Zhao G, Ford E S, Li C, Mokdad A H
Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
Diabet Med. 2008 Feb;25(2):221-7. doi: 10.1111/j.1464-5491.2007.02332.x. Epub 2008 Jan 14.
To investigate whether US adults with diabetes meet both the national and American Diabetes Association (ADA) recommendations for physical activity compared with people without diabetes, and to examine the trends of this behaviour over time.
We analysed data from large nationally representative cohorts from the 1996-2005 Behavioral Risk Factor Surveillance System. The number of participants ranged from 98 127 in 1996 to 204,977 in 2005, and the number of people with diabetes ranged from 4379 in 1996 to 13,608 in 2005. Participants were classified by their exercise status and physical activity levels. The age-standardized prevalence of physical activity participation or meeting physical activity recommendations was calculated in people with and without diabetes.
People with diabetes participated less in physical activity (63.1-68.9 vs. 71.7-78.3%) and met physical activity recommendations less than people without diabetes (40.2-42.9 vs. 48.0-51.5% for meeting national recommendations and 38.5-41.7 vs. 46.6-49.8% for meeting ADA recommendations). The percentage of people with diabetes who participated in physical activity in the past 10 years or met physical activity recommendations in the past 5 years did not vary, whereas significantly increasing trends were observed in people without diabetes. The odds for adults with diabetes meeting physical activity recommendations were significantly lower than in adults without diabetes even after multivariate adjustment.
People with diabetes were less likely to meet either national or ADA recommendations for physical activity than people without diabetes. Our results demonstrate the need for more efforts from health-care professionals to promote physical activity in people with diabetes.
调查与无糖尿病的美国人相比，患有糖尿病的美国成年人是否符合国家和美国糖尿病协会（ADA）的身体活动建议，并研究这种行为随时间的变化趋势。
我们分析了1996 - 2005年行为危险因素监测系统中具有全国代表性的大型队列数据。参与者人数从1996年的98127人到2005年的204977人不等，糖尿病患者人数从1996年的4379人到2005年的13608人不等。参与者根据其运动状态和身体活动水平进行分类。计算有糖尿病和无糖尿病者身体活动参与率或符合身体活动建议的年龄标准化患病率。
糖尿病患者参与身体活动的比例较低（63.1 - 68.9%对71.7 - 78.3%），符合身体活动建议的比例也低于无糖尿病者（符合国家建议的比例为40.2 - 42.9%对48.0 - 51.5%，符合ADA建议的比例为38.5 - 41.7%对46.6 - 49.8%）。在过去10年中参与身体活动或在过去5年中符合身体活动建议的糖尿病患者比例没有变化，而无糖尿病者则呈现出显著的上升趋势。即使经过多变量调整，患有糖尿病的成年人符合身体活动建议的几率仍显著低于无糖尿病的成年人。
与无糖尿病的人相比，糖尿病患者不太可能符合国家或ADA的身体活动建议。我们的结果表明，医疗保健专业人员需要做出更多努力来促进糖尿病患者的身体活动。
