日本成年女性1型糖尿病患者在COVID-19大流行宣布紧急状态前后的身体活动和血糖控制变化:一项为期一年的随访研究

SPG biomed Pub Date : 2022-10-31 DOI:10.3390/biomed2040029
Hiroto Honda, Naoko Hashimoto, M. Zenibayashi, Akihiko Takeda, T. Takeuchi, Akane Yamamoto, Y. Hirota
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引用次数: 0

摘要

本初步研究旨在调查日本成年女性1型糖尿病(T1D)患者在COVID-19大流行前和一年后的身体活动(PA)和血糖控制变化。12名患有T1D的女性患者在2020年2月至3月期间使用了连续血糖监测设备,并最初自愿参加了这项研究。使用三轴加速度计获得的PA数据和血糖控制,包括糖化血红蛋白(HbA1c)、糖蛋白(GA)、平均24小时传感器血糖(SG)、高于范围时间(TAR > 180 mg/dL)、在范围时间(TIR 70 - 180 mg/dL)和低于范围时间(TBR < 70 mg/dL)进行分析。一年后,长时间(≥10分钟)的中高强度PA和每日步数分别减少了35.1%和6.0%,TAR从23.5%增加到29.0%。此外,长时间(≥30分钟)久坐行为的增加与TBR的降低和平均24小时SG、GA和GA/HbA1c比值的增加相关。此外,每日能源消耗的减少与TIR的降低相关。这些结果表明,即使在一年后的同一季节,日本T1D成人中某些形式的PA也没有恢复到大流行前的状态,这可能会使血糖控制恶化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes in Physical Activity and Glycemic Control before and after the Declaration of the State of Emergency Due to the COVID-19 Pandemic in Japanese Adult Females with Type 1 Diabetes: A 1-Year Follow-Up Study
This preliminary study aimed to investigate physical activity (PA) and glycemic control changes in Japanese adult females with type 1 diabetes (T1D) before the COVID-19 pandemic and one year later. Twelve females with T1D who used continuous glucose monitoring devices and initially volunteered for the study between February and March 2020 were included. PA data, obtained using a triaxial accelerometer, and glycemic control, including glycated hemoglobin (HbA1c), glycoalbumin (GA), mean 24-h sensor glucose (SG), time above range (TAR > 180 mg/dL), time in range (TIR 70–180 mg/dL), and time below range (TBR < 70 mg/dL), were analyzed. One year later, long (≥10 min) bouts of moderate-to-vigorous-intensity PA and daily steps decreased by 35.1% and 6.0%, respectively, and TAR increased from 23.5% to 29.0%. Additionally, an increase in prolonged (≥30 min) sedentary behavior correlated with a decrease in TBR and an increase in mean 24-h SG, GA, and the GA/HbA1c ratio. Furthermore, a decrease in daily energy consumption correlated with a decrease in TIR. These results indicate that some forms of PA in Japanese T1D adults have not returned to their pre-pandemic status, even in the same season one year later, which could worsen glycemic control.
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