摘要
目的探讨计步器干预对住院2型糖尿病患者运动量及久坐时间的影响。方法连续入选2015年7月—2016年1月东南大学附属中大医院内分泌科住院的2型糖尿病患者,采用随机数字表法将患者分为试验组和对照组。对照组仅接受常规治疗、护理。试验组在接受常规治疗、护理的基础上给予计步器干预,干预时长为7 d;利用加速度器监测运动量(运动步数)、久坐时间及热卡消耗情况。结果本研究最终共纳入47例2型糖尿病患者(试验组24例,对照组23例)。两组年龄、性别、身高、收缩压(SBP)、舒张压(DBP)、糖化血红蛋白(HbA_(1c))、三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、餐后2 h C肽/空腹C肽、峰值耗氧量比较,差异无统计学意义(P>0.05);对照组体质量、体质指数(BMI)高于试验组(P<0.05)。两组干预前、干预后的运动步数、久坐时间及热卡消耗组间比较,差异均无统计学意义(P>0.05);组内比较:试验组干预前后运动步数比较,差异无统计学意义(P=0.23);对照组干预后运动步数少于干预前(P=0.02)。相关性分析显示干预前运动步数与干预前久坐时间呈负相关、与干预前热卡消耗呈正相关(r=-0.42,P<0.05;r=0.56,P<0.05),校正年龄、BMI后,仅干预前运动步数与干预前热卡消耗呈正相关(r'=0.47,P<0.05)。结论计步器干预有助于维持住院2型糖尿病患者运动量,但不能明显减少久坐时间及增加热卡消耗。
Objective To investigate the effects of pedometer intervention on exercise amount and sedentary time in patients with type 2 diabetes.Methods Patients with type 2 diabetes admitted between July 2015 to January 2016 in the Department of Endocrinology of Zhongda Hospital Southeast University were randomly selected and divided into experimental and control groups with a random number table method.Patients in the control group received only routine treatment and care.Patients in the experimental group received a pedometer intervention with routine treatment and nursing care.The duration of the intervention was 7 days.An accelerometer was used to monitor the amount of exercise(in steps),sedentary time and calorie consumption.Results A total of 47 patients with type 2 diabetes(24 in the experimental group and 23 in the control group)were included.Before the intervention,there were no significant differences between the two groups in age,sex,height,SBP,DBP,glycated hemoglobin(HbA1c),triglyceride(TG),total cholesterol(TC),high-density-lipoprotein cholesterol(HDL-C),low-density-lipoprotein cholesterol(LDL-C),postprandial 2 h/fasting C peptide,peak oxygen consumption(P>0.05).The body mass and body mass index(BMI)were higher in the control group than the experimental group(P<0.05).There were no significant differences in the exercise amount,sedentary time,and calorie consumption before and after the intervention in both groups(P>0.05).Intra-group comparison showed that there was no significant differences before and after intervention in the experimental group(P=0.23),whereas in the control group,the amount of exercise decreased after intervention(P=0.02).Correlation analysis indicated that the number of steps pre-intervention was negatively correlated with pre-intervention sedentary time and positively correlated with calorie consumption(r=-0.42,P<0.05;r=0.56,P<0.05).After adjustment for age and BMI,the number of steps pre-intervention was positively correlated with pre-intervention calorie consumption(r'=0.47,P<0.05).Conc
作者
蔡雪
韩晶
鞠昌萍
陈香
邱山虎
孙子林
CAI Xue;HAN Jing;JU Chang-ping;CHEN Xiang;QIU Shan-hu;SUN Zi-lin(Department of Endocrinology,Zhongda Hospital Southeast University,Nanjing 210009,China)
出处
《中国全科医学》
CAS
北大核心
2018年第27期3313-3318,共6页
Chinese General Practice
关键词
糖尿病
2型
计步器
运动设备
久坐生活方式
Diabetes mellitus,type 2
Pedometer
Sports equipment
Sedentary lifestyle
