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

机译：糖尿病诊断后身体活动的变化：干预的机会

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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：简介：建议糖尿病人进行中等强度的体育锻炼，以控制血糖并预防与糖尿病相关的并发症。糖尿病诊断激发患者增加体育锻炼的程度尚不清楚。这项研究使用了《妇女健康倡议观察研究》（1993年至1998年收集的基准数据）中的数据，以检查报告患有糖尿病的女性与随访7年内未报告糖尿病的女性的身体活动和久坐行为的变化。 （直到2005年）。方法：参与者（n = 84,300）是绝经后女性，在基线时未报告糖尿病（平均±SD;年龄= 63.49±7.34 yr;体重指数= 26.98±5.67 kg·m）。进行了线性混合模型分析，以调整研究年份，年龄，种族/族裔，体重指数，教育程度，糖尿病的家族病史，身体机能，疼痛，精力/疲劳，社会功能，抑郁症，慢性病的数量和剧烈程度年龄18岁。分析已于2012年8月完成。结果：随访期间报告有糖尿病诊断的参与者更有可能报告其总体育锻炼（P = 0.002），步行（P <0.001）和体育锻炼发作次数（P <0.001）与未报告糖尿病诊断的参与者进行比较。平均而言，报告有糖尿病诊断的参与者报告其总体育活动增加了0.49 MET·h·wk，步行增加了0.033 MET·h·wk，并且他们的体育活动发作次数增加了0.19 MET·h·wk。在报告的久坐行为变化方面未观察到差异（P = 0.48）。结论：糖尿病诊断可能提示患者增加体育锻炼。医疗保健专业人员应考虑如何最好地利用这一机会，以鼓励增加体力活动和维护。

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