CAJ | 학술논문

目的探讨肥胖与体育锻炼、静坐休闲时间、职业劳动强度联合对2型糖尿病和糖调节受损(IGR)的关系.方法利用2010年浙江省代谢综合征患病率调查的17 437名≥18岁人群调查数据,采用logistic回归模型分析比较不同肥胖程度与不同体育锻炼水平、静坐休闲时间、职业劳动强度下各亚组人群糖尿病患病和IGR风险.结果在同一静坐休闲时间组,按BMI标准的肥胖组糖尿病发生风险是正常及低体重组的2.52～2.75倍,按WC标准的过度肥胖组糖尿病发生风险是正常组的2.09 ～ 3.71倍;在同一职业劳动强度组,按BMI标准的肥胖组糖尿病发生风险是正常及低体重组的2.19 ～ 5.98倍,按WC标准的过度肥胖组糖尿病发生风险是正常组的3.10～6.25倍.肥胖与体育锻炼强度联合分析发现,在按BMI分组分析时,无体育锻炼者中,肥胖组的糖尿病发生风险是正常及低体重组的3.21倍,但在体育锻炼者中未观察到发生糖尿病的风险随BMI增长而增加的规律,也未观察到体育锻炼对糖尿病患病风险影响的规律.在按WC分组分析时,3个锻炼水平下均可见肥胖程度越高,糖尿病患病风险越大,同一锻炼水平下,过度肥胖组的糖尿病发生风险是正常组的1.68 ～ 4.23倍.结论与增加体育锻炼、减少静坐时间相比,控制BMI和WC对糖尿病的预防更加重要;在考虑体育锻炼水平时,WC是比BMI更好的糖尿病和IGR的预测指标.
목적 탐토비반여체육단련、정좌휴한시간、직업노동강도연합대2형당뇨병화당조절수손(IGR)적관계.방법 이용2010년절강성대사종합정환병솔조사적17 437명≥18세인군조사수거,채용logistic회귀모형분석비교불동비반정도여불동체육단련수평、정좌휴한시간、직업노동강도하각아조인군당뇨병환병화IGR풍험.결과 재동일정좌휴한시간조,안BMI표준적비반조당뇨병발생풍험시정상급저체중조적2.52～2.75배,안WC표준적과도비반조당뇨병발생풍험시정상조적2.09 ～ 3.71배;재동일직업노동강도조,안BMI표준적비반조당뇨병발생풍험시정상급저체중조적2.19 ～ 5.98배,안WC표준적과도비반조당뇨병발생풍험시정상조적3.10～6.25배.비반여체육단련강도연합분석발현,재안BMI분조분석시,무체육단련자중,비반조적당뇨병발생풍험시정상급저체중조적3.21배,단재체육단련자중미관찰도발생당뇨병적풍험수BMI증장이증가적규률,야미관찰도체육단련대당뇨병환병풍험영향적규률.재안WC분조분석시,3개단련수평하균가견비반정도월고,당뇨병환병풍험월대,동일단련수평하,과도비반조적당뇨병발생풍험시정상조적1.68 ～ 4.23배.결론 여증가체육단련、감소정좌시간상비,공제BMI화WC대당뇨병적예방경가중요;재고필체육단련수평시,WC시비BMI경호적당뇨병화IGR적예측지표.
Objective To investigate the joint association of adiposity,physical activity,sedentary leisure time and job intensity on diabetes and impaired glycoregulation.Methods Data was from the 2010 Zhejiang survey and 17 437 adults (≥18 years) were examined.Logistic regression was used in this cross-sectional study.Results Under the same level of sedentary leisure time,adiposity anticipants showed an OR of 2.52-2.75 times for people with diabetes than those with normal or underweight BMI,and anticipants with highest WC having an OR of 2.09-3.71 times than those with the lowest WC.With the same level of physical activity,those adiposity anticipants had an OR of 2.19-5.98 times for diabetes than those with normal or underweight BMI,and anticipants with the highest WC had an OR of 3.10-6.25 times than those with the lowest WC.Anticipants who had no physical activity but with adiposity.BMI had an OR of 3.21 times than those with normal or underweight BMI,but there was no significant difference between diabetes and BMI in those that practising physical activities.Within the 3 levels of physical activity,participants that practising no physical activity,had an OR of 1.68-4.23 times for diabetes than those who were physically active when WC was used as a measure for adiposity.Conclusion Controlling weight and waist seemed more important than improving physical activity or reducing sedentary leisure time in the prevention program on diabetes.WC was better measure on the risks for adiposity-related diabetes than BMI,especially when physical activity was under consideration.