Department of Endocrinology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
Department of Medicine, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
Diabetes Metab Syndr. 2021 May-Jun;15(3):823-827. doi: 10.1016/j.dsx.2021.03.036. Epub 2021 Apr 9.
Previous studies suggest that body composition and handgrip strength are significantly altered in individuals with type 2 diabetes mellitus. Only few studies are available in prediabetic individuals. The aim is to study the change in body composition in adult individuals with prediabetes and compare it with age and sex-matched normoglycemic individuals.
100 diagnosed cases of prediabetes and 100 age and sex-matched normoglycemic controls were recruited in the study. Body composition was assessed with Omron HBF 510w and Slim guide skinfold caliper. Handgrip strength was assessed with Camry digital dynamometer.
Out of 100 subjects with prediabetes; 53 were female and 47 were male. In this study, there was higher mean body fat percentage (29.37 ± 5.65 vs 25.46 ± 5.27) and visceral fat (11.21 ± 1.92 vs 7.27 ± 2.82) in individuals with prediabetes compared to normoglycemic individuals. Also, there was a lower mean of skeletal muscle percentage (27.21 ± 4.32 vs 31.19 ± 4.63) and handgrip strength (29.61 ± 6.38 vs 33.75 ± 6.8) in individuals with prediabetes compared to normoglycemic individuals. In this study, body fat percentage was positively correlated (r = 0.3385) with prediabetes. The skeletal muscle percentage (r = -0.40721) and handgrip strength (r = -0.301) were negatively correlated with prediabetes.
It can be concluded that there is a significant change in body composition and handgrip strength in the individuals with prediabetes, and changes in body composition and handgrip strength can be included as a primary care strategy to motivate lifestyle modifications.
先前的研究表明，2 型糖尿病患者的身体成分和握力明显改变。仅有少数研究涉及糖尿病前期个体。本研究旨在研究糖尿病前期个体身体成分的变化，并将其与年龄和性别匹配的正常血糖个体进行比较。
本研究纳入了 100 例确诊的糖尿病前期患者和 100 例年龄和性别匹配的正常血糖对照者。使用欧姆龙 HBF-510w 和 Slim 指南皮褶卡尺评估身体成分。使用 Camry 数字测力计评估握力。
在 100 例糖尿病前期患者中，女性 53 例，男性 47 例。本研究中，糖尿病前期患者的平均体脂百分比（29.37±5.65 比 25.46±5.27）和内脏脂肪（11.21±1.92 比 7.27±2.82）均较高。此外，糖尿病前期患者的平均骨骼肌百分比（27.21±4.32 比 31.19±4.63）和握力（29.61±6.38 比 33.75±6.8）均较低。在本研究中，体脂百分比与糖尿病前期呈正相关（r=0.3385）。骨骼肌百分比（r=-0.40721）和握力（r=-0.301）与糖尿病前期呈负相关。
可以得出结论，糖尿病前期个体的身体成分和握力有显著变化，身体成分和握力的变化可以作为一种初级保健策略，以激励生活方式的改变。
