基于生活方式医学视角社区糖尿病患者行为生活方式的潜在类别分析  

Latent class analysis of the behavioral lifestyle of diabetic patients in community diabetes based on the perspective of lifestyle medicine

作　　者：张艺旋 冯天元[2] 高一飞 黄梅香 郭璐怡 ZHANG Yixuan;FENG Tianyuan;GAO Yifei;HUANG Meixiang;GUO Luyi(School of Health Management,Southern Medical University,Guangzhou,Guangdong 510080,China;Pingshan Medical and Health Group,Southern Medical University,Shenzhen,Guangdong 518118,China;Ministry of General Education of Southern Medical University,Guangzhou,Guangdong 510080,China;School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,Hubei 430030,China;Quality Management Department of the Affiliated Women and Children′s Hospital of Xiamen University,Xiamen,Fujian 361003,China)

机构地区：[1]南方医科大学卫生管理学院,广东广州510080 [2]南方医科大学坪山医疗健康集团,广东深圳518118 [3]南方医科大学通识教育部,广东广州510080 [4]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [5]厦门大学附属妇女儿童医院(厦门市妇幼保健院)质量管理部,福建厦门361003

出　　处：《公共卫生与预防医学》2024年第5期28-32,共5页Journal of Public Health and Preventive Medicine

基　　金：国家重点研发计划“健康管理综合服务应用示范”(2020YFC2006401)。

摘　　要：目的研究旨在探究社区糖尿病患者不同行为生活方式之间的潜在类别及其影响因素,将人群分类,以各不同类型糖尿病人群行为生活方式特点,为糖尿病患者的主动健康管理、高危人群的识别以及干预措施效应最大化提供科学依据。方法2022年6~8月对深圳市坪山区18家社区健康服务中心电子健康档案在建1179名糖尿病患者进行行为生活方式随访调查。采用潜在类别分析方法(latent class analysis,LCA),对研究对象的生活和行为方式进行聚类分析,采用无序多分类logistic回归分析各类别的影响因素。结果社区糖尿病患者生活行为方式存在3个潜在类别:“以荤食为主的超重肥胖组”(28.41%)、“饮食均衡组”(30.79%)、“以素食为主但坚持锻炼组”(40.80%)。logistic结果显示,年龄、总胆固醇、低密度脂蛋白、空腹血糖、合并症、高血压病史对社区糖尿病患者行为生活方式的潜在类别存在影响(P<0.05)。结论社区糖尿病患者的行为生活方式有明显的分类特征且在饮食行为方面区分度明显。医生及健康管理人员可出具相应生活医学处方及制定相应主动健康管理措施,提早预防糖尿病患者相关危险因素的发生,制订个性化干预措施。Objective To explore the latent class and influencing factors between different behavioral lifestyles in community patients with diabetes,to classify the population and reveal the behavioral lifestyle characteristics of different types of diabetes,and to provide a scientific basis for active health management of diabetes,the identification of high-risk groups and maximization of the effect of intervention measures.Methods From June to August 2022,a behavioral and lifestyle follow-up survey was conducted on 1179 diabetes patients with electronic health records from 18 community health service centers in Pingshan District,Shenzhen.The latent class analysis(LCA)method was used to cluster the life and behavior style of the study subjects,and the disordered multi-classification logistic regression was used to analyze the influencing factors of each class.Results The LCA results showed that there were three latent classes of community diabetes patients:"overweight and obese group"(28.4%),"balanced diet group"(30.8%),and"vegetarian but persistent exercise group"(40.8%).Logistic regression analysis results showed that age,total cholesterol,LDL,fasting blood glucose,comorbidities,and hypertension history affected the latent classes of behavioral lifestyle in diabetic patients in the community(P<0.05).Conclusion The behavioral lifestyle of community diabetes patients has obvious classification characteristics and obvious differentiation in terms of eating behavior.Doctors and health managers can issue corresponding lifestyle medicine prescriptions and formulate corresponding active health management measures to prevent the occurrence of risk factors related to diabetes patients in advance and formulate personalized intervention measures.

关 键 词：社区糖尿病 行为生活方式 潜在类别分析 

分 类 号：R181[医药卫生—流行病学]