老年2型糖尿病患者健康体适能的影响因素分析

Influencing factors of healthy physical fitness and their relationships with aerobic exercise in elderly patients with type 2 diabetes mellitus

目的分析老年2型糖尿病(T2DM)健康体适能的影响因素及与有氧运动的关系,为老年T2DM运动疗法提供参考。方法选择2021年1月至2022年6月在我院参加体检的老年T2DM患者125例为调查对象,分析有氧运动(方法、等级)、健康体适能评分,采用单多重线性回归分析老年T2DM患者健康体适能的影响因素。结果125例老年T2DM患者器官功能、活动功能、躯体调适能力、健康体适能评分分别为(54.43±8.35)、(51.54±7.26)、(57.36±8.42)、(54.42±8.26)分。不同性别、年龄、病程、家庭经济状况、运动时间、运动频率、运动强度老年T2DM患者健康体适能评分比较,差异有统计学意义(P<0.05)。影响老年T2DM患者器官功能的因素为年龄、经济状况、运动时间、运动频率(P<0.05);活动功能的影响因素为性别、年龄、运动时间、运动频率、运动强度(P<0.05);躯体调适功能的影响因素为年龄、病程、经济状况、运动时间、运动频率(P<0.05);健康体适能的影响因素为性别、年龄、经济状况、运动时间、运动频率(P<0.05)。结论老年T2DM患者健康体适能影响因素包括有氧运动时间与运动频率。开展运动时间>60 min/d、运动频率>5次/周、中等强度运动疗法有利于提高老年T2DM患者健康体适能。

Objective To analyze the influencing factors of health-related physical fitness and their relationships with aerobic exercise in elderly patients with type 2 diabetes mellitus(T2DM),and to provide reference for exercise therapy in these patients.Methods One hundred and twenty-five elderly patients with T2DM in our hospital from January 2021 to June 2022 were selected.Aerobic exercise(methods and grades)and health-related physical fitness score were analyzed.Then,univariate and multiple linear regressions were used to analyze the influencing factors of health-related physical fitness in these patients.Results The scores of organ function,activity function,physical adjustment ability and health-related physical fitness of the 125 elderly patients were(54.43±8.35),(51.54±7.26),(57.36±8.42)and(54.42±8.26),respectively.There were statistically significant differences in the health fitness scores of these patients with different genders,ages,disease duration,family economic status,exercise time,exercise frequency and exercise intensity(P<0.05).Age,economic status,exercise time and exercise frequency were related to the organ function of these patients(P<0.05).Gender,age,exercise time,exercise frequency and exercise intensity were related to activity function of these patients(P<0.05).Gender,age,economic status,exercise time and exercise frequency were related to the health fitness of these patients(P<0.05).The influencing factors of healthy physical fitness were gender,age,economic status,exercise time,and exercise frequency(P<0.05).Conclusions There are many influencing factors of health-related physical fitness in elderly patients with T2DM.They are related to aerobic exercise time and exercise frequency.Exercise time>60 min/d,exercise frequency>5 times/week and moderate intensity exercise therapy are more conducive to improve health-related physical fitness in elderly patients with T2DM.