Effects Of Comprehensive Community Intervention Serving On People With Impaired Glucose Regulation

Objective To explore the effects of comprehensive intervention in community on the blood glucose, blood lipid and physique indicators for people with impaired glucose regulation.Method 117 people with impaired glucose regulation were selected from two communities in Huangpu district. They were divided into a intervention group(59cases) and a control group(58cases) according to their community. In term of population Sociology,blood biochemical parameters and physique indicators,there were no significant differences between the two groups(P>0.05). Subjects of the Intervention group received 6-months intervention,which included education of diabetes, individual diet and exercise intervention. While those of the control group was not given any measures. The blood glucose, blood lipid and physique indicators were measured before and after intervention. The changes were compared by the mean,standard deviation,Chi-square test,independent-samples T test.(1)Changing diet and exercise behaviors①The total energy,the quantity of fat of intervened group decreased significantly after intervention, and were significantly lower than those of control group. Dietary structure of intervened group became more reasonable.②The exercise intensity in intervention group increased significantly,the number of intervented subjects with moderate activity were more than baseline and those of control group(P＜0.0S). Daily physical activity in the intervention group increased significantly from pre-7876 steps to 10117 steps after intervention(P<0.05). (2)Evaluating the effect of intervention①asting blood glucose(FBG),glycated hemoglobin (HbAlc) of intervened group decreased significantly after intervention, and were significantly lower than those of control group(P＜0.05).2h plasma glucose after serving sugar of intervened group had improved, but there were no significant difference between two groups(P>0.05).②Triglycefide (TG) of intervened group decreased significantly after intervention, and were significantly lower than those of control group(P<0.05). Total cholesterol(TC), highdensity lipoprotein cholesterol(HDL-ch) and low density lipoprotein cholesterol(LDL-ch) had improved, but there were no significant difference between two groups(P>0.05).③Waist-to-hip ratio(WHR), blood pressure(BP) of intervened group decreased significantly after intervention, and were significantly lower than those of control group(P<0.05). Body mass index (BMI) of intervened group decreased significantly after intervention(P<0.05).(1)Comprehensive intervention in Community can reduce blood sugar of people with impaired glucose regulation,including fasting blood glucose(FBG), glycated hemoglobin (HbAlc)significantly decreased.(2)Comprehensive intervention in Community can improve blood lipid of-people with with impaired glucose regulation,including triglycefide (TG)significantly decreased.(3)Comprehensive intervention in Community can improve physique indicators of people with impaired glucose regulation,including waist-to-hip ratio(WHR), blood pressure(BP)significantly decreased.(4)The comprehensive community intervention including diet and exercise intervention has the features of safe and convenient, it plays an important role in preventing people with impaired glucose regulation to becoming diabetes. And it is feasible to be carried out in community.