超重糖尿病患者的认知状态及足部自我护理行为，这些患者参与不同水平的体育活动。

Cognitive status and foot self care practice in overweight diabetics, engaged in different levels of physical activity.

作者信息

Madarshahian Farah, Hassanabadi Mohsen, Koshniat Nikoo Mohsen

机构信息

Community and Public Health Department, Birjand University of Medical Sciences, Ghafary Avenue, Birjand 9717853577, Iran.

出版信息

J Diabetes Metab Disord. 2014 Feb 4;13(1):31. doi: 10.1186/2251-6581-13-31.

DOI:10.1186/2251-6581-13-31

PMID:24495364

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3922616/

Abstract

BACKGROUND

Type 2 diabetes along with chronic hyperglycemia may result in cognitive impairment. This can negatively affect the patient's adherence to diabetes treatment. The purpose of this study was to compare the cognitive status and foot self care practice in overweight type 2 diabetic patients who exercised regularly and those who did not.

METHODS

The comparative study was conducted on 160 consecutive patients from an outpatient diabetes clinic. They were divided into two groups: The active group comprised of 80 patients engaged in regular exercise for at least 15-30 minutes, three times per week during the past 6 months. The control group included 80 patients who had not exercised regularly for the past 12 months, matched for sex, age, education, diabetes duration, hemoglobin A1C and body mass index (BMI: 25-29.9Kg/m2). Data on the patients' demographic information, foot care practice and physical activity habits were gathered using a questionnaire. The Mini Mental Status examination (MMSE) was applied to assess cognitive status.

RESULTS

MMSE score was significantly higher in the active group. A significant negative correlation was noted between MMSE scores and BMI in the control group (r = -0.2, P = 0.03). A significant difference was noted in the four domains of foot self care practice between the active (4.77 ± 0.77) and control (4.45 ± 0.83) groups (P < 0.01).

CONCLUSIONS

Regular physical activity can help promote cognitive status and foot self care practice in overweight patients with type 2 diabetes.

摘要

背景

2型糖尿病伴慢性高血糖可能导致认知障碍。这会对患者坚持糖尿病治疗产生负面影响。本研究的目的是比较定期锻炼和不锻炼的超重2型糖尿病患者的认知状态和足部自我护理实践情况。

方法

对一家门诊糖尿病诊所的160例连续患者进行了这项对比研究。他们被分为两组：运动组由80例在过去6个月中每周至少进行3次、每次15 - 30分钟规律锻炼的患者组成。对照组包括80例在过去12个月中未进行规律锻炼的患者，这些患者在性别、年龄、教育程度、糖尿病病程、糖化血红蛋白和体重指数（BMI：25 - 29.9Kg/m²）方面相匹配。使用问卷收集患者的人口统计学信息、足部护理实践和身体活动习惯数据。应用简易精神状态检查表（MMSE）评估认知状态。