■糖尿病(DM)的患病率是一个重要的公共卫生问题,尤其是睡眠时间短的人。了解该人群中体育锻炼与DM之间的关系对于制定有效的预防策略至关重要。然而,运动对DM风险的潜在阈值效应的存在尚不清楚.
■使用2007年至2018年的国家健康和营养检查调查(NHANES)的数据,这项基于人群的研究调查了睡眠时间短(每晚不超过7小时)的个体体育锻炼与DM之间的关系。进行了加权逻辑回归分析,适应人口和生活方式因素。此外,采用两分段线性回归模型来确定运动对DM风险的任何阈值影响.
■这项研究包括15,092名睡眠持续时间短的参与者。按DM状态分层的人口统计学特征表明某些群体的患病率较高,例如中年人和老年人,男性,和非西班牙裔白人。分析显示,在短睡眠人群中,运动水平与DM患病率之间呈负相关。在完全调整的模型中,进行足够运动(>600MET-分钟/周)的个体表现出发展DM的几率显着降低[OR(95%CI):0.624(0.527,0.738),p<0.001]。此外,分段回归模型确定了2000MET-分钟/周的拐点,观察到运动与DM之间存在显着相关性。
■这项研究提供了证据,表明在睡眠时间短的个体中,体育锻炼对其与DM的关联具有阈值效应。针对该人群的量身定制的运动干预措施可能有助于减轻DM风险并改善整体健康结果。需要进一步的研究来验证这些发现,并探索DM预防策略的最佳运动阈值。
UNASSIGNED: The prevalence of diabetes mellitus (DM) is a significant public health concern, especially among individuals with short sleep duration. Understanding the relationship between physical
exercise and DM in this population is crucial for developing effective prevention strategies. However, the presence of a potential threshold effect of
exercise on DM risk remains unclear.
UNASSIGNED: Using data from the National Health and Nutrition Examination Survey (NHANES) spanning from 2007 to 2018, this population-based study investigated the association between physical exercise and DM in individuals with short sleep duration (no more than 7 hours per night). Weighted logistic regression analyses were conducted, adjusting for demographic and lifestyle factors. Additionally, a two-piecewise linear regression model was employed to identify any threshold effect of exercise on DM risk.
UNASSIGNED: This study included 15,092 participants identified with short sleep duration. Demographic characteristics stratified by DM status indicate higher prevalence among certain groups, such as middle-aged and older adults, males, and non-Hispanic Whites. The analysis revealed an inverse association between
exercise levels and DM prevalence among the short sleep population. In the fully adjusted model, individuals engaging in sufficient exercise (> 600 MET-minutes/week) exhibited significantly reduced odds of developing DM [OR (95% CI): 0.624(0.527,0.738), p < 0.001]. Furthermore, the segmented regression model identified an inflection point at 2000 MET-minutes/week, below which a significant correlation between exercise and DM was observed.
UNASSIGNED: This study provides evidence of a threshold effect of physical
exercise on its association with DM in individuals with short sleep duration. Tailored exercise interventions targeting this population may help mitigate DM risk and improve overall health outcomes. Further research is warranted to validate these findings and explore optimal
exercise thresholds for DM prevention strategies.