Huang I-Wen, Weng Shao-Jen, Liao Cheng-Hsi, Xu Yeong-Yuh, Hsieh Liang-Po, Liu Shih-Chia, Tsai Yao-Te
Department of Endocrinology and Metabolism, Chung-Kang Branch, Cheng Ching Hospital, Taichung, 407, Taiwan.
Department of Industrial Engineering and Enterprise Information, Tunghai University, Taichung, 407, Taiwan.
Diabetol Metab Syndr. 2024 May 14;16(1):100. doi: 10.1186/s13098-024-01347-3.
The purpose of this study is to examine whether leisure activities can help reduce years lived with disability and increase healthy life expectancy of diabetics aged 50 years and above.
Analysis was based on five waves of follow-up survey data (Taiwan Longitudinal Study of Aging, TLSA) from 1996 to 2011. A total of 5131 participants aged 50 years and above in 1996 were included in the analysis, and gender, leisure activity participation, and diabetes mellitus were used as primary variables to examine the variation trend in health status in the participants. The health status in the various waves of surveys was measured using the activities of daily living scale, and nondisabled was defined as healthy. A multivariate logistic regression model was used to calculate the life expectancy (LE) and healthy life expectancy (HLE) of the people aged 50 years and above.
The diabetes older people with a high frequency of leisure activities have longer HLE than those with lower activity frequency. Using 50-year-old diabetic women as an example, the LE (HLE) of those with six or more leisure activities and those with three or fewer leisure activities was 30.40 (25.34) and 24.90 (20.87), respectively. The LE (HLE) of men with the same conditions was 24.79 (22.68) and 20.30 (18.45), respectively.
This study used life expectancy and healthy life expectancy as markers to evaluate health benefits and provided evidence that leisure activities can help extend the life span and maintain the health status of middle-aged and older diabetics.
本研究旨在探讨休闲活动是否有助于减少50岁及以上糖尿病患者的残疾生活年限，并提高其健康预期寿命。
分析基于1996年至2011年的五波随访调查数据（台湾老年纵向研究，TLSA）。1996年共有5131名50岁及以上的参与者纳入分析，以性别、休闲活动参与情况和糖尿病作为主要变量，考察参与者健康状况的变化趋势。各波次调查中的健康状况采用日常生活活动量表进行测量，无残疾被定义为健康。使用多因素逻辑回归模型计算50岁及以上人群的预期寿命（LE）和健康预期寿命（HLE）。
休闲活动频率高的老年糖尿病患者的HLE比活动频率低的患者更长。以50岁的糖尿病女性为例，休闲活动6次及以上者和休闲活动3次及以下者的LE（HLE）分别为30.40（25.34）和24.90（20.87）。相同条件下男性的LE（HLE）分别为24.79（22.68）和20.30（18.45）。
本研究以预期寿命和健康预期寿命为指标评估健康效益，为休闲活动有助于延长中老年糖尿病患者的寿命和维持其健康状况提供了证据。
