title: [Life style interventions study on the effects of impaired glucose regulations in Shanghai urban communities].
abstract: OBJECTIVE
  To access the effects of life style interventions on impaired glucose regulation (IGR) in Shanghai urban communities, China.
  
  
  METHODS
  Two communities were randomly cluster-sampled to be carried out epidemiological intervention trial. Totally, 232 subjects with IGR were randomly allocated into 4 groups: control group,sports intervention group, diet intervention group, and sports and diet intervention group with the physical examinations in the baseline and end of this study respectively. Tests for fasting blood glucose, OGTT, HbA1c, total cholesterol,etc. were done. Data statistical analysis was occupied in SPSS 16.0.
  
  
  RESULTS
  Compared to subjects of control group,fasting blood glucose, OGTT, HbAlc,total cholesterol,BMI,waist hip ratio and blood pressures were significantly decreased among subjects with three interventions (P < 0.05). Triglyceride were significantly decreased among subjects with sports intervention and sports and diet intervention (P < 0.05). High density lipids was significantly increased among subjects with sports and diet intervention (P < 0.05). There was a significant difference in 6 months cumulative incidence of diabetes mellitus between control group and interventions groups (8.6% vs. 0, Fisher' s exact P = 0.002), and the rate of transferring into normal blood glucose levels (fasting blood glucose < 5.6 mmol/L and 2 hours OGTT < 7.8 mmol/L) in control group was lower than those in three interventions group (3.4% vs. 8.6%, 14.0% and 16.9%, respectively) but only significant difference was observed between control group and sports and diet intervention group (OR = 5.74, 95% CI 1. 19-27. 64, P = 0.029).
  
  
  CONCLUSIONS
  The life style interventions could decrease the risk of diabetes mellitus, help their transferring into normal blood glucose, and improve diabetic measures for the IGR population in Shanghai urban communities.
authors.affiliation: Shanghai Huangpu District Center for Disease Control and Prevention, Shanghai 200011, China. zjj195907@163.com
authors.forename: Jianjun
authors.initials: J
authors.lastname: Zhou
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000378:metabolism*; D002681:China; D003920:Diabetes Mellitus / Q000517:prevention & control*; D004032:Diet; D015444:Exercise; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000628:therapy; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014505:Urban Population
chemical_list: D001786:Blood Glucose