糖尿病患者体力活动水平及影响因素分析的中英比较研究

李澳琳; 吕筠; 陈媛媛; 邵子伦; 李立明; 孙点剑一; 余灿清; 代表中国慢性病前瞻性研究项目协作组

Abstract

李澳琳,吕筠,陈媛媛,邵子伦,李立明,孙点剑一,余灿清,代表中国慢性病前瞻性研究项目协作组.糖尿病患者体力活动水平及影响因素分析的中英比较研究[J].Chinese journal of Epidemiology,2024,45(2):171-177

糖尿病患者体力活动水平及影响因素分析的中英比较研究

Physical activity and its influencing factors in patients with diabetes mellitus: a comparative study between China and the United Kingdom

Received:August 28, 2023

DOI：10.3760/cma.j.cn112338-20230828-00104

KeyWord: 糖尿病体力活动比较研究影响因素

English Key Word: Diabetes mellitus Physical activity Comparative study Influencing factors

FundProject:国家自然科学基金（82192904，82192901，82192900）；国家重点研发计划“精准医学研究”重点专项（2016YFC0900500）；中国香港Kadoorie Charitable基金

Author Name	Affiliation	E-mail
Li Aolin	Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
Lyu Jun	Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases(Peking University), Ministry of Education, Beijing 100191, China
Chen Yuanyuan	Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
Shao Zilun	Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
Li Liming	Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases(Peking University), Ministry of Education, Beijing 100191, China
Sun Dianjianyi	Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases(Peking University), Ministry of Education, Beijing 100191, China	dsun1@bjmu.edu.cn
Yu Canqing	Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases(Peking University), Ministry of Education, Beijing 100191, China	yucanqing@pku.edu.cn
for the China Kadoorie Biobank Collaborative Group

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Abstract:

目的比较中英糖尿病患者进行低水平体力活动的差异及相关影响因素的差异。方法本研究利用中国慢性病前瞻性研究和英国生物银行基线调查数据，以参与者自报是否患糖尿病为自变量，以低水平体力活动为因变量，使用logistic回归分析糖尿病与低水平体力活动之间的关联。结果共有509 254名中国成年人和359 763名英国成年人纳入研究，经多因素调整后，中英糖尿病患者进行低水平体力活动的风险均升高，OR值（95%CI）分别为1.15（1.12~1.19）和1.37（1.32~1.41）。其中，病程长和血糖控制不良的糖尿病患者进行低水平体力活动的风险更大。此外，女性、居住在农村、在职、从不吸烟的中国糖尿病患者和男性、居住在城市、退休/无业、已戒烟的英国糖尿病患者更倾向于进行低水平体力活动。结论中英糖尿病患者与一般人群相比更容易进行低水平体力活动，但两国患者进行低水平体力活动的风险因社会人口学特征而异。应对不同国家的糖尿病患者制定有针对性的体力活动指南和干预措施，以有效提高糖尿病患者的体力活动水平。

English Abstract:

Objective To compare the differences in low-level physical activity (PA) and related influencing factors in patients with diabetes mellitus in China and the United Kingdom (UK). Methods Using baseline survey data from the China Kadoorie Biobank and the UK Biobank, we analyzed the association between diabetes mellitus and low-level PA using logistic regression, with the participants' self-reported whether they had diabetes mellitus as the independent variable, and low-level PA as the dependent variable. Results We included 509 254 Chinese adults and 359 763 British adults in the analysis. After adjusting for multiple factors, we found that both Chinese and British patients with diabetes mellitus were at elevated risk for low-level PA, with corresponding ORs (95%CIs) of 1.15 (1.12-1.19) and 1.37 (1.32-1.41), respectively. Patients with diabetes mellitus with longer disease duration and poorer glycemic control were at greater risk of having low-level of PA. Female, rural-distributed, employed, never-smoking Chinese diabetics, and male, urban-distributed, retired/unemployed, quit-smoking British diabetics were more likely to have low-level PA. Conclusions Chinese and British patients with diabetes mellitus were more likely to have low-level PA compared with the general population, but the risk of low-level PA for patients in both countries varied by population characteristics. Therefore, PA guidelines and intervention measures should be based on the characteristics of individuals in the target countries and regions, which could improve PA levels among patients with diabetes mellitus.

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