饮酒和体力活动对社区2型糖尿病患者血糖控制的影响
Joint association of drinking status and physical activity with glycemic control among community patients with type 2 diabetes
叶青 1秦真真 2陈一佳 2洪忻 2娄青林 3周金意 4徐斐1
作者信息
- 1. 南京市疾病预防控制中心 慢病防制科,江苏 南京 210003;南京医科大学公共卫生学院 流行病学系,江苏 南京 211166
- 2. 南京市疾病预防控制中心 慢病防制科,江苏 南京 210003
- 3. 江苏省省级机关医院/江苏省老年医院,江苏 南京 210024
- 4. 江苏省疾病预防控制中心 慢性非传染病防制所,江苏 南京 210009
- 折叠
摘要
目的:了解饮酒和体力活动与南京市社区糖尿病患者血糖控制之间的关系.方法:采用多阶段分层整群抽样方法,随机抽取南京市5 个区5 663 名18 岁以上社区糖尿病患者作为研究对象,采用多因素Logis-tic回归分析饮酒和体力活动对糖尿病患者血糖控制的联合作用.结果:5 663 名糖尿病患者空腹血糖控制率为39.8%(95%CI:38.5%～41.1%),调整年龄、性别、规律服药、职业、受教育水平、体质量指数(BMI)、高血压、糖尿病家族史和吸烟后,过量饮酒患者空腹血糖控制率是不饮酒/适量者的 0.73 倍(95%CI:0.64～0.83,P＜0.001).与不饮酒/适量且体力活动充足者相比,过量饮酒且体力活动充足者的空腹血糖控制率为其0.76 倍(95%CI:0.66～0.87,P＜0.001),过量饮酒且体力活动不足者为其 0.58 倍(95%CI:0.41～0.84,P =0.003).结论:饮酒和体力活动对血糖控制存在联合作用,过量饮酒者如体力活动不足会进一步降低其血糖控制率.
Abstract
Objective:To evaluate the joint association of drinking status and physical activity with glycemic con-trol among community patients with type 2 diabetes.Methods:Totally 5 663 type 2 diabetes were selected from 5 districts in Nanjing municipality with multi-stage stratified cluster random sampling.Multivariable Logistic regres-sion model was used to investigate the joint association of drinking status and physical activity with glycemic control among type 2 diabetes.Results:The glycemic control rate was 39.8%in the overall 5 663 patients.After adjust-ment for potential confounders,heavy drinking patients was 0.73 times(95%CI:0.64-0.83,P＜0.001)higher than that of non-drinking/moderate drinking patients to glycemic control.Meanwhile,compared to non-drinking/moderate drink patients who had adequate physical activity,heavy drinker who had adequate physical activity(OR = 0.76,95%CI:0.66-0.87,P＜0.001),heavy drinker who exposed to physical inactivity(OR =0.58,95%CI:0.41-0.84,P=0.003)were,respectively,less like to control glycemic.Conclusion:Drinking status and physical activity might have an additive effect on the glycemic control among adult aged 18 years or older in Nanjing,China.
关键词
饮酒/体力活动/血糖控制/社区糖尿病患者Key words
drinking status/physical activity/glycemic control/community patients with type 2 diabetes引用本文复制引用
基金项目
江苏省卫生健康发展研究中心开放课题(JSHD2022049)
南京市医学科技发展项目(ZKX21054)
出版年
2024
NETL
NSTL
维普
万方数据