Robotic Surgery Center, Konyang University Hospital, Daejeon 35365, Korea.
Department of Health Exercise Management, Sungshin Women's University, Seoul 02844, Korea.
Int J Environ Res Public Health. 2022 Jun 28;19(13):7900. doi: 10.3390/ijerph19137900.
The purpose of this study is to confirm the health behavior performance rate and cardiovascular disease-related indicators according to the subjective health perception of prediabetic and diabetic patients using the 2016-2019 National Health and Nutrition Examination Survey (NHANES) data. This study classified hemoglobin A1c ≥ 6.5% as diabetes and 5.7-6.4% prediabetes among 2485 adults over 40 years of age among the data from the National Health and Nutrition Examination Survey. In addition, subjective health perception was divided into 'good' and 'bad' and then cross-classified into four groups (Good/PDM, Bad/PDM, Good/DM, and Bad/DM) to analyze the differences between the four groups. All statistical analyses were performed using SAS 9.4 (SAS Institute Inc., Cary, NC, USA), and complex sample analysis was performed using weights according to the KNHANES raw data usage guidelines from the Korea Centers for Disease Control and Prevention. The rate of subjective health awareness was higher in men than in women in both prediabetic- and diabetic-stage subjects and adults in the prediabetic stage were higher than in the elderly. The better the subjective health status, the higher the ratio of normal weight, proper sleep time, exercise, and eating out among health-related behaviors. As a result of analyzing blood pressure and blood indices related to the cardiovascular disease risk (Framingham Risk Score), in all indicators except blood pressure, the better the subjective health status and the lower the risk of cardiovascular disease. As a result, for disease prevention and continuous management through healthy behaviors in prediabetic and diabetic patients, it is necessary to improve the positive subjective perception of health.
本研究旨在利用 2016-2019 年全国健康与营养调查（NHANES）数据，根据糖尿病前期和糖尿病患者的主观健康感知，确认健康行为表现率和与心血管疾病相关的指标。本研究将血红蛋白 A1c≥6.5%分类为糖尿病，5.7-6.4%为糖尿病前期，数据来自全国健康与营养调查。此外，主观健康感知分为“良好”和“不良”，然后交叉分为四组（良好/PDM、不良/PDM、良好/DM 和不良/DM），分析四组之间的差异。所有统计分析均使用 SAS 9.4（SAS Institute Inc.， Cary，NC，USA）进行，根据韩国疾病预防控制中心的 KNHANES 原始数据使用指南，使用权重进行复杂样本分析。在糖尿病前期和糖尿病阶段的受试者以及糖尿病前期的成年人中，男性的主观健康意识率高于女性。主观健康状况越好，与健康相关的行为中正常体重、适当睡眠时间、运动和外出就餐的比例越高。在分析与心血管疾病风险（弗雷明汉风险评分）相关的血压和血液指标时，除血压外，所有指标的主观健康状况越好，心血管疾病风险越低。因此，为了在糖尿病前期和糖尿病患者中通过健康行为进行疾病预防和持续管理，有必要提高对健康的积极主观认知。
