体力活动相对活跃2型糖尿病患者心肺耐力与不同类型体力活动的相关性

doi:10.3969/j.issn.1006-9771.2018.12.022

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (12): 1471-1474.doi: 10.3969/j.issn.1006-9771.2018.12.022

体力活动相对活跃2型糖尿病患者心肺耐力与不同类型体力活动的相关性

刘淑芬^1a, 全建东^1b, 张路^1a, 赵肖奕^1a, 陈丽霞^1a, 李文慧^1b

1.中国医学科学院,北京协和医学院,a.物理医学康复科;
b.内分泌科,北京市 100730

收稿日期:2018-06-19 修回日期:2018-07-26 出版日期:2018-12-25 发布日期:2019-01-04
通讯作者: 陈丽霞、李文慧。E-mail: clx727@126.com (陈丽霞)、liwenhui68@vip.sina.com (李文慧)
作者简介:刘淑芬(1982-),女,汉族,北京市人,主治医师,主要研究方向：内科疾病的运动康复。

Association between Cardiorespiratory Fitness and Types of Physical Activity in Physically Active Patients with Type 2 Diabetes Mellitus

LIU Shu-fen^1a, QUAN Jian-dong^1b, ZHANG Lu^1a, ZHAO Xiao-yi^1a, CHEN Li-xia^1a, LI Wen-hui^1b

1. a. Department of Physical Medicine & Rehabilitation;
b. Department of Endocrinology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China

Received:2018-06-19 Revised:2018-07-26 Published:2018-12-25 Online:2019-01-04
Contact: CHEN Li-xia and LI Wen-hui. E-mail: clx727@126.com (CHEN Li-xia); liwenhui68@vip.sina.com (LI Wen-hui)

摘要/Abstract

摘要： 目的探索体力活动相对活跃的2型糖尿病患者心肺耐力与不同类型体力活动的相关性,为2型糖尿病患者的运动指导提供依据。方法 2017年7月至11月,41例体力活动相对活跃的2型糖尿病患者采用国际体力活动问卷进行日常体力活动调查,采用递增功率的心肺运动试验进行心肺耐力测试,使用双变量相关和Logistic回归分析心肺耐力和不同类型体力活动之间的相关性。结果双变量相关分析显示,休闲相关的活动量与2型糖尿病患者的峰值摄氧量、无氧阈摄氧量均呈正相关(r =0.393~0.503, P < 0.05)。Logistic回归分析显示,2型糖尿病患者心肺耐力是否正常仅与休闲相关的活动量相关(OR = 5.661, P = 0.017)。结论休闲相关的活动量与体力活动相对活跃的2型糖尿病患者心肺耐力呈正相关,应该多鼓励2型糖尿病患者进行以锻炼身体为目的的活动,而非用其他类型的活动替代。

关键词: 2型糖尿病, 体力活动, 心肺耐力

Abstract: Objective To explore the association between cardiorespiratory fitness and physical activities in physically active patients with type 2 diabetes mellitus. Methods From July to November, 2017, 41 physically active patients with type 2 diabetes mellitus were measured physical activities with International Physical Activity Questionnaire, and cardiorespiratory fitness with cardiopulmonary exercise testing (CPET) by bicycle ergometer. The association between cardiorespiratory fitness and physical activity was analyzed with bivariate correlation analysis and Logistic regression. Results Leisure-time physical activities positively correlated with peak oxygen consumption and oxygen consumption at anaerobic threshold (r = 0.393-0.503, P < 0.05), while leisure-time physical activities independently and positively correlated with normal cardiorespiratory fitness (OR = 5.661, P = 0.017). Conclusion Leisure-time physical activities can improve the cardiorespiratory fitness in physically active patients with type 2 diabetes mellitus, which should be encouraged rather than other activities.

Key words: type 2 diabetes mellitus, physical activity, cardiorespiratory fitness

中图分类号:

R587.1

刘淑芬, 全建东, 张路, 赵肖奕, 陈丽霞, 李文慧. 体力活动相对活跃2型糖尿病患者心肺耐力与不同类型体力活动的相关性[J]. 《中国康复理论与实践》, 2018, 24(12): 1471-1474.

LIU Shu-fen, QUAN Jian-dong, ZHANG Lu, ZHAO Xiao-yi, CHEN Li-xia, LI Wen-hui. Association between Cardiorespiratory Fitness and Types of Physical Activity in Physically Active Patients with Type 2 Diabetes Mellitus[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(12): 1471-1474.

参考文献

[1] Jae SY, Franklin BA, Choo J, et al.Fitness, body habitus, and the risk of incident type 2 diabetes mellitus in Korean men[J]. Am J Cardiol, 2016, 117(4): 585-589.
[2] Francesconi C, Lackinger C, Weitgasser R, et al.Physical activity and exercise training in the prevention and therapy of type 2 diabetes mellitus[J]. Wien Klin Wochenschr, 2016, 128(S2): S141-S145.
[3] O'Hagan C, De Vito G, Boreham CA. Exercise prescription in the treatment of type 2 diabetes mellitus: current practices, existing guidelines and future directions[J]. Sports Med, 2013, 43(1): 39-49.
[4] Colberg SR, Sigal RJ, Fernhall B, et al.Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement[J]. Diabetes Care, 2010, 33(12): e147-e167.
[5] Alberti KG, Zimmet PZ.Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation[J]. Diabet Med, 1998, 15(7): 539-553.
[6] 樊萌语,吕筠,何平平. 国际体力活动问卷中体力活动水平的计算方法[J]. 中华流行病学杂志, 2014, 35(8): 961-964.
[7] Ross R, Blair SN, Arena R, et al.Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association[J]. Circulation, 2016, 134(24): e653-e699.
[8] Church TS, Cheng YJ, Earnest CP, et al.Exercise capacity and body composition as predictors of mortality among men with diabetes[J]. Diabetes Care, 2004, 27(1): 83-88.
[9] Verma S, Moiz JA, Anwer S, et al.A dose-response study of aerobic training for oxygen uptake, oxidative stress and cardiac autonomic function in type 2 diabetes mellitus: study protocol for a randomized controlled trial[J]. Trials, 2018, 19(1): 289.
[10] Blomster JI, Chow CK, Zoungas S, et al.The influence of physical activity on vascular complications and mortality in patients with type 2 diabetes mellitus[J]. Diabetes Obes Metab, 2013, 15(11): 1008-1012.
[11] Liu G, Li Y, Hu Y, et al.Influence of lifestyle on incident cardiovascular disease and mortality in patients with diabetes mellitus[J]. J Am Coll Cardiol, 2018, 71(25): 2867-2876.
[12] Wei M, Gibbons LW, Kampert JB, et al.Low cardiorespiratory fitness and physical inactivity as predictors of mortality in men with type 2 diabetes[J]. Ann Intern Med, 2000, 132(8): 605-611.
[13] 李饶,袁丽,熊真真,等. 231例2型糖尿病藏族患者身体活动现状调查分析[J]. 护理学报, 2016, 23(20): 40-43.
[14] Brandenburg SL, Reusch JE, Bauer TA, et al.Effects of exercise training on oxygen uptake kinetic responses in women with type 2 diabetes[J]. Diabetes Care, 1999, 22(10): 1640-1646.
[15] 程晶,陈伟,钟卫权. 等热量不同运动方式对型糖尿病患者血管内皮及心肺功能的影响[J]. 中国康复医学杂志, 2016, 31(9): 1018-1020.

体力活动相对活跃2型糖尿病患者心肺耐力与不同类型体力活动的相关性

Association between Cardiorespiratory Fitness and Types of Physical Activity in Physically Active Patients with Type 2 Diabetes Mellitus

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