Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Collaborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre of Education, Gopalapuram, Chennai, India.
Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Collaborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre of Education, Gopalapuram, Chennai, India.
Diabetes Res Clin Pract. 2015 Jan;107(1):77-84. doi: 10.1016/j.diabres.2014.09.053. Epub 2014 Oct 7.
This paper attempts to describe the patterns of exercise and the perceived benefits and barriers to exercise in an urban south Indian population.
Study participants were recruited from the baseline survey of the D-CLIP (Diabetes Community Lifestyle Improvement Program). Frequency, duration, type and location of exercise were assessed using a questionnaire, while a Likert type scale was used to assess perceived benefits of and barriers to exercise. Quality of life was measured using the EQ-5D.
Out of 1281 participants (63.7% males), 24.1% reported doing ≥150min of exercise/week ("exercisers") compared to 75.9% "non-exercisers". Exercisers were significantly older (47 vs. 43 years), better educated (68.8% vs. 60%), had a higher monthly income (41% vs. 29.2%), consumed more fruits (38.2% vs. 25.6%) and vegetables (84.1% vs. 77.7%) and had better perceived state of health (81.1% vs. 76.8%), compared to non-exercisers. Exercisers had significantly lower HOMA-IR, higher Matsuda index and lower prevalence of low HDL cholesterol compared to non-exercisers. However, there were no significant differences in cardio-metabolic risk factors like diabetes, hypertension and obesity between the two groups. Walking was the most common type of exercise. Both exercisers and non-exercisers perceived the benefits of exercising, but barriers weighed more heavily on exercise behaviour.
Urgent steps are needed to improve overall exercise levels in India by addressing barriers and improving the quality of exercise performed so as to enhance overall metabolic health.
本文试图描述印度南部城市人群的运动模式以及他们对运动的益处和障碍的认知。
研究参与者是从 D-CLIP（糖尿病社区生活方式改善计划）的基线调查中招募的。使用问卷评估运动的频率、持续时间、类型和地点，而使用李克特量表评估运动的益处和障碍感知。使用 EQ-5D 测量生活质量。
在 1281 名参与者中（63.7%为男性），24.1%报告每周进行≥150 分钟的运动（“运动者”），而 75.9%为“非运动者”。与非运动者相比，运动者年龄更大（47 岁比 43 岁），受教育程度更高（68.8%比 60%），月收入更高（41%比 29.2%），摄入更多的水果（38.2%比 25.6%）和蔬菜（84.1%比 77.7%），且对自身健康状况的感知更好（81.1%比 76.8%）。与非运动者相比，运动者的 HOMA-IR 更低，Matsuda 指数更高，低 HDL 胆固醇的患病率更低。然而，两组之间在心血管代谢危险因素如糖尿病、高血压和肥胖方面没有显著差异。散步是最常见的运动类型。运动者和非运动者都认为运动有益，但障碍对运动行为的影响更大。
需要采取紧急措施，通过解决障碍和提高运动质量来提高印度的整体运动水平，从而提高整体代谢健康水平。
