尼日利亚奥贡州一家三级医疗机构中接受治疗的 2 型糖尿病患者的短期血糖控制和身体活动对健康相关生活质量的影响：一项横断面研究。
Effect of short-term glycemic control and physical activity on health-related quality of life among type 2 diabetes receiving care in a tertiary health facility in Ogun State, Nigeria: a cross-sectional study.
机构信息
Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa.
出版信息
Pan Afr Med J. 2023 Jan 24;44:47. doi: 10.11604/pamj.2023.44.47.35680. eCollection 2023.
INTRODUCTION
there are myriad of factors that influence health-related quality of life (HRQoL) which relationships remain unclear. Some of the factors include glycemic control and physical activity. This study determined the relationship between glycemic control, physical activity, and HRQoL among people living with type 2 diabetes.
METHODS
data from a cross-section of persons living with type 2 diabetes included information about their most recent fasting blood glucose (FBG), physical activity (PA), and HRQoL. The PA and HRQoL were assessed with long-form international physical activity and short-form-36 questionnaires, respectively while FBG was gleaned from patients´ records. Data were subjected to statistical analysis at p<0.05 regarded as significant.
RESULTS
a total of 119 participated in the study with mean age of 61.8±11.8 years and mostly women, 60.5% (n=72). About 68.9% (n=82) were physically active, 84.0% (n=100) had poor short-term glycemic control (median blood glucose 134, IQR (108-187) mm/dl). There was a positive correlation between participants´ PA and physical health (r= 0.425, p=0.001), mental health (r= 0.334, p= 0.001) and overall HRQoL (r= 0.403, p= 0.001) but not with FBG (r= 0.044, p= 0.641). However, their FBG correlated with the mental health domain of the HRQoL (r= -0.213, p= 0.021). The physically active had better overall HRQoL (62.53±19.10 vs 50.28±23.10, p = 0.001) than the physically inactive which effect persisted when stratified for glucose control (68.16±19.19 vs 47.62±21.52, p = 0.001). There was however no influence of glycemic control on the relationship between PA and HRQoL [b = 0.000, 95% CI (0.000, 0.000), t = 0.153, P = 0.88] meaning that the relationship is not moderated by glycemic control.
CONCLUSION
physical activity is beneficial for improved HRQoL in type 2 diabetes irrespective of glycemic control. This calls for increasing the level of awareness and education of type 2 diabetics aimed at improving their physical activity levels and their quality of life.
简介
有无数因素影响与健康相关的生活质量（HRQoL），但这些关系尚不清楚。其中一些因素包括血糖控制和身体活动。本研究旨在确定 2 型糖尿病患者的血糖控制、身体活动与 HRQoL 之间的关系。
方法
本研究纳入了部分 2 型糖尿病患者的数据，其中包括他们最近的空腹血糖（FBG）、身体活动（PA）和 HRQoL 信息。PA 和 HRQoL 分别通过长式国际体力活动问卷和短式 36 健康调查量表进行评估，而 FBG 则从患者记录中获取。数据在 p<0.05 时被认为具有统计学意义。
结果
共有 119 名参与者参与了本研究，平均年龄为 61.8±11.8 岁，大多数为女性（60.5%，n=72）。约 68.9%（n=82）的参与者身体活跃，84.0%（n=100）的患者短期血糖控制不佳（中位数血糖 134，IQR（108-187）mm/dl）。参与者的 PA 与身体健康（r= 0.425，p=0.001）、心理健康（r= 0.334，p=0.001）和整体 HRQoL（r= 0.403，p=0.001）呈正相关，但与 FBG 无关（r= 0.044，p=0.641）。然而，他们的 FBG 与 HRQoL 的心理健康领域相关（r= -0.213，p=0.021）。与不活跃的患者相比，身体活跃的患者总体 HRQoL 更好（62.53±19.10 与 50.28±23.10，p = 0.001），这种差异在血糖控制分层时仍然存在（68.16±19.19 与 47.62±21.52，p = 0.001）。然而，血糖控制对 PA 与 HRQoL 之间的关系没有影响[b = 0.000，95%CI（0.000，0.000），t = 0.153，P = 0.88]，这意味着这种关系不受血糖控制的调节。
结论
无论血糖控制如何，身体活动都有益于改善 2 型糖尿病患者的 HRQoL。这就需要提高 2 型糖尿病患者的意识和教育水平，以提高他们的身体活动水平和生活质量。
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