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Change in physical activity after a diabetes diagnosis: Opportunity for intervention

机译：糖尿病诊断后体育活动的变化：干预机会

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摘要

INTRODUCTION: Moderate-intensity physical activity is recommended for individuals with diabetes to control glucose and prevent diabetes-related complications. The extent to which a diabetes diagnosis motivates patients to increase physical activity is unclear. This study used data from the Women's Health Initiative Observational Study (baseline data collected from 1993 to 1998) to examine change in physical activity and sedentary behavior in women who reported a diabetes diagnosis compared with women who did not report diabetes during 7 yr of follow-up (up to 2005). METHODS: Participants (n = 84,300) were postmenopausal women who did not report diabetes at baseline (mean ± SD; age = 63.49 ± 7.34 yr; body mass index = 26.98 ± 5.67 kg·m). Linear mixed-model analyses were conducted adjusting for study year, age, race/ethnicity, body mass index, education, family history of diabetes, physical functioning, pain, energy/fatigue, social functioning, depression, number of chronic diseases, and vigorous exercise at age 18 yr. Analyses were completed in August 2012. RESULTS: Participants who reported a diabetes diagnosis during follow-up were more likely to report increasing their total physical activity (P = 0.002), walking (P < 0.001), and number of physical activity episodes (P < 0.001) compared with participants who did not report a diabetes diagnosis. On average, participants reporting a diabetes diagnosis reported increasing their total physical activity by 0.49 MET·h·wk, their walking by 0.033 MET·h·wk, and their number of physical activity episodes by 0.19 MET·h·wk. No differences in reported sedentary behavior change were observed (P = 0.48). CONCLUSIONS: A diabetes diagnosis may prompt patients to increase physical activity. Healthcare professionals should consider how best to capitalize on this opportunity to encourage increased physical activity and maintenance.
机译：介绍：建议适中的身体活性，用于控制葡萄糖的糖尿病，防止相关的并发症。糖尿病诊断促使患者增加身体活动的程度尚不清楚。本研究使用来自女性健康倡议的数据（从1993年到1998年收集的基线数据）来检查报告糖尿病诊断的妇女的身体活动和久坐行为的变化，与在7年后未报告糖尿病的女性 - UP（最多2005年）。方法：参与者（n = 84,300）是未在基线报告糖尿病的绝经后妇女（平均值±SD;年龄= 63.49±7.34 YR;体重指数= 26.98±5.67 kg·m）。线性混合模型分析进行调整，调整研究年龄，年龄，种族/种族，体重指数，教育，家族史，糖尿病，痛苦，能源/疲劳，社会功能，抑郁，慢性疾病数量，而且充满活力在18岁时锻炼。分析是在2012年8月完成的。结果：报告在随访期间糖尿病诊断的参与者更有可能报告其总物理活动（P = 0.002），行走（P <0.001）和身体活动剧集数（P <0.001）与未报告糖尿病诊断的参与者相比。平均而言，报告糖尿病诊断的参与者报告报告将其总物理活动增加0.49次HET·H·WK，其行走率为0.033次满足·H·WK，它们的身体活动剧集数量为0.19次满足·H·WK。没有观察到报告的久坐行为发生变化的差异（p = 0.48）。结论：糖尿病诊断可能提示患者增加身体活动。医疗保健专业人员应该考虑如何最好地利用这一机会来鼓励增加身体活动和维护。

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    SchneiderK.L.; AndrewsC.; HoveyK.M.; SeguinR.A.; ManiniT.; LamonteM.J.; MargolisK.L.; WaringM.E.; NingY.; SimsS.; MaY.; OckeneJ.; StefanickM.L.; PagotoS.L.;

  • 作者单位

    Department of Psychology Rosalind Franklin University 3333 Green Bay Road North Chicago IL;

    Department of Ophthalmology and Visual Sciences University of Michigan Ann Arbor MI United;

    Department of Social and Preventive Medicine State University of New York at Buffalo Buffalo NY;

    Division of Nutritional Sciences Cornell University Ithaca NY United States;

    Department of Aging and Geriatric Research University of Florida Gainesville FL United States;

    Department of Social and Preventive Medicine State University of New York at Buffalo Buffalo NY;

    HealthPartners Institute for Education and Research Minneapolis MN United States;

    Department of Quantitative Health Sciences University of Massachusetts Medical School Worcester;

    Department of Epidemiology and Community Health Virginia Commonwealth University School of;

    Department of Medicine Stanford University Stanford CA United States;

    Division of Preventive and Behavioral Medicine Department of Medicine University of Massachusetts;

    Division of Preventive and Behavioral Medicine Department of Medicine University of Massachusetts;

    Department of Medicine Stanford University Stanford CA United States;

    Division of Preventive and Behavioral Medicine Department of Medicine University of Massachusetts;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 运动医学;
  • 关键词

    Exercise; Sedentary Activity; Sedentary Behavior; Type 2 Diabetes; Women's Health Initiative;

    机译：运动;久坐活性;久坐行为;2型糖尿病;女性的健康倡议;

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