PDF(Pubmed)
Abstract：
UNASSIGNED: The impact of hand strength in consideration of sedentary behaviour on diabetes management in patients with type 2 diabetes mellitus (T2DM) is unclear. The purpose of this study was to examine the impact of hand strength on HbA1c, body mass index (BMI) and body composition by group according to the duration of sedentary behaviour in Japanese patients with T2DM.
UNASSIGNED: In this retrospective, cross-sectional, single-centre study, hand strength standardised by bodyweight (GS) and sedentary time (ST), were obtained and analysed in a total of 270 Japanese T2DM outpatients in 2021. After dividing the patients into four categories of median values (high and low GS, and long and short ST), odds ratios (ORs) for good control of HbA1c, BMI, waist circumference (WC) and intra-abdominal fat (IAF) were investigated using logistic regression models.
UNASSIGNED: The high GS/short ST group was found to have a significantly higher (OR = 2.01; 95% CI: 1.00, 4.03; P = 0.049) for controlled HbA1c compared with that of the low GS/long ST group. The high GS/short ST and the high GS/long ST groups had significantly higher ORs for controlled BMI, WC and IAF compared with the OR of the low GS/long ST group. In addition, the ORs were significantly increased with a positive trend in order from low GS/long ST, low GS/short ST, high GS/long ST, to high GS/short ST in all models (P < 0.001 for trend).
UNASSIGNED: Hand strength, with modest effects from sedentary behaviour, could be helpful for diabetes management in T2DM patients.
UNASSIGNED: In this retrospective, cross-sectional, single-centre study, hand strength standardised by bodyweight (GS) and sedentary time (ST), were obtained and analysed in a total of 270 Japanese T2DM outpatients in 2021. After dividing the patients into four categories of median values (high and low GS, and long and short ST), odds ratios (ORs) for good control of HbA1c, BMI, waist circumference (WC) and intra-abdominal fat (IAF) were investigated using logistic regression models.
UNASSIGNED: The high GS/short ST group was found to have a significantly higher (OR = 2.01; 95% CI: 1.00, 4.03; P = 0.049) for controlled HbA1c compared with that of the low GS/long ST group. The high GS/short ST and the high GS/long ST groups had significantly higher ORs for controlled BMI, WC and IAF compared with the OR of the low GS/long ST group. In addition, the ORs were significantly increased with a positive trend in order from low GS/long ST, low GS/short ST, high GS/long ST, to high GS/short ST in all models (P < 0.001 for trend).
UNASSIGNED: Hand strength, with modest effects from sedentary behaviour, could be helpful for diabetes management in T2DM patients.
摘要：
■在2型糖尿病（T2DM）患者中，考虑久坐行为的手力量对糖尿病管理的影响尚不清楚。这项研究的目的是检查手部力量对HbA1c的影响，根据日本T2DM患者久坐行为的持续时间，按组划分的体重指数（BMI）和身体成分。
■在这次回顾中，横截面,单中心研究，按体重（GS）和久坐时间（ST）标准化的手力量，在2021年总共270名日本2型糖尿病门诊患者中获得并分析。将患者分为四类中位数（高GS和低GS，以及长短ST)，良好控制HbA1c的优势比（ORs），BMI,采用logistic回归模型对腰围(WC)和腹内脂肪(IAF)进行调查.
■与低GS/长ST组相比，高GS/短ST组的控制HbA1c明显更高（OR=2.01；95％CI：1.00，4.03；P=0.049）。高GS/短ST和高GS/长ST组对控制的BMI有明显较高的OR,WC和IAF与低GS/长ST组的OR比拟。此外,从低GS/长ST开始，OR显着增加，呈正趋势，低GS/短ST，高GS/长ST，所有模型的高GS/短ST（趋势P<0.001）。
■手部力量，久坐行为的适度影响，可能有助于T2DM患者的糖尿病管理。
■在这次回顾中，横截面,单中心研究，按体重（GS）和久坐时间（ST）标准化的手力量，在2021年总共270名日本2型糖尿病门诊患者中获得并分析。将患者分为四类中位数（高GS和低GS，以及长短ST)，良好控制HbA1c的优势比（ORs），BMI,采用logistic回归模型对腰围(WC)和腹内脂肪(IAF)进行调查.
■与低GS/长ST组相比，高GS/短ST组的控制HbA1c明显更高（OR=2.01；95％CI：1.00，4.03；P=0.049）。高GS/短ST和高GS/长ST组对控制的BMI有明显较高的OR,WC和IAF与低GS/长ST组的OR比拟。此外,从低GS/长ST开始，OR显着增加，呈正趋势，低GS/短ST，高GS/长ST，所有模型的高GS/短ST（趋势P<0.001）。
■手部力量，久坐行为的适度影响，可能有助于T2DM患者的糖尿病管理。
