24小时的身体行为概况,跨越2型糖尿病和糖尿病亚型
Joseph Henson1, Aikaterina Tziannou1, Alex V Rowlands1,2
1Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Diabetes, obesity & metabolism
|January 8, 2024
概括
与肥胖相关的2型糖尿病 (T2DM) 患者的睡眠状况较差,身体活动水平较低. 与肥胖相关的 (OB) 亚型中的这些生活方式因素表明了个性化T2DM干预的目标.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 身体活动与睡眠科学 身体活动与睡眠科学
背景情况:
- 2型糖尿病 (T2DM) 是一种异质的疾病,有不同的亚型.
- 了解T2DM亚型的身体行为对于有针对性的干预至关重要.
研究的目的:
- 调查T2DM亚型之间24小时身体行为的差异.
- 为了确定哪些T2DM亚型表现出低于最佳的身体活动和睡眠模式.
主要方法:
- 在7天内利用了564名T2DM参与者的加速度计数据.
- 在临床数据上使用k-means集群复制了四种T2DM亚型 (INS-D,INS-R,OB,AGE).
- 通过使用通用线性模型,在各个亚型中分析了24小时的身体行为 (睡眠,活动,久坐时间).
主要成果:
- 与肥胖相关的 (OB) 亚型 (29.4%) 与与年龄相关的 (AGE) 亚型相比,睡眠时间显著缩短,睡眠效率降低,总体和中度至强度体力活动减少.
- OB集群还表现出更大的睡眠变化和更长的久坐时间.
- 在OB集群中,在活动高峰期观察到较低的运动强度.
结论:
- 2型糖尿病的OB亚型的特点是最不有利的体力活动和睡眠状况.
- 在OB亚型中,这些独特的行为模式为T2DM管理中的个性化生活方式干预提供了潜在的目标.
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