首页|2型糖尿病患者峰值摄氧量与临床资料的相关性研究

2型糖尿病患者峰值摄氧量与临床资料的相关性研究

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目的:探究2型糖尿病(type 2 diabetes mellitus,T2DM)患者峰值摄氧量与临床资料的相关性.方法:选取2019年3月—2022年3月天津市第三中心医院收治的138例T2DM患者作为研究对象,探究心肺运动试验(cardiopulmonary exercise test,CPET)检测的峰值摄氧量与临床资料的相关性.相关系数用r表示,0<|r|≤0.3提示相关性较弱,0.3<|r|≤0.7提示相关性中等,0.7<|r|≤1提示相关性较强.采用多元线性回归分析方法分析T2DM患者峰值摄氧量的独立影响因素.结果:T2DM患者的峰值摄氧量与体质量指数(BMI)、腰围、T2DM病程呈弱负相关,差异有统计学意义(r=-0.214、-0.250、-0.230,P<0.05),与男性和HDL-C呈弱正相关,差异有统计学意义(r=0.120、0.220,P<0.05),与握力/体质量呈中等强度正相关,差异有统计学意义(r=0.389,P<0.05),与左心室舒张功能障碍(LVDD)呈中等强度负相关,差异有统计学意义(r=-0.321,P<0.05).多元线性回归分析结果显示,LVDD、腰围是T2DM患者峰值摄氧量的独立危险因素,握力/体质量、男性性别是T2DM患者峰值摄氧量的独立保护因素.结论:LVDD、腰围是T2DM患者峰值摄氧量的独立危险因素,握力/体质量、男性是T2DM患者峰值摄氧量的独立保护因素,T2DM患者握力/体质量降低会增加心肺耐力受损的发生风险.本研究提供了一种简单、方便的预测T2DM患者心肺耐力受损的方法,并为预防及治疗T2DM患者心肺耐力受损提供了理论依据.
Study of the Correlation Between Peak Oxygen Uptake and Clinical Data in Patients with Type 2 Diabetes Mellitus
Objective:To investigate the correlation between peak oxygen uptake and clinical data in patients with type 2 dia-betes mellitus(T2DM).Methods:138 cases of T2DM patients admitted to the hospital from March 2019 to March 2022 were se-lected as study subjects.The correlation between peak oxygen uptake detected by cardiopulmonary exercise test(CPET)and clini-cal data was explored.Correlation coefficients were expressed as 0<|r|≤0.3 suggests a weak correlation,0.3<|r|≤0.7 suggested a moderate correlation,and 0.7<|r|≤1 suggested a strong correlation.Multiple linear regression was used to analyze the independent influences on peak oxygen uptake in patients with T2DM.Results:Peak oxygen uptake in patients with T2DM was weakly and negatively correlated with body mass index(BMI),waist circumference,and duration of T2DM,and the difference was statistically significant(r=-0.214,-0.250,-0.230,P<0.05).Peak oxygen uptake in T2DM patients was weakly positively correlated with male sex and HDL-C,with statistically significant differences(r=0.120,0.220,P<0.05),moderately strongly positively correlated with grip strength/body mass,with statistically significant differences(r=0.389,P<0.05),and moderately strongly negatively correlated with left ventricular diastolic dysfunction(LVDD),with statistically significant(r=-0.321,P<0.05).The results of multiple linear regression analysis suggested that LVDD and waist circumference were independent risk factors for peak oxygen uptake in patients with T2DM,and grip strength/body mass and male gender were independent protective factors for peak oxygen uptake in patients with T2DM.Conclusion:LVDD and waist circumference are independent risk factors for peak oxygen uptake in patients with T2DM,and grip strength/body mass and male gender are independent protective factors for peak oxygen uptake in patients with T2DM,and reduced grip strength/body mass in patients with T2DM increases the risk of impaired cardiorespiratory endurance.The study provides a simple and convenient method for predicting impaired cardiorespiratory endurance in patients with T2DM,and a theoretical basis for the prevention and treatment of impaired cardiorespiratory endurance in patients with T2DM.

Type 2 diabetesGrip strength/body massPeak oxygen uptakeIndependent influencing factors

白金晨、李英

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天津市天津医院康复科,天津 300211

天津市第三中心医院内分泌科,天津 300170

2型糖尿病 握力/体质量 峰值摄氧量 独立影响因子

天津市卫生健康科技项目

TJWJ2021QN022

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(4)
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