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糖化血红蛋白(HbA1c)对 2 型糖尿病患者心肺功能(CRF)的影响:一项横断面研究。

Effect of Glycated Haemoglobin (HBA1c) on Cardiorespiratory Fitness (CRF) in a Population with Type 2 Diabetes Mellitus (T2DM): A Cross-Sectional Study.

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Alfara 61421, Saudi Arabia.

Postgraduate Program in Management and Health Care, Ceuma University, São Luís 65075-120, MA, Brazil.

出版信息

Medicina (Kaunas). 2024 Nov 6;60(11):1823. doi: 10.3390/medicina60111823.

Abstract

The aim of this study was to evaluate cardiorespiratory fitness (CRF) measures, maximal oxygen consumption (VO max), and minute ventilation/carbon dioxide production (V/VCO slope and others) among the T2DM population based on glycated haemoglobin (HBA1c). The present study comprised a cross-sectional design, with two groups, based on HbA1c values (≤7 and ≥7.1). Laboratory samples were taken to evaluate glycated haemoglobin and fasting blood glucose (FBS). Cardiopulmonary exercise testing was performed to calculate various fitness-related parameters. Data analysis: An independent -test was used to analyse the outcomes in the two groups. < 0.05 was considered significant. Linear regression was used to examine the influence of predictor variables on dependent variables. A total of 70 patients agreed to participate in the study, with 19 females and 51 males. The mean (standard deviation) BMI (body mass index) of all participants was 29.7(5.2), the mean (SD) weight was 84.4 (18.9) kg, and the mean height was 167.4 (23) cm. The average age of the individuals was 52 ± 8 years. The independent -test revealed a significant difference between the two groups in terms of CRF measures. The current research identified the presence of poor glycaemic control and cardiorespiratory fitness measures among the Brazilian population with T2DM. HBA1c, duration of diabetes, age, and BMI can be employed to predict the ventilatory threshold (VT) and VO max.

摘要

本研究旨在评估基于糖化血红蛋白(HbA1c)的 T2DM 人群的心肺功能(CRF)指标、最大摄氧量(VO max)以及分钟通气量/二氧化碳产量(V/VCO 斜率等)。本研究采用横断面设计,根据 HbA1c 值(≤7 和≥7.1)分为两组。采集实验室样本以评估糖化血红蛋白和空腹血糖(FBS)。进行心肺运动测试以计算各种与健康相关的参数。数据分析:采用独立样本 t 检验分析两组的结果。<0.05 被认为具有统计学意义。采用线性回归分析来检验预测变量对因变量的影响。共有 70 名患者同意参与研究,其中 19 名女性,51 名男性。所有参与者的平均(标准差)BMI(体重指数)为 29.7(5.2),平均(SD)体重为 84.4(18.9)kg,平均身高为 167.4(23)cm。个体的平均年龄为 52±8 岁。独立样本 t 检验显示两组在 CRF 指标方面存在显著差异。本研究确定了巴西 T2DM 人群存在血糖控制不佳和心肺功能不佳的情况。HbA1c、糖尿病病程、年龄和 BMI 可用于预测通气阈(VT)和 VO max。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b52/11596525/e85f496473da/medicina-60-01823-g001.jpg

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