阿拉伯联合酋长国迪拜医疗中心患者的生活方式习惯与2型糖尿病特征:一项横断面研究
Lifestyle habits and type 2 diabetes traits in patients from healthcare centers in Dubai, United Arab Emirates: a cross-sectional study.
作者信息
Hatab Kenana, Serdarevic Fadila, Yousuf Aisha, Al Ali Sarah, Al Hajaj Khawla Eissa Ahmed M, Almarzooqi Fatima Mohamed Abdulla Mohamed, Swaidan Leena Tawfiq, ElHassan Elsheikh Farah, Kazim Mahra Nooruddin Abdulwahid, Abdalla Hanan Hamza Ahmed, Al-Muhaureq Hanan Ali, Thabit Salah Mohammed, BaKhamis Hassan Abdulla, Semiz Sabina
机构信息
College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates.
Sarajevo School of Science and Technology, Sarajevo Medical School, Sarajevo, Bosnia and Herzegovina.
出版信息
Front Endocrinol (Lausanne). 2025 May 6;16:1436536. doi: 10.3389/fendo.2025.1436536. eCollection 2025.
OBJECTIVES
Given the increasing prevalence of type 2 diabetes (T2D) in the United Arab Emirates (UAE), in this cross-sectional study we analyzed the dietary habits, physical activity, as well as anthropometric, clinical, and laboratory parameters in patients with T2D and nondiabetic (ND) subjects from the UAE.
SUBJECTS AND METHODS
This study included 344 UAE nationals, age 18 or older, who completed a questionnaire to assess their dietary habits and physical activity. The mean age of the recruited participants was 50.9 years (+/-14.1) and females presented 63.4% of the sample size. The linear regression analysis was applied to analyze all clinical parameters and dietary habits as outcomes, while a logistic regression analysis was used to determine the association of patient status with physical activity, as an outcome. All models were controlled for age, gender, and BMI.
RESULTS
There was a difference in dietary habits between the groups (B=-3.7; CI -6.42, -0.92; p=0.009), where patients with T2D had a lower dietary score than ND subjects, indicating a healthier diet. Our results showed that 19% of T2D patients and 32% of nondiabetic individuals were concerned about their weight. Both groups considered dietary changes important, and more than 90% of participants expressed high or moderate confidence in making those changes. Furthermore, the male nondiabetic subjects demonstrated a 4 times higher level of physical activity versus their diabetic counterparts (OR=4.01, CI: 1.01, 15.9, p=0.04), while the difference in physical activity between female subjects with and without T2D was not demonstrated.
CONCLUSIONS
Our results showed that patients with T2D consumed a healthier diet than nondiabetic subjects, probably resulting in more favorable total cholesterol and LDL-cholesterol profiles. A gender difference in physical activity was also observed in this sample of UAE population. Our findings suggest that although patients with T2D in the UAE may adopt healthier dietary habits, there remains a significant need to address physical activity disparities, particularly among women, to improve overall health outcomes in this population. Addressing these habits through targeted clinical interventions and lifestyle medicine approach can optimize long-term management and prevention strategies for type 2 diabetes in this region.
目的
鉴于阿联酋2型糖尿病(T2D)患病率不断上升,在这项横断面研究中,我们分析了阿联酋T2D患者和非糖尿病(ND)受试者的饮食习惯、身体活动情况,以及人体测量学、临床和实验室参数。
受试者与方法
本研究纳入了344名18岁及以上的阿联酋国民,他们完成了一份问卷以评估饮食习惯和身体活动情况。招募参与者的平均年龄为50.9岁(±14.1),女性占样本量的63.4%。应用线性回归分析将所有临床参数和饮食习惯作为结果进行分析,同时使用逻辑回归分析确定患者状态与身体活动之间的关联作为结果。所有模型均对年龄、性别和BMI进行了校正。
结果
两组之间的饮食习惯存在差异(B=-3.7;可信区间-6.42,-0.92;p=0.009),T2D患者的饮食得分低于ND受试者,表明其饮食更健康。我们的结果显示,19%的T2D患者和32%的非糖尿病个体关注自己的体重。两组都认为饮食改变很重要,超过90%的参与者对做出这些改变表示高度或中度信心。此外,男性非糖尿病受试者的身体活动水平是糖尿病男性受试者的4倍(比值比=4.01,可信区间:1.01,15.9,p=0.04),而患有和未患有T2D的女性受试者之间的身体活动差异未得到证实。
结论
我们的结果表明,T2D患者的饮食比非糖尿病受试者更健康,这可能导致总胆固醇和低密度脂蛋白胆固醇水平更有利。在该阿联酋人群样本中还观察到身体活动方面的性别差异。我们的研究结果表明,尽管阿联酋的T2D患者可能养成了更健康的饮食习惯,但仍迫切需要解决身体活动方面的差异,特别是在女性中,以改善该人群的整体健康状况。通过有针对性的临床干预和生活方式医学方法来解决这些习惯问题,可以优化该地区2型糖尿病的长期管理和预防策略。