加速度计推导的"周末战士" 身体活动和糖尿病患者心血管疾病的发生率
Wenchang Yang1, Puchen Zhou2, Ruiqi Xia1
1Department of Nutrition and Food Hygiene, School of Public Health, Institute of Nutrition, Fudan University, Shanghai, China.
European journal of preventive cardiology
|October 8, 2025
概括
作为一个周末的战士 (WW),从事中度至剧烈的体力活动 (MVPA) 提供了与糖尿病成年人常规活动 (RA) 相似的心血管疾病 (CVD) 风险降低. 这两种模式与不活动相比,显著降低心血管疾病风险.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 目前的健康指南建议每周至少进行150分钟的中度至强度体力活动 (MVPA).
- 不同的体育活动模式对健康结果的影响仍然不清楚.
- 这项研究调查了与"周末战士" (WW) 身体活动模式相关的心血管疾病 (CVD) 风险.
研究的目的:
- 为了确定WW体育活动模式与糖尿病成年人的常规活动 (RA) 相比,是否与发生心血管疾病事件的风险相似.
- 为了比较WW个体和RA个体之间的CVD风险.
- 评估不同体力活动模式在糖尿病人群中控制心血管疾病风险方面的有效性.
主要方法:
- 利用英国生物库数据,通过手腕加速度计和问卷来评估身体活动.
- 根据MVPA模式将3,061名糖尿病患者分为WW,RA或非活动组.
- 采用考克斯回归模型来估计心血管疾病发病率的危险比率 (HRs) 和95%置信区间 (CI).
主要成果:
- 在3,061名患有糖尿病的参与者中,WW (n=976) 和RA (n=503) 组与不活跃组 (n=1,582) 相比,对发生心血管疾病的多变量调整HR显著较低 (分别为0.48和0.57).
- 在WW和RA组之间没有观察到心血管疾病风险的显著差异 (HR:0.85;95%CI:0.54,1.34;p=0.50).
- 在对16,503名参与者的分析中,使用基于问卷的身体活动数据证实了类似的发现.
结论:
- 周末战士体育活动模式与心血管疾病风险相关,与糖尿病成年人的常规活动模式相比.
- 周末战士和定期活动模式都显著降低了心血管疾病的风险,与糖尿病患者的不活动相比.
- 这些发现表明,在发作中积累体力活动,即使是集中体力活动,也可以有效地改善糖尿病患者心血管健康.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
4.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
4.3K
Diabetes: Symptoms, Diagnosis, and Complications
2.1K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.1K
Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
Peripheral Artery Disease I: Introduction
313
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
313
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
358
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
358
Coronary Artery Disease I: Introduction
878
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
878


