2型糖尿病患者达标运动情况及其与代谢控制的关系研究

Goal Attainment of Physical Therapy and Metabolic Control among Adult Type 2 Diabetics

背景达标运动被认为是糖尿病预防和控制的重要环节,代谢控制指标可以有效反映糖尿病管理情况。了解2型糖尿病患者的达标运动以及代谢控制现状并分析两者之间的关系,对于提高患者运动和代谢控制达标率有重要意义。目的调查北京市某三甲医院2型糖尿病患者达标运动情况和代谢控制相关指标,分析达标运动与代谢控制的关系。方法采用方便抽样法选取2017年7月—2018年3月在北京大学第三医院内分泌科就诊的2型糖尿病患者,使用自制《2型糖尿病患者运动情况调查》进行问卷调查(人口学信息、病史资料、患者运动情况),采用Godin休闲时间运动问卷(GLTEQ)评估患者运动强度及达标运动情况,并收集患者代谢控制相关生理、生化指标。结果共发放问卷400份,回收有效问卷362份,有效回收率为90.5%。参与调查的362例患者中,148例(40.9%)运动达标,214例(59.1%)运动未达标。二分类Logistic回归分析结果显示,达标运动情况是糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2 hPBG)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)达标的影响因素(P<0.05);文化程度、职业、病程是患者HbA1c达标的影响因素(P<0.05);职业、病程是2 hPBG达标的影响因素(P<0.05);性别是TG、LDL-C达标的影响因素(P<0.05);性别、职业是收缩压(SBP)达标的影响因素(P<0.05)。结论达标运动利于2型糖尿病患者的代谢控制,医务人员应发挥对糖尿病患者的管理作用,提高2型糖尿病患者达标运动率,帮助患者获得更好的代谢控制。

Background Attaining the goals of physical therapy is an important measure for effective control and prevention of diabetes.Metabolic control parameters can reflect the management level of diabetes.So exploring the status and relationship of goal attainment of physical therapy and metabolic control are of great significance in improving the goal attainment rates of physical therapy and metabolic control in type 2 diabetics.Objective To explore the status and relationship of attaining the goals of physical therapy and metabolic control in type 2 diabetics from a tertiary hospital in Beijing.Methods Patients with type 2 diabetes were selected by convenient sampling method from the Department of Endocrinology of Peking University Third Hospital during July 2017 to March 2018.A survey was conducted among them using a self-developed questionnaire named Exercise Status of Type 2 Diabetes Patients for collecting the data concerning demographics and medical history as well as exercise habit,and using the Godin-Shephard Leisure-Time Physical Activity Questionnaire for evaluating exercise intensity and goal attainment of physical therapy.Physiological and biochemical parameters of metabolic control were collected.Results The survey obtained a response rate of 90.5%(362/400).Among the 362 respondents,148(40.9%)had attained the goals of physical therapy,but other 214(59.1%)had not.Binary Logistic regression analysis indicated that attaining the goals of physical therapy was associated with the levels of HbA1c,FPG,2 hPBG,TG,and LDL-C(P<0.05).Education level,occupation,course of type 2 diabetes were associated with HbA1c level(P<0.05).Occupation and course of type 2 diabetes were associated with 2 hPBG level(P<0.05).Gender was also associated with TG,LDL-C(P<0.05).Gender and occupation were associated with SBP level(P<0.05).Conclusion Attaining the goals of physical therapy is beneficial to metabolic control of patients with type 2 diabetes.To improve metabolic control in these patients,healthcare workers should play a role in diabetic management to help them to enhance the rate of attaining the goals of physical therapy.