澳大利亚中老年人2型糖尿病患者的身体活动和健康相关生活质量的改善

IF 3.3 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2024-12-05 DOI:10.1007/s11136-024-03865-z

Addisu Shunu Beyene, Hirbo Shore Roba, Tolassa Wakayo Ushula, Syed Afroz Keramat

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引用次数: 0

摘要

背景：缺乏身体活动是一个主要的全球公共卫生问题，也是公认的2型糖尿病（T2DM）的危险因素。然而，使用纵向数据研究T2DM患者体力活动与健康相关生活质量（HRQOL）之间的关系仍未得到充分探讨。我们的目的是通过基于人群的纵向数据来确定澳大利亚中老年人身体活动与HRQOL的改善相关。方法：本研究的数据来自澳大利亚家庭、收入和劳动力动态（HILDA）调查的第9、13、17和21波。我们构建了一个不平衡的面板，包括来自1270名T2DM患者的2472人年观察结果。我们使用随机效应广义最小二乘（GLS）模型来检验T2DM患者体力活动与HRQOL之间的关系。结果：回归结果显示，体力活动与身体成分总结（PCS）、心理成分总结（MCS）和健康状态效用值（SF-6D）呈正相关。2型糖尿病患者每周运动少于1次或1或2次，其在PCS （β = 4.28, 95% CI: 3.38, 5.17）、MCS （β = 2.36, 95% CI: 1.38, 3.34）和SF-6D效用值（β = 0.04, 95% CI: 0.03, 0.05）方面的平均得分高于不运动的T2DM患者。同样，每周每天进行三次体育锻炼可进一步提高PCS （β = 6.65, 95% CI: 5.72, 7.60）、MCS （β = 3.75, 95% CI: 2.71, 4.79）和SF-6D效用值（β = 0.07, 95% CI: 0.06, 0.08）的平均得分。结论：我们的研究结果表明，体育活动与T2DM患者HRQOL的改善呈正相关。公共卫生倡议应优先考虑健康教育和社区项目，在所有人群中促进体育活动，以提高2型糖尿病患者的HRQOL。

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Physical activity, and improvement in health-related quality of life among Australian middle-aged and older adults living with type 2 diabetes mellitus.

Background: Physical inactivity is a major global public health concern and a recognized risk factor for type 2 diabetes mellitus (T2DM). However, the relationship between physical activity and health-related quality of life (HRQOL) in people with T2DM using longitudinal data remains underexplored. We aim to identify the improvement in HRQOL associated with physical activity in Australian middle-aged and older adults using population-based longitudinal data.

Methods: Data for this study were drawn from waves 9, 13, 17, and 21 of the Household, Income and Labour Dynamics in Australia (HILDA) Survey. We constructed an unbalanced panel consisting of 2,472 person-year observations from 1,270 unique individuals living with T2DM. We used a random effects Generalized Least Squares (GLS) model to examine the relationship between physical activity and HRQOL in people with T2DM.

Results: The regression results showed that physical activity is positively associated with physical component summary (PCS), mental components summary (MCS), and health state utility value (SF-6D). People with T2DM engaging in physical activity less than once or 1 or 2 times per week had a higher mean score for PCS (β = 4.28, 95% CI: 3.38, 5.17), MCS (β = 2.36, 95% CI: 1.38, 3.34), and SF-6D utility value (β = 0.04, 95% CI: 0.03, 0.05) than their counterparts engaged in no physical activity. Similarly, engaging in physical activity three times daily per week had a further elevated mean score for PCS (β = 6.65, 95% CI : 5.72, 7.60), MCS (β = 3.75, 95% CI: 2.71, 4.79), and SF-6D utility value (β = 0.07, 95% CI: 0.06, 0.08).

Conclusion: Our results showed that physical activity is positively associated with improved HRQOL among people with T2DM. Public health initiatives should prioritize health education and community programs to promote physical activity across all demographics to enhance HRQOL in people living with T2DM.

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.