不同运动形式对中国糖尿病患者代谢控制及并发症的影响

发布时间：2018-04-17 20:04

本文选题：糖尿病 + 运动形式　；参考：《东南大学》2015年硕士论文

【摘要】：目的：了解我国糖尿病患者日常运动的现状,探讨不同运动形式与糖尿病患者代谢指标及并发症的相关性,了解糖尿病患者进行不同形式运动后不良反应的发生情况。方法：采用多中心横断面调查,于2014年6-8月在全国范围内选择各省市有代表性的41家医学中心,共纳入糖尿病患者7131例,对其具体运动形式、强度、时间、频率以及代谢指标、并发症、运动不良反应的情况进行问卷调查。根据患者运动形式分为三类：仅参加有氧运动(5551例),仅参加抗阻运动(20例),参加有氧联合抗阻运动(453例)。应用方差分析检验各组间计量资料的差异,卡方检验计数资料的差异,并使用回归模型进一步分析不同运动形式与患者代谢指标及并发症的相关性。结果：1、本研究纳入统计的糖尿病患者共7095例,有6024例患者参加了专门的运动锻炼,其中最常进行的运动形式为散步(4096例),仅有473例患者选择抗阻运动。2、参加专门运动锻炼的患者空腹血糖、餐后2h血糖、体质指数、收缩压、并发症及合并症数量低于未参加运动锻炼的患者(p=-0.628、-0.888、-0.338、-1.231、-0.191,均P0.05);参加专门运动锻炼的患者糖化血红蛋白达标率更高(OR=1.549,P0.05),高密度脂蛋白也高于未参加运动锻炼的患者(β=0.033,P0.05)。3、匹配后不同运动类型(仅参加有氧运动、仅参加抗阻运动、参加有氧联合抗阻运动)的患者其各项代谢指标及合并症并发症在三组间无统计学差异(均P0.05)；通过线性回归分析校正后,参加有氧联合抗阻运动的患者其空腹血糖、餐后2h血糖、合并症及并发症的数量较仅参加有氧运动的患者控制更佳(p=0.348、0.781、0.204,均P0.05),其空腹血糖较仅参加抗阻运动的患者控制更佳(β=1.651,P0.05)4、匹配后不同运动形式(散步组、快步走组、慢跑组、广场舞)的患者其各项代谢指标及并发症在四组间无统计学差异(均P0.05);通过线性回归分析校正后,参加急速走的患者餐后2h血糖较仅参加快步走、仅参加广场舞的患者控制更佳(p=-1.63、0.724,均P0.05),仅参加打太极的患者其体质指数较仅参加快步走的患者控制更佳(p=-0.504,P0.05)5、8.69%患者感觉到运动锻炼时有低血糖反应,但在运动锻炼期间仅6.60%的患者监测血糖,2.66%患者发生过其他运动不良反应。结论：1、我国糖尿病患者的运动形式较单一,多数患者选择进行有氧运动,尤其是散步,仅少数患者参加抗阻运动。2、参加运动锻炼的患者其血糖、血脂、血压及体质指数控制更佳,糖尿病相关合并症或并发症的患病率更低。3、参加有氧联合抗阻运动的患者其血糖控制较单独进行有氧运动或抗阻运动的患者更佳,合并症或并发症的患病率也更低。4、不同运动形式与糖尿病患者代谢指标控制及并发症的相关性并不明显。5、运动不良反应发生率偏高,仍需加强对患者的运动教育,使运动充分发挥其治疗效果并避免不良反应的发生。
[Abstract]:Objective: to investigate the current status of daily exercise of diabetic patients in China, and to explore the correlation between different exercise forms and metabolic indexes and complications of diabetic patients, and to understand the occurrence of adverse reactions after different forms of exercise in diabetic patients.Methods: a multi-center cross-sectional survey was used to select 41 representative medical centers in China from June to August 2014. A total of 7131 patients with diabetes mellitus were included in the study. The specific exercise patterns, intensity, time, frequency and metabolic indexes were analyzed.Complications and adverse effects of exercise were investigated by questionnaire.The patients were divided into three groups according to their exercise patterns: 5551 cases of aerobic exercise, 20 cases of resistance exercise and 453 cases of aerobic combined resistance exercise.Variance analysis was used to test the difference of metrological data and chi-square test counting data among groups. The regression model was used to further analyze the correlation between different exercise patterns and metabolic indexes and complications of patients.Results in this study, 7095 diabetes patients were included in the study, 6024 of whom took part in special exercise.The most common exercise form was 4096 patients with stroll, only 473 patients chose resistance exercise .2. fasting blood glucose, 2 hours postprandial blood glucose, body mass index, systolic blood pressure,The number of complications and complications was lower than that of the patients without exercise (P < 0. 628) -0. 888U-0. 338U-1. 231U-0. 191, respectively (P0. 05). The rate of AHbA1c reached the standard higher in the patients who took part in special exercise exercise than that in the patients who did not exercise (P 0. 05), and the high density lipoprotein (HDL) was also higher than that in the patients without exercise (尾 0. 033, P 0. 05, P 0. 05. 3).Different types of exercise (aerobic exercise only,There was no significant difference in the metabolic indexes and complications among the three groups (all P 0.05), after the correction by linear regression analysis, there was no significant difference between the three groups in the metabolic indexes and complications of the patients who participated in the resistance exercise only and participated in the aerobic combined resistance exercise (P < 0.05).The fasting blood glucose, 2 hours postprandial blood glucose of the patients who took part in the aerobic combined resistance exercise,The number of complications and complications was better controlled than that of the patients who only participated in aerobic exercise (P < 0.05). The fasting blood glucose was better controlled than that of the patients who only participated in resistance exercise (尾 1. 651U P 0. 05). Different exercise patterns were matched (walking group, fast walking group, jogging group).There was no significant difference in the metabolic indexes and complications among the four groups (all P 0.05). After linear regression analysis, 2 h postprandial blood glucose of the patients who took part in the rapid walk was higher than that of the patients who only took part in the rapid walking.The patients who only participated in square dancing had better control (P < 0.05). The body mass index (BMI) of the patients who only participated in Taiji was better than those who only took part in fast walking. The patients who only took part in square dancing had better control than those who only took part in fast walking. The patients felt that they had hypoglycemia reaction during exercise.However, only 6.60% of the patients monitored blood glucose during exercise and 2.66% had other adverse effects.Conclusion: the exercise form of diabetes patients in China is relatively simple. Most of the patients choose aerobic exercise, especially for walking. Only a few patients participate in resistance exercise. The blood sugar and blood lipid of the patients who take part in exercise exercise are lower than those of the patients who take part in exercise.The blood pressure and body mass index were controlled better, the prevalence of diabetes related complications or complications was lower, and the blood sugar control of the patients who participated in the aerobic combined resistance exercise was better than that of the patients who took part in the aerobic exercise or the resistance exercise alone.The prevalence rate of complications or complications was also lower. The correlation between different exercise forms and metabolic index control and complications of diabetic patients was not significant. The incidence of adverse effects of exercise was high, so it was necessary to strengthen the exercise education of the patients.Exercise can give full play to its therapeutic effect and avoid adverse reactions.
【学位授予单位】：东南大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R587.1

【相似文献】