Ahn Junhee, Yang Youngran
Department of Nursing, Kunjang University, Gunsan-si 54045, Korea.
College of Nursing, Research Institute of Nursing Science, Jeonbuk University, Jeonju-si 54896, Korea.
Healthcare (Basel). 2021 Apr 1;9(4):391. doi: 10.3390/healthcare9040391.
(1) Background: Glycemic control is an effective way to reduce the cardiovascular complications of diabetes. The purpose of this study was to identify the factors associated with poor glycemic control amongst rural residents with diabetes in Korea. (2) Methods: This cross-sectional analysis was conducted amongst a total of 522 participants who had completed baseline health examinations for the Korean Genome and Epidemiology Study (KoGES) Rural Cohort from 2005 to 2011. The subjects were divided into two groups: the good glycemic control group (GCG) (glycosylated hemoglobin (HbA1C) < 7%) and the poor GCG (HbA1C ≥ 7%). Logistic regression was used to examine the role of sociodemographics, health-related behavior, comorbidity and diabetes-related and clinical factors in poor glycemic control amongst rural residents with diabetes. (3) Results: In total, 48.1% of participants were in the poor GCG. Poor GCG was significantly associated with drinking (odds ratio (OR) = 0.42, 95% CI = 0.24-0.71), lack of regular physical activity (OR = 1.68, 95% CI = 1.03-2.76), fasting blood glucose (FBG) > 130 mg/dL (OR = 7.80, 95% CI = 4.35-13.98), diabetes for > 7 years (OR = 1.79, 95% CI = 1.08-2.98), cholesterol ≥ 200 mg/dL (OR = 1.73, 95% CI = 1.05-2.84) and positive urine glucose (OR = 6.24, 95% CI = 1.32-29.44). (4) Conclusion: Intensive glucose control interventions should target individuals amongst rural residents with diabetes who do not engage in regular physical activity, have been diagnosed with diabetes for more than seven years and who have high fasting-blood glucose, high cholesterol levels and glucose-positive urine.
(1) 背景：血糖控制是降低糖尿病心血管并发症的有效方法。本研究旨在确定韩国农村糖尿病居民血糖控制不佳的相关因素。(2) 方法：本横断面分析针对2005年至2011年韩国基因组与流行病学研究（KoGES）农村队列中完成基线健康检查的522名参与者进行。受试者分为两组：血糖控制良好组（GCG）（糖化血红蛋白（HbA1C）<7%）和血糖控制不佳组（HbA1C≥7%）。采用逻辑回归分析社会人口统计学、健康相关行为、合并症以及糖尿病相关和临床因素在农村糖尿病居民血糖控制不佳中的作用。(3) 结果：总体而言，48.1%的参与者属于血糖控制不佳组。血糖控制不佳与饮酒（比值比（OR）=0.42，95%置信区间（CI）=0.24 - 0.71）、缺乏规律体育活动（OR = 1.68，95% CI = 1.03 - 2.76）、空腹血糖（FBG）>130 mg/dL（OR = 7.80，95% CI = 4.35 - 13.98）、糖尿病病程>7年（OR = 1.79，95% CI = 1.08 - 2.98）、胆固醇≥200 mg/dL（OR = 1.73，95% CI = 1.05 - 2.84）以及尿糖阳性（OR = 6.24，95% CI = 1.32 - 29.44）显著相关。(4) 结论：强化血糖控制干预应针对农村糖尿病居民中不进行规律体育活动、糖尿病诊断超过七年且空腹血糖高、胆固醇水平高和尿糖阳性的个体。
