健身行为对初诊2型糖尿病患者生命质量的影响

Influence of fitness behavior on health-related quality of life in newly diagnosed type 2 diabetes patients

目的探究健身行为对初诊2型糖尿病患者生命质量的影响。方法选取2015年9月至2017年9月初诊的2性糖尿病患者280例为研究对象,将其随机分成试验组和对照组,各140例。试验组患者采用健身配合2型糖尿病药物治疗,对照组患者仅采取药物治疗2型糖尿病,比较两组患者的血糖相关指标、血脂指标、体能指标和生命质量(QOL)评分。结果试验组干预后空腹血糖(FPG)、餐后2h血糖、糖化血红蛋白(HbA1c)显著低于干预前,且试验组干预后以上指标显著低于对照组(P<0.01)。试验组干预后总胆固醇(TC)、甘油三酯(TG)显著低于治疗前,且试验组显著低于对照组(P<0.01)。试验组干预后体质指数(BMI)、体脂率、静态心率、舒张压、收缩压显著低于治疗前,且试验组干预后以上指标显著低于对照组(P<0.01)。试验组干预后总分、满意度、影响程度和忧郁程度Ⅰ、Ⅱ得分显著低于干预前,对照组干预后总分、影响程度显著低于干预前,且试验组干预后QOL评分均低于对照组(P<0.01)。结论健身行为可以改善2型糖尿病患者血糖相关指标、血脂指标、体能指标,改善生命质量。

Objective To investigate the influence of fitness behavior on quality of life ( QOL) in newly diagnosed type 2 diabetes mellitus ( T2DM) patients.Methods A total of 280 T2DM patients who were newly diagnosed from September 2015 to September 2017 were selected and divided into experimental group and control group randomly ( n = 140, each).The experimental group was treated with fitness combined with medication, while the control group was only treated with medication for T2DM.Blood glucose,lipid,physical fitness indexes and QOL score were compared between the two groups.Results After intervention,the fasting blood glucose ( FPG), postprandial 2-hour blood glucose, glycosylated hemoglobin ( HbA1c),total cholesterol ( TC) and triglyceride ( TG) in the experimental group were significantly lower than those before intervention,and the above indexes in the experimental group were significantly lower than those in the control group ( P < 0.01).After intervention, the body mass index ( BMI), body fat rate, static heart rate, diastolic blood pressure and systolic blood pressure were significantly lower than those before intervention in the experimental group, and the above indexes in the experimental group were significantly lower than those in the control group ( P < 0.01).The total score, satisfaction degree, influence degree and depression degree Ⅰ and Ⅱ of the experimental group after intervention were significantly lower than those before intervention, and the total score and influence degree of the control group after intervention were significantly lower than those before intervention( P < 0.01).The QOL score of the experimental group after intervention was lower than that of the control group ( P < 0.01).Conclusion Fitness behavior could improve the blood glucose,lipid,physical fitness indicators of T2DM,and improve the quality of life.