Relationship of weekly activity minutes to metabolic syndrome in prediabetes: the healthy living partnerships to prevent diabetes.
Relationship of weekly activity minutes to metabolic syndrome in prediabetes: the healthy living partnerships to prevent diabetes.
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每周活动分钟数与糖尿病前期代谢综合征的关系：预防糖尿病的健康生活伙伴关系。
DOI：
10.1123/jpah.10.5.690
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发表时间：
2013
影响因子：
3.1
通讯作者：
Katula,JefferyA
中科院分区：
文献类型：
--
作者：
RosenbergerHale,Erica;Goff,DavidC;Isom,Scott;Blackwell,Caroline;Whitt-Glover,MeliciaC;Katula,JefferyA
背景：缺乏身体活动会导致超重/肥胖的代谢综合征（MetS）。然而，人们对糖尿病前期的这种关系知之甚少。方法探讨身体活动（PA）与糖尿病前期代谢代谢之间的关系。预防糖尿病的健康生活伙伴关系测试了糖尿病预防计划（DPP）的社区翻译。301名超重/肥胖前驱糖尿病患者通过国际身体活动问卷提供了每周步行分钟数（WM）和每周总活动分钟数（AM）。腰围（男性≥102 cm，女性≥88 cm）、甘油三酯（≥150 mg·dl）、血压（≥130·85 mm Hg）、葡萄糖（≥100mg·dl）和高密度脂蛋白（男性< 40mg·dl，女性< 50mg·dl）的met值至少为3。结果女性占57.5%，非白人/西班牙裔占26.7%，年龄57.9±9.5岁，体重指数（BMI） 32.7±4 kg·m2。60%的人患有met。18%的MetS患者报告至少有150个AM，而非MetS患者的这一比例为29.8%。AM （p = 0.041）和WM （p = 0.024）越大，met的发生率越低。0 WM的MetS的赔率是达到目标的2.08倍（P= 0.046），无AM的赔率是2.78倍（P= 0.009）。每增加一个小时的WM， met的几率会降低15倍。结论：在该样本中，达到PA目标降低了MetS的发生率，这支持了PA对糖尿病前期预防MetS的作用。
BackgroundPhysical inactivity contributes to metabolic syndrome (MetS) in overweight/obesity. However, little is known about this relationship in prediabetes.MethodsThe study purpose is to examine relationships between physical activity (PA) and MetS in prediabetes. The Healthy Living Partnerships to Prevent Diabetes tested a community translation of the Diabetes Prevention Program (DPP). Three hundred one overweight/obese prediabetics provided walking minutes/week (WM) and total activity minutes/week (AM) via the International Physical Activity Questionnaire. MetS was at least 3 of waist (men ≥ 102 cm, women ≥ 88 cm), triglycerides (≥150 mg·dl), blood pressure (≥130·85 mm Hg), glucose (≥100mg·dl), and HDL (men < 40mg·dl, women < 50mg·dl).ResultsThe sample was 57.5% female, 26.7% nonwhite/Hispanic, 57.9 ± 9.5 years and had a body mass index (BMI) 32.7 ± 4 kg·m2. Sixty percent had MetS. Eighteen percent with MetS reported at least 150 AM compared with 29.8% of those without MetS. The odds of MetS was lower with greater AM (Ptrend= .041) and WM (Ptrend= .024). Odds of MetS with 0 WM were 2.08 (P= .046) and with no AM were 2.78 (P= .009) times those meeting goal. One hour additional WM led to 15 times lower MetS odds.ConclusionsMeeting PA goals reduced MetS odds in this sample, which supported PA for prediabetes to prevent MetS.