文章摘要
苏丹婷,张洁,王浩,何青芳,梁明斌,陆凤,王立新,赵鸣,方乐,肖媛媛,胡如英,俞敏.浙江省成年人群肥胖及体育锻炼等因素与糖尿病风险分析[J].中华流行病学杂志,2014,35(9):985-989
浙江省成年人群肥胖及体育锻炼等因素与糖尿病风险分析
Joint association among physical activity, sedentary leisure time,job intensity,adiposity and the risks of diabetes in adult population of Zhejiang province
投稿时间:2014-04-16  
DOI:10.3760/cma.j.issn.0254-6450.2014.09.003
中文关键词: 肥胖;糖尿病;体育锻炼;静坐休闲;职业强度
英文关键词: Adiposity;Diabetes;Physical activity;Sedentary leisure time;Job intensity
基金项目:浙江省科技厅2011年度省重大科技专项(2011C13032-1); 浙江省重点科技创新团队建设任务自主一般项目(2010R50050)
作者单位E-mail
苏丹婷 310051 杭州, 浙江省疾病预防控制中心  
张洁 310051 杭州, 浙江省疾病预防控制中心  
王浩 310051 杭州, 浙江省疾病预防控制中心  
何青芳 310051 杭州, 浙江省疾病预防控制中心  
梁明斌 310051 杭州, 浙江省疾病预防控制中心  
陆凤 310051 杭州, 浙江省疾病预防控制中心  
王立新 310051 杭州, 浙江省疾病预防控制中心  
赵鸣 310051 杭州, 浙江省疾病预防控制中心  
方乐 310051 杭州, 浙江省疾病预防控制中心  
肖媛媛 310051 杭州, 浙江省疾病预防控制中心  
胡如英 310051 杭州, 浙江省疾病预防控制中心  
俞敏 310051 杭州, 浙江省疾病预防控制中心 myu@cdc.zj.cn 
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中文摘要:
      目的 探讨肥胖与体育锻炼、静坐休闲时间、职业劳动强度联合对2型糖尿病和糖调节受损(IGR)的关系。方法 利用2010年浙江省代谢综合征患病率调查的17 437名≥18岁人群调查 数据,采用logistic回归模型分析比较不同肥胖程度与不同体育锻炼水平、静坐休闲时间、职业劳动强度下各亚组人群糖尿病患病和IGR风险。结果 在同一静坐休闲时间组,按BMI标准的肥胖组糖尿 病发生风险是正常及低体重组的2.52~2.75倍,按WC标准的过度肥胖组糖尿病发生风险是正常组的2.09~3.71倍;在同一职业劳动强度组,按BMI标准的肥胖组糖尿病发生风险是正常及低体重组的 2.19~5.98倍,按WC标准的过度肥胖组糖尿病发生风险是正常组的3.10~6.25倍。肥胖与体育锻炼强度联合分析发现,在按BMI分组分析时,无体育锻炼者中,肥胖组的糖尿病发生风险是正常及低体 重组的3.21倍,但在体育锻炼者中未观察到发生糖尿病的风险随BMI增长而增加的规律,也未观察到体育锻炼对糖尿病患病风险影响的规律。在按WC分组分析时,3个锻炼水平下均可见肥胖程度越高, 糖尿病患病风险越大,同一锻炼水平下,过度肥胖组的糖尿病发生风险是正常组的1.68~4.23倍。结论 与增加体育锻炼、减少静坐时间相比,控制BMI和WC对糖尿病的预防更加重要;在考虑体育锻 炼水平时,WC是比BMI更好的糖尿病和IGR的预测指标。
英文摘要:
      Objective To investigate the joint association of adiposity,physical activity,sedentary leisure time and job intensity on diabetes and impaired glycoregulation. Methods Data was from the 2010 Zhejiang survey and 17 437 adults (≥18 years) were examined. Logistic regression was used in this cross-sectional study. Results Under the same level of sedentary leisure time,adiposity anticipants showed an OR of 2.52-2.75 times for people with diabetes than those with normal or underweight BMI,and anticipants with highest WC having an OR of 2.09-3.71 times than those with the lowest WC. With the same level of physical activity,those adiposity anticipants had an OR of 2.19-5.98 times for diabetes than those with normal or underweight BMI, and anticipants with the highest WC had an OR of 3.10-6.25 times than those with the lowest WC. Anticipants who had no physical activity but with adiposity. BMI had an OR of 3.21 times than those with normal or underweight BMI,but there was no significant difference between diabetes and BMI in those that practising physical activities. Within the 3 levels of physical activity,participants that practising no physical activity, had an OR of 1.68-4.23 times for diabetes than those who were physically active when WC was used as a measure for adiposity. Conclusion Controlling weight and waist seemed more important than improving physical activity or reducing sedentary leisure time in the prevention program on diabetes. WC was better measure on the risks for adiposity-related diabetes than BMI,especially when physical activity was under consideration.
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