Krug L M, Haire-Joshu D, Heady S A
Diabetes Educ. 1991 May-Jun;17(3):185-8. doi: 10.1177/014572179101700314.
Exercise is widely recognized as a crucial component in the management of non-insulin-dependent diabetes mellitus (NIDDM), but little is known about actual exercise practices in this group. This study investigated exercise habits in 60 persons with NIDDM and 60 nondiabetic significant others. Despite the importance of exercise, most of the persons with NIDDM in our study were not exercising regularly, and the percent of persons exercising regularly was no greater in the diabetic group than in the group of significant others. Although those with NIDDM reported more frequent discussion about exercise with health care professionals, only 25% reported receiving specific guidelines for exercise. Diabetic respondents reported a greater number of relapse or dropout episodes than did the nondiabetic significant others, and relapse was associated with increased guilt. Persons with NIDDM appear to receive recommendations to exercise without instruction on exercise maintenance strategies, resulting in more failed attempts to exercise, and increased guilt. Interventions shown to be effective for increasing exercise maintenance need to be incorporated into the diabetic regimen.
运动被广泛认为是非胰岛素依赖型糖尿病（NIDDM）管理中的一个关键组成部分，但对于该群体的实际运动情况却知之甚少。本研究调查了60名NIDDM患者和60名非糖尿病患者的重要他人的运动习惯。尽管运动很重要，但在我们的研究中，大多数NIDDM患者没有规律运动，糖尿病组中经常运动的人的百分比并不高于重要他人组。尽管NIDDM患者报告与医护人员讨论运动的频率更高，但只有25%的人报告收到了具体的运动指南。糖尿病受访者报告的复发或退出运动的情况比非糖尿病重要他人更多，且复发与内疚感增加有关。NIDDM患者似乎收到了运动建议，但没有得到关于运动维持策略的指导，导致更多运动尝试失败，并增加了内疚感。已证明对增加运动维持有效的干预措施需要纳入糖尿病治疗方案中。
