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糖尿病患者成年子女中的肥胖、身体活动与糖尿病前期

Obesity, physical activity and prediabetes in adult children of people with diabetes.

作者信息

Compeán-Ortiz Lidia G, Trujillo-Olivera Laura Elena, Valles-Medina Ana María, Reséndiz-González Eunice, García-Solano Beatriz, Pérez Beatriz Del Angel

机构信息

PhD, Researcher Professor, Facultad de Enfermería Tampico, Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, Mexico.

PhD, Researcher Professor, Centro Mesoamericano de Estudios en Salud Pública y Desastres, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, Mexico.

出版信息

Rev Lat Am Enfermagem. 2018 Jan 8;25:e2981. doi: 10.1590/1518-8345.2102.2981.

Abstract

OBJECTIVES

Determine prevalence of obesity / overweight, physical activity (PA) and prediabetes in adult children of parents with type 2 diabetes; identify differences according to sociodemographic variables, and describe the relationship of obesity/overweight with fasting glucose (FG) and glycosylated hemoglobin (A1C).

METHODS

Cross-sectional study in 30 Mexican families with 53 participating adult children. Obesity / overweight was determined with Body Mass Index (BMI), Waist Circumference (WC) and body fat percentage (BFP); PA with the short International Physical Activity Questionnaire (IPAQ), and prediabetes with FG.

RESULTS

64% of participants presented obesity / overweight, 32% low PA, and 19% prediabetes. Men had higher WC than women (U= 219, p= 0.03). Women showed more BFP than men (U= 142, p <0.01). Blood glucose was related to BFP (rs= 0.336, p < 0.05), the A1C with the BMI (rs= 0.417, p <0.01), WC (rs= 0.394, p<0.01), BFP (rs= 0.494, p<0.01) and intense PA (rs= - 0.285, p<0.05).

CONCLUSIONS

High prevalence of obesity / overweight and low PA were found. The FG was related only to BFP and A1C, in addition to BMI, WC and inversely with intense BP. It is recommended to modify the educational strategies of nursing at a family level.

摘要

目的

确定2型糖尿病患者成年子女中肥胖/超重、身体活动(PA)及糖尿病前期的患病率;根据社会人口统计学变量确定差异,并描述肥胖/超重与空腹血糖(FG)和糖化血红蛋白(A1C)之间的关系。

方法

对30个墨西哥家庭中的53名成年子女进行横断面研究。通过体重指数(BMI)、腰围(WC)和体脂百分比(BFP)确定肥胖/超重;通过简短国际体力活动问卷(IPAQ)确定PA;通过FG确定糖尿病前期。

结果

64%的参与者存在肥胖/超重,32%的参与者身体活动水平较低,19%的参与者患有糖尿病前期。男性的WC高于女性(U = 219,p = 0.03)。女性的BFP高于男性(U = 142,p <0.01)。血糖与BFP相关(rs = 0.336,p <0.05),A1C与BMI相关(rs = 0.417,p <0.01)、与WC相关(rs = 0.394,p<0.01)、与BFP相关(rs = 0.494,p<0.01),与剧烈PA呈负相关(rs = - 0.285,p<0.05)。

结论

发现肥胖/超重患病率高且身体活动水平低。FG仅与BFP和A1C相关,此外还与BMI、WC相关,且与剧烈身体活动呈负相关。建议在家庭层面调整护理教育策略。

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