López-Sánchez Guillermo F, Sánchez-Castillo Sheila, López-Bueno Rubén, Pardhan Shahina, Zauder Roksana, Skalska Maria, Jastrzębska Joanna, Jastrzębski Zbigniew, Smith Lee
Faculty of Sport Sciences, University of Murcia, Murcia, Spain.
Department of Physical Medicine and Nursing, University of Zaragoza, Zaragoza, Spain.
Eur J Public Health. 2020 Dec 11;30(6):1201-1205. doi: 10.1093/eurpub/ckaa104.
The objective was to compare levels of physical activity (PA) in a large sample of Spanish people with diabetes with and without cataracts. To our knowledge, this is the first study comparing PA levels in people with diabetes with and without cataracts in a large representative sample.
Cross-sectional data from the Spanish National Health Survey 2017 were analyzed (n = 1014 people with diabetes; 43.1% females; age range 15-69 years; mean age 58.4 ± 9.2 years). International Physical Activity Questionnaire (IPAQ) short form was used to measure PA. Total MET-min week-1 of PA were calculated and participants were divided into two categories according to American Diabetes Association PA guidelines: (i) <600 MET-min week-1. (ii) At least 600 MET-min week-1. Diabetes and cataracts were self-reported in response to the questions 'Have you ever been diagnosed with diabetes/cataracts?' Participants also reported other variables including age, gender, marital status, living as a couple, education, smoking, alcohol consumption and obesity. Statistical analysis was performed with SPSS 23.0.
The overall prevalence of cataract was 14.0% and the overall prevalence of people doing <600 MET-min week-1 of PA was 35.4%. The prevalence of cataract was significantly lower in those doing more PA (12.1% vs. 17.5%; P = 0.016). Those without cataracts were significantly more active than those with cataracts (1846.8 vs. 1289.4 MET-min week-1; P = 0.001). The adherence to American Diabetes Association PA guidelines was significantly higher in those without cataracts (66.1% vs. 55.6%; P = 0.016).
Interventions to promote PA targeting people with both diabetes and cataracts are warranted.
目的是比较大量患有和未患有白内障的西班牙糖尿病患者的身体活动（PA）水平。据我们所知，这是第一项在大型代表性样本中比较患有和未患有白内障的糖尿病患者PA水平的研究。
分析了2017年西班牙国家健康调查的横断面数据（n = 1014名糖尿病患者；43.1%为女性；年龄范围15 - 69岁；平均年龄58.4 ± 9.2岁）。使用国际身体活动问卷（IPAQ）简表来测量PA。计算PA的总代谢当量 - 分钟/周，并根据美国糖尿病协会PA指南将参与者分为两类：（i）<600代谢当量 - 分钟/周。（ii）至少600代谢当量 - 分钟/周。糖尿病和白内障是通过回答“您是否曾被诊断患有糖尿病/白内障？”这一问题自我报告的。参与者还报告了其他变量，包括年龄、性别、婚姻状况、是否夫妻同住、教育程度、吸烟、饮酒和肥胖情况。使用SPSS 23.0进行统计分析。
白内障的总体患病率为14.0%，PA<600代谢当量 - 分钟/周的人群总体患病率为35.4%。进行更多PA的人群中白内障患病率显著更低（12.1%对17.5%；P = 0.016）。未患白内障的人比患白内障的人明显更活跃（1846.8对1289.4代谢当量 - 分钟/周；P = 0.001）。未患白内障人群对美国糖尿病协会PA指南的依从性显著更高（66.1%对55.6%；P = 0.016）。
有必要针对患有糖尿病和白内障的人群开展促进PA的干预措施。
