College of Sports Science, Shenyang Normal University, Shenyang, China.
Department of Grain Science and Industry, Kansas State University, Manhattan, KS.
Medicine (Baltimore). 2023 Feb 10;102(6):e32796. doi: 10.1097/MD.0000000000032796.
To investigate the association between diabetes symptoms and physical activity (PA) levels among middle-aged and older Chinese adults. Data for this study were obtained from 2018 Charles data. Z test, logistic regression analysis, and linear hierarchical regression analysis were performed in 5352 individuals aged ≥50 years with complete information. In terms of diabetes, 6.8% of the middle-aged and elderly people with diabetes were detected, and 93.2% of the middle-aged and elderly people without diabetes symptoms. The proportion of middle-aged and elderly people with high PA levels was 50.5%, and the proportion of middle-aged and elderly people with low PA was 49.5%. There was a significant positive correlation between low PA and diabetes (P < .05). After adjusting demographic characteristics (gender, registered permanent residence type, education level, age, widowhood) and health status characteristics (poor mood, asthma, hyperlipidemia, disability, memory disease, self-assessment of health status, hypertension, smoking, stroke, depression), there was still a statistical significance between PA level and diabetes (P < .05). The risk of diabetes of middle-aged and elderly people in China increases with age, while the risk of diabetes of middle-aged and elderly people with low level of PA is higher. The risk of diabetes is high among middle-aged and elderly people who are old, have poor self-evaluation health, suffer from hyperlipidemia, memory disease, and asthma. The middle-aged and old people should increase their PA levels to prevent and improve diabetes.
为了调查中国中老年人群中糖尿病症状与身体活动（PA）水平之间的关系。本研究的数据来自于 2018 年查尔斯数据。对 5352 名年龄≥50 岁且信息完整的个体进行 Z 检验、logistic 回归分析和线性层次回归分析。在糖尿病方面，检测到 6.8%的中老年糖尿病患者，93.2%的中老年无糖尿病症状。高 PA 水平的中老年人群比例为 50.5%，低 PA 的中老年人群比例为 49.5%。低 PA 与糖尿病之间存在显著正相关（P<0.05）。调整人口统计学特征（性别、常住户口类型、教育水平、年龄、丧偶）和健康状况特征（情绪不佳、哮喘、高血脂、残疾、记忆疾病、自我健康评估、高血压、吸烟、中风、抑郁）后，PA 水平与糖尿病之间仍存在统计学意义（P<0.05）。中国中老年人的糖尿病风险随年龄增长而增加，而 PA 水平低的中老年人的糖尿病风险更高。年龄较大、自我评估健康状况较差、患有高血脂、记忆疾病和哮喘的中老年人患糖尿病的风险较高。中老年人应增加 PA 水平，以预防和改善糖尿病。
