TY - JOUR AU - Thorsen, Ida Kær AU - Yang, Yanxiang AU - Valentiner, Laura Staun AU - Glümer, Charlotte AU - Karstoft, Kristian AU - Brønd, Jan Christian AU - Nielsen, Rasmus Oestergaard AU - Brøns, Charlotte AU - Christensen, Robin AU - Nielsen, Jens Steen AU - Vaag, Allan Arthur AU - Pedersen, Bente Klarlund AU - Langberg, Henning AU - Ried-Larsen，马赛厄斯PY - 2022 DA - 2022/9/28 TI - InterWalk支持的生活方式干预的影响智能手机应用中增加身体活动与2型糖尿病人:与这些相应平行的组织,随机试验乔- JMIR Mhealth Uhealth SP - e30602六世- 10 - 9千瓦- 2型糖尿病KW -锻炼KW -远程医疗KW -初级卫生保健KW -个加速器KW -生活质量KW -腰围KW - Mhealth KW -移动应用AB -背景:在2型糖尿病(T2D)医疗保健中有效和可持续地实施体育活动(PA)通常并不成功。需要有效和现代的方法来支持PA的遵守和采用。目的:本研究的主要目的是调查在基于市政的康复中加入基于应用程序的方法(InterWalk)，与标准护理相比，在52周内提高T2D患者的中强度PA (MVPA)的有效性。方法:该研究采用平行组随机试验设计，干预52周，随后进行有效性随访(从基线开始52周)。参与者在2015年1月至2016年12月期间被招募，并随机分配(2:1)到12周(1)标准护理+ InterWalk应用程序间歇步行训练(IWT;IWT组;n=140)，或(2)标准护理+标准运动计划(StC组;n = 74)。 Following 12 weeks, the IWT group was encouraged to maintain InterWalk app–based IWT (3 times per week for 30-60 minutes) and the StC group was encouraged to maintain exercise without structured support. Moreover, half of the IWT group (IWTsupport group, n=54) received additional motivational support following the 12-week program until 52-week follow-up. The primary outcome was change in objectively measured MVPA time (minutes/day) from baseline to 52-week follow-up. Key secondary outcomes included changes in self-rated physical and mental health–related quality of life (HRQoL), physical fitness, weight, and waist circumference. Results: Participants had a mean age of 59.6 (SD 10.6) years and 128/214 (59.8%) were men. No changes in MVPA time were observed from baseline to 52-week follow-up in the StC and IWT groups (least squares means [95% CI] 0.6 [–4.6 to 5.8] and –0.2 [–3.8 to 3.3], respectively) and no differences were observed between the groups (mean difference [95% CI] –0.8 [–8.1 to 6.4] minutes/day; P=.82). Physical HRQoL increased by a mean of 4.3 (95% CI 1.8 to 6.9) 12-item Short-Form Health Survey (SF-12) points more in the IWT group compared with the StC group (Benjamini-Hochberg adjusted P=.007) and waist circumference apparently decreased a mean of –2.3 (95% CI –4.1 to –0.4) cm more in the IWT group compared with the StC group but with a Benjamini-Hochberg adjusted P=.06. No between-group differences were observed among the remaining key secondary outcomes. Conclusions: Among individuals with T2D referred to municipality-based lifestyle programs, randomization to InterWalk app–based IWT did not increase objectively measured MVPA time over 52 weeks compared with standard health care, although apparent benefits were observed for physical HRQoL. Trial Registration: ClinicalTrials.gov NCT02341690; https://clinicaltrials.gov/ct2/show/NCT02341690 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/9/e30602 UR - https://doi.org/10.2196/30602 UR - http://www.ncbi.nlm.nih.gov/pubmed/36170002 DO - 10.2196/30602 ID - info:doi/10.2196/30602 ER -