ty -jour au -vaccaro，J。A. au -Gaillard，T。au -Huffman，F。G. au -Vieira，E。R. Py -2019 DA-2019/2019/11/22 TI-预防糖尿病的老年人脆弱的动机策略：一项重点审查：SP -3582679 VL -2019 AB- 65岁及65岁以上的美国人的糖尿病患病率大于25％。糖尿病患者的医疗支出是没有糖尿病的患者的两倍以上。老年人的糖尿病经常与脆弱的同时存在，导致生活质量降低和医疗保健使用的增加。许多患有2型糖尿病的老年人患有流动性障碍和经验下降，这会增加脆弱性。运动对脆弱和跌倒具有保护作用，但不到一半的糖尿病患者和大约四分之一的锻炼建议。除运动外，营养可能有助于降低跌倒的风险；但是，营养干预措施尚未被视为预防干预措施。根据审查，没有足够的证据来创建针对2型糖尿病的脆弱老年人的营养准则。有必要激励并赋予老年人患有2型糖尿病的老年人，以改变生活方式以防止脆弱。 The purpose of this review was to identify and integrate what is known and what still needs to be done for this population to be successful in making health behavior changes to reduce frailty. There is some evidence that motivational approaches have worked for older adults with various chronic disease conditions. However, studies applying motivational strategies are lacking for frail older adults with type 2 diabetes. A novel motivational approach was described; it combines aspects of the Health Belief Model and Motivational Interviewing. Intervention studies incorporating this model are needed to determine whether this client-driven strategy can help various racial/ethnic populations make the sustainable health behavior changes of increasing exercise and healthy eating while taking into consideration physiological, psychological, and economic barriers. SN - 2090-2204 UR - https://doi.org/10.1155/2019/3582679 DO - 10.1155/2019/3582679 JF - Journal of Aging Research PB - Hindawi KW - ER -