摘要
目的了解糖尿病患者静态行为的现状及与代谢综合征及其相关组分的关系,为糖尿病患者的有效干预提供措施。方法于2013年12月至2014年1月采用整群抽样的方法,对常熟市10 247例糖尿病患者有关人口学特征、静态行为、疾病史等情况展开问卷调查以及血压、腰围等体格测量和血糖、血脂等实验室检查。用SPSS 17.0软件进行χ2检验、t检验和多因素logistic回归分析。结果常熟市糖尿病患者中代谢综合征检出率为41.4%,高血压检出率为82.6%,血脂异常检出率为44.2%,中心性肥胖检出率为44.2%。糖尿病患者每日平均静态行为时间为(3.36±2.42)h,男性[(3.50±2.35)h]大于女性[(3.26±2.46)h],差异有统计学意义(t=4.98,P<0.01)。24.5%的糖尿病患者每日静态行为时间大于4 h。多元logistic回归结果显示,日均静态行为时间4 h以上与代谢综合征的患病风险相关(OR=1.223,95%CI:1.112~1.346),并增加血脂异常(OR=1.248,95%CI:1.136~1.371)和中心性肥胖的风险(OR=1.249,95%CI:1.136~1.373)。结论糖尿病患者日均静态行为时间较长,日均静态行为时间4 h以上是代谢综合征以及血脂异常和中心性肥胖的危险因素。在糖尿病患者中应提倡改变静态生活方式,减少其他慢性病的发生,改善糖尿病的预后。
Objective To understand the relationship between sedentary behavior and metabolic syndrome or other components in diabetes patients, and to provide the effective intervention measures for diabetes patients. Methods From December of 2013 to January of 2014, the cluster sampling method was used to select 10 247 diabetes patients as the subjects from Changshu. The demographic characteristics, sedentary behavior, disease history of all subjects were investigated with the questionnaire. Physical examination（blood pressure and waist circumference） and laboratory test（blood glucose and blood lipids） were conducted. The t test, χ^2and logistic regression analysis were used to analyze the data with SPSS 17.0 software. Results The morbidities of metabolic syndrome, hypertension, dyslipidemia and central obesity were 41.4%, 82.6%, 44.2% and 44.2%, respectively. Daily average sedentary behavior time of diabetics patients was（3.36 ± 2.42） h, there was significant difference of daily average sedentary behavior time between males（3.50 ± 2.35 h） and females（3.26 ± 2.46 h）, P〈0.01. The daily average sedentary behavior time in 24.5% diabetes patients was 4 h. Multivariate logistic regression analysis showed that daily average sedentary behavior time over 4 hours was related to risk of metabolic syndrome（OR=1.223, 95%CI： 1.112-1.346）, and the increased risk of central obesity and dyslipidemia（OR =1.248, 95% CI： 1.136-1.371 and OR =1.249, 95% CI： 1.136-1.373）. Conclusion Daily average sedentary behavior time of diabetics patients was relatively long, the daily average sedentary behavior time 4 hours was a risk factor of metabolic syndrome, dyslipidemia and central obesity. Diabetics patients should change the sedentary lifestyle to decrease the incidence of other chronic diseases and to improve the prognosis of diabetes.
作者
韦晓淋
胡一河
张正姬
WEI Xiao-lin HU Yi-he ZHANG Zheng-ji(Division of Chronic Disease, Suzhou Center for Disease Control and Prevention, Suzhou, Jiangsu Province 215004, China)
出处
《中国慢性病预防与控制》
CAS
2017年第4期253-256,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
江苏省卫生厅医学创新团队科技项目(K201105)
关键词
糖尿病
静态行为
代谢综合征
横断面研究
Diabetes
Sedentary behavior
Metabolic syndrome
Cross-sectional study
