Do Vuong Van, Jancey Jonine, Pham Ngoc Minh, Nguyen Chung Thanh, Hoang Minh Van, Lee Andy H
Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
School of Public Health, Curtin University, Perth, Australia, Vietnam.
J Prev Med Public Health. 2019 Mar;52(2):101-108. doi: 10.3961/jpmph.18.213. Epub 2019 Feb 22.
To objectively determine and compare the physical activity (PA) levels of adults newly diagnosed with type 2 diabetes (T2D) and adults without T2D in Vietnam using an accelerometer.
A total of 120 participants with newly diagnosed T2D and 120 adults without T2D were recruited from a large hospital in Hanoi, the capital city of Vietnam. All participants wore an ActiGraph GT3X accelerometer for at least 5 days, including 1 weekend day. Freedson cut-off points were used to estimate different intensities of PA. In addition, comparisons between groups were made with respect to achieving the World Health Organization (WHO) and International Diabetes Federation (IDF) recommended PA guidelines.
Men with T2D had significantly lower levels of PA than men without T2D. The respective multivariable-adjusted mean values of daily step count, daily light-intensity, moderate-intensity, and moderate-to-vigorous-intensity PA were approximately 14%, 19%, and 22% lower in the men with T2D than in their non-T2D counterparts. However, women with T2D accumulated a greater number of steps per day than women without T2D. Only 59.2% of the adults with T2D met the minimum recommended level of PA (WHO and IDF), compared to 74.2% of adults without T2D (p<0.05). After adjusting for potential confounders, participants with T2D experienced 50.0% significantly lower odds of achieving PA recommendations.
Vietnamese men with T2D were less physically active than those without T2D, and adults with T2D were less likely to meet PA guidelines. The results suggest a need for integrating PA into the self-management of this chronic condition.
使用加速度计客观测定并比较越南新诊断出2型糖尿病（T2D）的成年人与无T2D的成年人的身体活动（PA）水平。
从越南首都河内的一家大型医院招募了120名新诊断出T2D的参与者和120名无T2D的成年人。所有参与者佩戴ActiGraph GT3X加速度计至少5天，包括1个周末日。采用弗里德森切点来估计不同强度的身体活动。此外，就达到世界卫生组织（WHO）和国际糖尿病联合会（IDF）推荐的身体活动指南方面对组间进行了比较。
患有T2D的男性的身体活动水平显著低于无T2D的男性。患有T2D的男性的每日步数、每日轻度、中度以及中等到剧烈强度身体活动的多变量调整后均值分别比其无T2D的对应者低约14%、19%和22%。然而，患有T2D的女性每天积累的步数比无T2D的女性更多。只有59.2%的T2D成年人达到了身体活动的最低推荐水平（WHO和IDF），相比之下，无T2D的成年人这一比例为74.2%（p<0.05）。在对潜在混杂因素进行调整后，患有T2D的参与者达到身体活动建议的几率显著降低了50.0%。
患有T2D的越南男性的身体活动不如无T2D的男性，且患有T2D的成年人更不太可能达到身体活动指南。结果表明需要将身体活动纳入这种慢性病的自我管理中。
