Yokoyama Miki, Kusuba Yoko, Hashizume Kaori, Matsuura Emi
Health Sciences (Master Course), Graduate School of Biomedical Sciences, Nagasaki University, Japan.
Present address: Department of Nursing, Faculty of Health Sciences, Junshin Gakuen University, Japan.
J Rural Med. 2025 Jan;20(1):20-27. doi: 10.2185/jrm.2024-002. Epub 2025 Jan 1.
This study aimed to investigate the amount of physical activity, including daily movement, and the factors related to the amount of physical activity undertaken by patients with type 2 diabetes mellitus at an outpatient clinic.
A self-administered questionnaire was distributed to 111 patients, aged 20 years or older, with type 2 diabetes mellitus, who visited a diabetes outpatient clinic. The amount of physical activity was investigated using the International Physical Activity Questionnaire-Long Version. Influencing factors were divided into individual attributes (age, sex, and employment status), disease-related factors (body mass index, treatment period, medication usage, insulin usage, symptoms of fatigue, and lethargy), and emotion-related factors (depression and optimism). These were tested using stepwise regression analysis.
Daily physical activity was 288 metabolic equivalents of task/minute. The sub-scores by the time of day showed "physical activity within the household" and "physical activity during leisure time" as the highest, with 51 metabolic equivalent of tasks/minute. Employment status, medication usage, and depression status were found to have a significant influence and explained 17.9% of the distribution of the entire model.
The results suggest that the amount of daily physical activity among non-working patients should increase. Moreover, we highlight the need to provide diabetes education from the early treatment stages and the importance of early detection and care of patients' psychological needs.
本研究旨在调查2型糖尿病门诊患者的身体活动量，包括日常活动量，以及与身体活动量相关的因素。
向111名年龄在20岁及以上的2型糖尿病门诊患者发放了一份自填式问卷。使用国际体力活动问卷长版调查身体活动量。影响因素分为个体属性（年龄、性别和就业状况）、疾病相关因素（体重指数、治疗时间、药物使用、胰岛素使用、疲劳和嗜睡症状）以及情绪相关因素（抑郁和乐观）。使用逐步回归分析对这些因素进行检验。
日常身体活动量为288代谢当量/分钟。按时间段划分的子分数显示，“家庭内身体活动”和“休闲时间身体活动”最高，为51代谢当量/分钟。发现就业状况、药物使用和抑郁状况有显著影响，解释了整个模型分布的17.9%。
结果表明，非在职患者的日常身体活动量应增加。此外，我们强调需要从治疗早期阶段提供糖尿病教育，以及早期发现和关注患者心理需求的重要性。
