Li A L, Lyu J, Chen Y Y, Shao Z L, Li L M, Sun D J Y, Yu C Q
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China.
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing 100191, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Feb 10;45(2):171-177. doi: 10.3760/cma.j.cn112338-20230828-00104.
To compare the differences in low-level physical activity (PA) and related influencing factors in patients with diabetes mellitus in China and the United Kingdom (UK). Using baseline survey data from the China Kadoorie Biobank and the UK Biobank, we analyzed the association between diabetes mellitus and low-level PA using logistic regression, with the participants' self-reported whether they had diabetes mellitus as the independent variable, and low-level PA as the dependent variable. We included 509 254 Chinese adults and 359 763 British adults in the analysis. After adjusting for multiple factors, we found that both Chinese and British patients with diabetes mellitus were at elevated risk for low-level PA, with corresponding (95%) of 1.15 (1.12-1.19) and 1.37 (1.32-1.41), respectively. Patients with diabetes mellitus with longer disease duration and poorer glycemic control were at greater risk of having low-level of PA. Female, rural-distributed, employed, never-smoking Chinese diabetics, and male, urban-distributed, retired/unemployed, quit-smoking British diabetics were more likely to have low-level PA. Chinese and British patients with diabetes mellitus were more likely to have low-level PA compared with the general population, but the risk of low-level PA for patients in both countries varied by population characteristics. Therefore, PA guidelines and intervention measures should be based on the characteristics of individuals in the target countries and regions, which could improve PA levels among patients with diabetes mellitus.
比较中国和英国糖尿病患者低水平身体活动（PA）及其相关影响因素的差异。利用中国嘉道理生物银行和英国生物银行的基线调查数据，我们采用逻辑回归分析糖尿病与低水平PA之间的关联，将参与者自我报告是否患有糖尿病作为自变量，低水平PA作为因变量。分析纳入了509254名中国成年人和359763名英国成年人。在调整多个因素后，我们发现中国和英国的糖尿病患者低水平PA风险均升高，相应的（95%）比值比分别为1.15（1.12 - 1.19）和1.37（1.32 - 1.41）。病程较长且血糖控制较差的糖尿病患者低水平PA风险更高。女性、分布在农村、有工作、从不吸烟的中国糖尿病患者，以及男性、分布在城市、退休/失业、已戒烟的英国糖尿病患者更易出现低水平PA。与普通人群相比，中国和英国的糖尿病患者更易出现低水平PA，但两国患者低水平PA的风险因人群特征而异。因此，身体活动指南和干预措施应基于目标国家和地区个体的特征制定，这可能会提高糖尿病患者的身体活动水平。
