Strauss Shiela M, McCarthy Margaret
New York University Rory Meyers College of Nursing, New York, NY, USA (Dr Strauss, Dr McCarthy).
Diabetes Educ. 2017 Apr;43(2):163-170. doi: 10.1177/0145721717691849. Epub 2017 Feb 7.
Purpose The purpose of the study was to determine the extent to which arthritis-related limitations are salient in predicting less than the recommended amount of time for adults with prediabetes to spend on moderate or vigorous physical activity. Methods Data from the 2011-2014 National Health and Nutrition Examination Survey (NHANES) in the United States were used to identify the predictors of insufficient physical activity in a large sample of adults with prediabetes 20 years of age and older (n = 2536). Results When extrapolated to more than 45 million adults in the United States at least 20 years of age with prediabetes, 42.7% had insufficient physical activity. Having arthritis-related functional limitations was a significant predictor of insufficient physical activity, even after accounting for the statistically significant contributions of female sex, older age, lower education level, higher body mass index, and depression. Conclusion When educating and counseling adults with prediabetes, diabetes educators should assess for arthritis-related functional limitations when examining factors that may affect prediabetes progression. Recommendations for physical activity for those with mobility and other limitations need to be individualized within a tailored exercise program to accommodate their specific limitations.
目的 本研究的目的是确定与关节炎相关的身体功能受限在预测糖尿病前期成年人进行中等强度或剧烈体力活动的时间未达推荐量方面的显著程度。方法 利用美国2011 - 2014年国家健康与营养检查调查（NHANES）的数据，在20岁及以上的大量糖尿病前期成年人样本（n = 2536）中确定体力活动不足的预测因素。结果 若将研究结果外推至美国至少20岁的4500多万糖尿病前期成年人，42.7%的人存在体力活动不足。即便在考虑了女性、年龄较大、教育水平较低、体重指数较高和抑郁等因素的统计学显著影响后，与关节炎相关的功能受限仍是体力活动不足的显著预测因素。结论 在对糖尿病前期成年人进行教育和咨询时，糖尿病教育工作者在检查可能影响糖尿病前期进展的因素时应评估与关节炎相关的功能受限情况。对于有行动不便和其他限制的人群，体力活动建议需要在量身定制的运动计划中个性化，以适应他们的特定限制。
