Li Chia-Lin, Sheu Ji-Tian, Wang Ting-Ann, Wen Yu-Ping, Chao Minston, Chang Hsing-Yi
Department of Health Care Management, College of Management, Chang Gung University, Tao-Yuan, Taiwan Healthy Aging Research Center, Chang Gung University, Tao-Yuan, Taiwan.
Department of Health Care Management, College of Management, Chang Gung University, Tao-Yuan, Taiwan.
Asia Pac J Public Health. 2015 Apr;27(3):303-13. doi: 10.1177/1010539514524817. Epub 2014 Feb 24.
The aim of this study was to investigate whether adopting healthy lifestyle habits, such as engaging in leisure time physical activity (LTPA), adopting recommended dietary patterns, and not smoking, are associated with reduced hospitalizations over 1 year among adults with diabetes. We analyzed data from a national sample of people aged 18 years and above with self-reported physician-diagnosed diabetes (n = 664) through linkage to the 2001 National Health Interview Survey in Taiwan and the 2002 National Health Insurance claims data. Multivariate analysis showed that participants reporting greater than 150 min/wk of moderate-intensity activity had a significantly lower chance for hospitalization (odds ratio = 0.52; 95% confidence interval [CI] = 0.27-0.98), fewer admissions (incidence rate ratio [IRR] = 0.58; 95% CI = 0.33-1.00), and fewer hospital bed days (IRR = 0.42; 95% CI = 0.20-0.92) compared with inactive individuals. Diet control and smoking status did not significantly predict hospital use after controlling for other factors. Our findings indicate that increased LTPA results in reduced hospitalization among adults with diabetes.
本研究的目的是调查采用健康的生活方式习惯，如进行休闲时间体育活动（LTPA）、采用推荐的饮食模式以及不吸烟，是否与糖尿病成年人1年内住院次数减少有关。我们通过将台湾2001年国民健康访谈调查和2002年国民健康保险理赔数据相链接，分析了来自18岁及以上自我报告经医生诊断患有糖尿病的全国样本数据（n = 664）。多变量分析显示，报告每周进行超过150分钟中等强度活动的参与者住院几率显著较低（优势比 = 0.52；95%置信区间[CI] = 0.27 - 0.98），入院次数较少（发病率比[IRR] = 0.58；95% CI = 0.33 - 1.00），与不活动的个体相比，住院天数也较少（IRR = 0.42；95% CI = 0.20 - 0.92）。在控制其他因素后，饮食控制和吸烟状况并未显著预测住院情况。我们的研究结果表明，增加休闲时间体育活动可减少糖尿病成年人的住院次数。
