运动治疗对糖尿病前期患者血糖转归的影响因素分析  

Analysis of influencing factors for exercise therapy on blood glucose outcome in patients with prediabetes

作　　者：高珍秀 袁晓丹[2] 戴霞[3] 季红[4] 楼青青 GAO Zhenxiu;YUAN Xiaodan;DAI Xia(The College of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学护理学院,210023 [2]南京中医药大学附属中西医结合医院健康教育科 [3]广西医科大学第一附属医院内分泌科 [4]丹阳市人民医院内分泌科 [5]海南省人民医院内分泌科

出　　处：《中国糖尿病杂志》2021年第4期266-270,共5页Chinese Journal of Diabetes

基　　金：国家自然科学基金(81370923);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015132)。

摘　　要：目的探讨运动治疗对糖尿病前期(PDM)患者血糖转归的影响因素。方法回顾性分析2014年1月至2016年12月于3所医院完成规律运动2年的113例PDM患者的临床资料,以运动后血糖转归为判定标准,探讨运动治疗对PDM患者血糖转归的影响因素。结果Logistic回归分析显示,患者基线WHR(OR 0.242,P=0.028)和胰岛β细胞功能指数(HOMA2-β)(OR 1.034,P=0.044)是运动治疗对PDM患者血糖转归的影响因素。结论运动治疗对PDM患者转归与基线WHR及HOMA2-β相关,相较于BMI,临床应更重视基线WHR对PDM患者血糖转归的影响。Objective To explore the influencing factors for exercise therapy on blood glucose outcome in patients with prediabetes(PDM).Methods The clinical data of patients with PDM who completed regular exercise for 2 years in three hospitals from January 2014 to December 2016 were analyzed retrospectively.The factors impacting the outcomes of exercise intervention were evaluated.Results Logistic regression analysis showed that baseline waist-hip ratio(WHR)(OR 0.242,P=0.028)and HOMA2-β(OR 1.034,P=0.044)were the influencing factors for the glucose outcomes of exercise intervention in patients with PDM.Conclusion The factors impacting the outcomes of exercise intervention in patients with PDM was related to baseline WHR and HOMA2-β.Compared with BMI,more attention should be paid to the effect of WHR on exercise responsiveness.

关 键 词：糖尿病前期 运动 影响因素 

分 类 号：R587.1[医药卫生—内分泌]