饮酒和体力活动对社区2型糖尿病患者血糖控制的影响-东南大学学报医学版

饮酒和体力活动对社区2型糖尿病患者血糖控制的影响

单位：1. 南京市疾病预防控制中心慢病防制科, 江苏南京 210003;
2. 南京医科大学公共卫生学院流行病学系, 江苏南京 211166;
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

关键词：饮酒体力活动血糖控制社区糖尿病患者

分类号：R587.1

出版年·卷·期（页码）：2024·43·第一期（46-51）

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5663名18岁以上社区糖尿病患者作为研究对象,采用多因素Logistic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: 5663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。

Objective: To evaluate the joint association of drinking status and physical activity with glycemic control 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 regression 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 adjustment 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.

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