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评估一分钟坐立试验替代2型糖尿病患者六分钟步行试验的可行性:一项横断面研究

Assessing the Feasibility of the One-Minute Sit-to-Stand Test as a Substitute for the Six-Minute Walk Test in Type 2 Diabetes: A Cross-Sectional Study.

作者信息

Alanazi Ahmad

机构信息

Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi Arabia.

出版信息

J Clin Med. 2025 Jun 10;14(12):4088. doi: 10.3390/jcm14124088.

Abstract

: Type 2 Diabetes Mellitus (T2DM) is associated with reduced exercise capacity. The six-minute-walk test (6MWT) is the gold standard submaximal test but has practical challenges, such as space constraint, time dependency and feasibility in clinical settings. This study aimed to determine if the one-minute sit-to-stand (1 min STS) test could predict walking capacity, as assessed by the 6MWT, among individuals with T2DM. : Ninety-five individuals with T2DM participated in this cross-sectional study. Participants performed 1 min STS and 6MWT tests and completed the Arabic version of the International Physical Activity Questionnaire (Ar-IPAQ). Pearson's correlation was used to determine the correlation between one min STS and 6MWT tests. Multiple regression analysis was performed to determine whether 1 min STS predicted 6MWT while controlling for age, gender, BMI, IPAQ, and duration of diabetes. : Participants (mean age: 65.4 ± 6.4 years; 26.3% female; mean diabetes duration: 11.6 ± 6.4 years) demonstrated a significant moderate correlation between 1 min STS and 6MWT (r = 0.636, 95% CI [0.47-0.79], < 0.001). Regression analysis revealed that the 1 min STS significantly predicted the 6MWT (β = 0.48, < 0.001), regardless of age, gender, BMI, IPAQ, and duration of diabetes. : The 1 min STS is inexpensive, simple to use, requires less space and materials that are widely available, and does not require experienced clinicians or researchers to administer. This test can be an alternative to the 6MWT for individuals with T2DM.

摘要

2型糖尿病(T2DM)与运动能力下降有关。六分钟步行测试(6MWT)是次最大运动测试的金标准,但存在实际挑战,如空间限制、时间依赖性以及在临床环境中的可行性。本研究旨在确定在T2DM患者中,一分钟坐立试验(1分钟STS)是否能够预测6MWT所评估的步行能力。

95名T2DM患者参与了这项横断面研究。参与者进行了1分钟STS和6MWT测试,并完成了阿拉伯语版的国际体力活动问卷(Ar-IPAQ)。使用Pearson相关性分析来确定1分钟STS与6MWT测试之间的相关性。进行多元回归分析以确定在控制年龄、性别、体重指数、IPAQ和糖尿病病程的情况下,1分钟STS是否能预测6MWT。

参与者(平均年龄:65.4±6.4岁;26.3%为女性;平均糖尿病病程:11.6±6.4年)在1分钟STS和6MWT之间表现出显著的中度相关性(r = 0.636,95%CI[0.47 - 0.79],P < 0.001)。回归分析显示,无论年龄、性别、体重指数、IPAQ和糖尿病病程如何,1分钟STS都能显著预测6MWT(β = 0.48,P < 0.001)。

1分钟STS成本低廉、使用简单、所需空间和材料较少且易于获得,并且不需要经验丰富的临床医生或研究人员进行操作。对于T2DM患者,该测试可作为6MWT的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e80/12194420/3e8554c58312/jcm-14-04088-g001.jpg

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