摘要
目的了解遵医嘱规律服药的糖尿病患者体力活动水平与糖化血红蛋白控制状况之间的关系,为糖尿病患者的健康干预提供依据。方法于2014-2016年间收集南京化工园区5家社区卫生服务中心纳入管理的遵医嘱规律服药的2型糖尿病患者作为研究对象。采用单因素和多因素非条件Logistic回归模型,研究不同性别2型糖尿病患者体力活动水平与糖化血红蛋白的关系。结果本研究纳入分析1 272人,其中男596例(46.9%),女676例(53.1%),平均年龄为(64.63±9.04)岁。按性别分层分析结果显示,体力活动水平充足的男性糖尿病患者的糖化血红蛋白达标率为体力活动水平不充足男性患者的2.11倍(95%CI:1.17~3.78,P=0.013),女性患者中二者差异无统计学意义。结论加强遵医嘱规律服药的糖尿病患者体力活动水平可以帮助血糖的控制。
Objective To examine the relationship between physical activity and glycemic control among type 2 diabetic patients with a good compliance level in China.Methods A total of 1 272 patients diagnosed with type 2 diabetes with a good compliance level were recruited from five community health centers in Nanjing Chemical Industry Administrative Zone from 2014 to 2016.Logistic regression models were used to examine the relationship between physical activity and glycemic control.Results In this cross-sectional study,1 272 type 2 diabetic patients(596 men and 676 women)were recruited.The participants’mean(standard deviation,SD)age was(64.63±9.04)years old.Male participants who achieved sufficient physical activity had the odds ratio(OR)of 2.11(95%CI:1.17-3.18,P=0.013)for a tight glycemic control compared to their counterparts who had sufficient physical activity,after controling for the potential confounders,no significant association between physical activity and glycemic control status existed in women.Conclusions Physical activity is positively associated with glycemic control among male type 2 diabetic patients who had a good compliance level in Nanjing.Specific physical activity interventions should be implemented to type 2 diabetic patients.
作者
金玲玲
马雨杨
叶青
秦真真
董易苹
王志勇
徐斐
JIN Ling-ling;MA Yu-yang;YE Qing;QIN Zhen-zhen;DONG Yi-ping;WANG Zhi-yong;XU Fei(Department of Epidemiology,School of Public Health,Nanjing Medical University,Nanjing210029,China;Department of Chronic Disease Prevention,Nanjing Municipal Center forDisease Control and Prevention,Nanjing210003,China;School ofPublic Health,Southeast University,Nanjing210009,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2019年第5期578-581,587,共5页
Chinese Journal of Disease Control & Prevention
基金
2015年度南京市科技发展计划项目(201503054)~~
关键词
规律服药
体力活动水平
糖化血红蛋白
2型糖尿病
Medication under prescription
Physical activity
Glycemic control
Type 2 diabetic patients
