TY - JOUR AU - Nagata, Tomohisa AU - Aoyagi, Sona-Sanae AU - Takahashi, minkazu AU - Nagata, Masako AU - Mori, Koji PY - 2022 DA - 2022/8/9 TI -自我监测设备反馈对糖尿病工人生活方式改变的影响:3个月随机对照试验JO - JMIR形式Res SP - e23261 VL - 6is - 8kw -移动健康KW -数字健康KW -糖尿病KW -工人KW -自我监测KW - BMI KW -日常活动KW -随机对照试验KW -智能手机KW -手机AB -背景:尽管生活方式干预在糖尿病的预防和管理中是有用的，但它们可能昂贵且耗时。有一些证据表明自动化移动技术在健康自我监测方面的有效性;然而，很少有研究在职业健康领域使用这种设备。目的:我们旨在研究一种数字自我监测设备对日本糖尿病工人血糖水平和活动的有效性。主要结果是血糖水平的变化，次要结果是体重和BMI的变化。方法:对来自23个组织的工作人员进行了2组随机对照试点试验。干预组(n=50)佩戴臂带活动监测器、身体成分监测器和血压监测器3个月，并每周收到根据设备数据定制的半自动电子邮件。对照组(n=53)不进行自我监测。信息是由一名医生和一名营养师开发的。 Postintervention changes in blood glucose levels, weight, and BMI were compared between the intervention and control groups, using blood tests and questionnaires. Results: At the end of 3 months, the intervention group showed significantly lower blood glucose levels (HbA1c: intervention group mean 6.4% (SD 0.3%) vs control group mean 6.6% (SD 0.3%); Cohen d=0.7, 95% CI 0.2-1.1; P=.009). There were no significant between-group differences in weight and BMI. Conclusions: Mobile digital self-monitoring was effective in improving blood glucose levels in workers with diabetes. The use of digital health devices is a cost-effective way of implementing health self-monitoring for large numbers of individuals in the workplace. However, due to the large volume of missing values in this study, we need to be careful in interpreting the results, and well-designed intervention studies need to be conducted. Trial Registration: University Hospital Medical Information Network UMIN000023651;https://upload.umin.ac.jp/cgi-open-bin/icdr/ctr_view_cb.cgi?recptno=R000027244&flwp_key=1008PYbOcXKmk7CAg4Th1FWS SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/8/e23261 UR - https://doi.org/10.2196/23261 UR - http://www.ncbi.nlm.nih.gov/pubmed/35943766 DO - 10.2196/23261 ID - info:doi/10.2196/23261 ER -