change(χ~2= 2.495,P>0.05).Meanwhile, drug usageof patients trended decreasingly.Conclusions:The effect of breakfast intervention model has positive effect to glycemic control and losing weight,especially to the female patients with type 2 diabetes,and it was worthy to be popularized.更多还原