摘要
目的:了解饮酒和体力活动与南京市社区糖尿病患者血糖控制之间的关系。方法:采用多阶段分层整群抽样方法,随机抽取南京市5个区5663名18岁以上社区糖尿病患者作为研究对象,采用多因素Logistic回归分析饮酒和体力活动对糖尿病患者血糖控制的联合作用。结果:5663名糖尿病患者空腹血糖控制率为39.8%(95%CI:38.5%~41.1%),调整年龄、性别、规律服药、职业、受教育水平、体质量指数(BMI)、高血压、糖尿病家族史和吸烟后,过量饮酒患者空腹血糖控制率是不饮酒/适量者的0.73倍(95%CI:0.64~0.83,P<0.001)。与不饮酒/适量且体力活动充足者相比,过量饮酒且体力活动充足者的空腹血糖控制率为其0.76倍(95%CI:0.66~0.87,P<0.001),过量饮酒且体力活动不足者为其0.58倍(95%CI:0.41~0.84,P=0.003)。结论:饮酒和体力活动对血糖控制存在联合作用,过量饮酒者如体力活动不足会进一步降低其血糖控制率。
Objective:To evaluate the joint association of drinking status and physical activity with glycemic control among community patients with type 2 diabetes.Methods:Totally 5663 type 2 diabetes were selected from 5 districts in Nanjing municipality with multi-stage stratified cluster random sampling.Multivariable Logistic regression model was used to investigate the joint association of drinking status and physical activity with glycemic control among type 2 diabetes.Results:The glycemic control rate was 39.8%in the overall 5663 patients.After adjustment for potential confounders,heavy drinking patients was 0.73 times(95%CI:0.64-0.83,P<0.001)higher than that of non-drinking/moderate drinking patients to glycemic control.Meanwhile,compared to non-drinking/moderate drink patients who had adequate physical activity,heavy drinker who had adequate physical activity(OR=0.76,95%CI:0.66-0.87,P<0.001),heavy drinker who exposed to physical inactivity(OR=0.58,95%CI:0.41-0.84,P=0.003)were,respectively,less like to control glycemic.Conclusion:Drinking status and physical activity might have an additive effect on the glycemic control among adult aged 18 years or older in Nanjing,China.
作者
叶青
秦真真
陈一佳
洪忻
娄青林
周金意
徐斐
YE Qing;QIN Zhenzhen;CHEN Yijia;HONG Xin;LOU Qinglin;ZHOU Jinyi;XU Fei(Department of Chronic and Non-communicable Disease Control and Prevention,Nanjing Municipal Center for Disease Control and Prevention,Nanjing 210003,China;Department of Epidemiology,School of Public Health,Nanjing Medical University,Nanjing 211166,China;Provincial Government Hospital of Jiangsu Prince/Jiangsu Geriatric Hospital,Nanjing 210024,China;Department of Chronic and Non-communicable Disease Control and Prevention,Jiangsu Center for Disease Control and Prevention,Nanjing 210009,China)
出处
《东南大学学报（医学版）》
CAS
2024年第1期46-51,共6页
Journal of Southeast University(Medical Science Edition)
基金
江苏省卫生健康发展研究中心开放课题(JSHD2022049)
南京市医学科技发展项目(ZKX21054)。
关键词
饮酒
体力活动
血糖控制
社区糖尿病患者
drinking status
physical activity
glycemic control
community patients with type 2 diabetes
