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丹麦成年人中患有和不患有糖尿病者的休闲时间体力活动、吸烟、体重指数和饮酒趋势:一项涵盖 2000 至 2010 年的重复横断面全国调查。

Trends in leisure time physical activity, smoking, body mass index and alcohol consumption in Danish adults with and without diabetes: a repeat cross-sectional national survey covering the years 2000 to 2010.

机构信息

Department of Cardiology, Nephrology & Endocrinology, Nordsjællands University Hospital, Hillerød, Denmark.

National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.

出版信息

Diabetes Res Clin Pract. 2014 Aug;105(2):217-22. doi: 10.1016/j.diabres.2014.05.009. Epub 2014 May 29.

Abstract

AIMS

In recent decades there has been an increased focus on non-pharmacological treatment of diabetes. The aim of this study was to investigate trends in leisure time physical activity (PA), smoking, body mass index (BMI), and alcohol consumption reported in 2000, 2005 and 2010 by Danish subjects with diabetes.

METHODS

Data comprised level of leisure time PA (inactive; moderate active; medium active; high active); smoking; BMI; and alcohol consumption, provided by The Danish Health and Morbidity Surveys. Participants older than 45 years with or without diabetes were included from cross-sectional analyses from 2000, 2005 and 2010.

RESULTS

In participants with diabetes, leisure time PA levels increased from 2000 to 2010: The percentage of those that were physically active increased from 53.5% to 78.2% (p<0.001; women) and from 67.8% to 79.1% (p=0.01; men). The prevalence of daily smokers was reduced from 27.2% to 16.4%, p=0.015, in women with diabetes. In men with diabetes, BMI increased from 27.2 ± 4.0 to 28.6 ± 5.1 kgm(-2), p=0.003, and men who exceeded the maximum recommendation for alcohol consumption increased from 9.4% to 19.0%, p=0.007. The leisure time PA level was reduced in participants with diabetes compared to participants without diabetes throughout the study.

CONCLUSIONS

The percentage of physically active Danish participants older than 45 years with diabetes increased from 2000 to 2010, and the most beneficial trends in life style were observed among the women. These trends may have serious implications for cardiovascular risk in Danish patients with diabetes.

摘要

目的

近几十年来,人们越来越关注糖尿病的非药物治疗。本研究旨在调查丹麦糖尿病患者在 2000 年、2005 年和 2010 年报告的休闲时间体力活动(PA)、吸烟、体重指数(BMI)和饮酒的趋势。

方法

数据包括休闲时间 PA 水平(不活跃;适度活跃;中度活跃;高度活跃);吸烟;BMI;和饮酒情况,由丹麦健康和发病率调查提供。纳入了来自 2000 年、2005 年和 2010 年的横断面分析中年龄大于 45 岁的糖尿病或非糖尿病患者。

结果

在糖尿病患者中,休闲时间 PA 水平从 2000 年增加到 2010 年:活跃人数的比例从 53.5%增加到 78.2%(p<0.001;女性)和从 67.8%增加到 79.1%(p=0.01;男性)。糖尿病女性每日吸烟者的比例从 27.2%下降到 16.4%,p=0.015。糖尿病男性的 BMI 从 27.2±4.0 增加到 28.6±5.1 kgm(-2),p=0.003,并且超过酒精最大推荐量的男性从 9.4%增加到 19.0%,p=0.007。与非糖尿病患者相比,糖尿病患者的休闲时间 PA 水平整个研究期间均降低。

结论

2000 年至 2010 年,45 岁以上丹麦糖尿病患者活跃人数的比例增加,其中女性生活方式的改善趋势最为显著。这些趋势可能对丹麦糖尿病患者的心血管风险产生严重影响。

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