Adherence to a home-based exercise program and incidence of cardiovascular disease in type 2 diabetes patients
Adherence to a home-based exercise program and incidence of cardiovascular disease in type 2 diabetes patients
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DOI：
10.1055/s-2007-964967
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发表时间：
2007-10-01
影响因子：
2.5
通讯作者：
Shigehiro, K.
中科院分区：
文献类型：
--
作者：
Shinji, S.;Shigeru, M.;Shigehiro, K.
本研究的目的是研究2型糖尿病患者坚持以家庭为基础的锻炼计划与心血管疾病（CVD）发病率之间的关系。我们调查了102例年龄在35 - 75岁的2型糖尿病患者，并对他们进行了17.2个月的前瞻性随访。在入组前，所有患者都接受传统的运动处方。锻炼计划包括每天在家散步20-30分钟。通过电话访谈获得的信息证实了自我报告的锻炼计划依从性和心血管疾病的发生率。在参加锻炼计划的患者中，有38人中途退出。辍学者明显比完成者年轻。辍学者的肥胖率明显高于完成者。两组在性别、心血管病史和其他临床特征方面均无差异。在随访期间，我们记录了8例新的心血管疾病病例。在随访期间，心血管疾病的发病率在项目完成者中为1.56%，在退出者中为18.4%。坚持以家庭为基础的锻炼与心血管疾病的发病率呈负相关（p < 0.01）。在调整了年龄和其他协变量后，这些关联仍然存在。总之，坚持锻炼计划与2型糖尿病患者心血管疾病发病率降低有关。
The aim of this study was to examine the association between adherence to a home-based exercise program and the incidence of cardiovascular disease (CVD) in patients with type 2 diabetes. We investigated 102 patients with type 2 diabetes aged 35 to 75 years, and followed them prospectively for 17.2 months. Before enrollment, all patients received a traditional exercise prescription. The exercise program consisted of a daily walking exercise at home for 20-30 minutes. Self-reported adherence to the exercise program and the incidence of CVD were confirmed by information obtained from telephone interviews. There were 38 dropouts among the patients in the exercise program. Dropouts were significantly younger than completers. The rate of obesity was significantly higher among the dropouts than among the completers. No differences were observed between the two groups for gender, history of CVD and other clinical characteristics. During the follow-up, we documented 8 new cases of CVD. The incidence of CVD during the follow-up was 1.56 percent among the program completers and 18.4 percent among the dropouts. Adherence to the home-based exercise was inversely related to the incidence of CVD (p < 0.01). These associations persisted after adjustment for age and other covariates. In conclusion, adherence to an exercise program is associated with a reduced incidence of CVD among patients with type 2 diabetes.