2型糖尿病患者身体活动强度和久坐时间与尿酸的关系。
Relationship of the intensity of physical performance and sedentary time with uric acid in patients with type 2 diabetes.
作者信息
Li Jie, Zhang Ertao, Dong Zhao, Liu Yan
机构信息
Department of Endocrinology, The Third People's Hospital of Datong, Datong, Shanxi, China.
The First Clinical Medical School, Changzhi Medical College, Changzhi, Shanxi, China.
出版信息
J Diabetes Investig. 2025 Sep;16(9):1733-1741. doi: 10.1111/jdi.70106. Epub 2025 Jun 18.
OBJECTIVE
High uric acid (UA) facilitates diabetes progression and is responsible for developing other diseases, such as cardiovascular disease and renal disease. Lifestyle modifications could lower UA level, but relevant evidence is required in patients with type 2 diabetes. This study intended to explore the influence of different physical activities and sitting time on UA level in patients with type 2 diabetes.
METHODS
Data on UA level, physical performance, and sitting time from 1892 patients with type 2 diabetes were retrospectively obtained from the Third People's Hospital of Datong, a subcenter of the Metabolic Management Center (MMC) Central database.
RESULTS
There were 15.8%, 29.7%, 29.5%, and 25.0% of patients with inactive, mild, moderate, and vigorous intensity of physical activity. UA level presented a U-shaped distribution among patients with different intensities of physical activity, with the lowest in patients with mild intensity of physical activity and the highest in patients with vigorous intensity of physical activity (P = 0.007). There were 58.1% and 41.9% of patients with a sitting time of ≤30 h/week and >30 h/week. UA level was lower in patients with sitting time ≤30 h/week than those with sitting time > 30 h/week (P = 0.014). The above findings were confirmed by multivariate linear regression models.
CONCLUSIONS
Mild intensity of physical activity and sitting time ≤ 30 h/week are recommended for reducing UA level in patients with type 2 diabetes.
目的
高尿酸(UA)会促进糖尿病进展,并引发其他疾病,如心血管疾病和肾脏疾病。生活方式的改变可以降低尿酸水平,但2型糖尿病患者需要相关证据支持。本研究旨在探讨不同体育活动和久坐时间对2型糖尿病患者尿酸水平的影响。
方法
回顾性收集大同市第三人民医院(代谢管理中心(MMC)中央数据库的一个分中心)1892例2型糖尿病患者的尿酸水平、身体活动能力和久坐时间数据。
结果
身体活动不活跃、轻度、中度和剧烈强度的患者分别占15.8%、29.7%、29.5%和25.0%。尿酸水平在不同身体活动强度的患者中呈U形分布,轻度身体活动强度的患者尿酸水平最低,剧烈身体活动强度的患者尿酸水平最高(P = 0.007)。久坐时间≤30小时/周和>30小时/周的患者分别占58.1%和41.9%。久坐时间≤30小时/周的患者尿酸水平低于久坐时间>30小时/周的患者(P = 0.014)。多变量线性回归模型证实了上述结果。
结论
建议2型糖尿病患者进行轻度体育活动,且每周久坐时间≤30小时,以降低尿酸水平。
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