老年2型糖尿病病人体脂率与血糖波动的相关性研究

doi:10.3969/j.issn.1003-9198.2024.07.011

摘要/Abstract

摘要： 目的探讨老年2型糖尿病病人体脂率与血糖波动的关系。方法收集188例老年2型糖尿病病人的体脂率和血糖值,以血糖标准差(SDBG)作为血糖波动指标,将病人分为血糖波动大组(SDBG≥2 mmol/L)和血糖波动小组(SDBG＜2 mmol/L),比较2组间腰围、臀围、腰臀比、体脂率的差异。采用Spearman相关分析SDBG与腰围、臀围、腰臀比、体脂率的关系;应用二元Logstic回归分析老年2型糖尿病病人血糖波动的影响因素。结果与血糖波动小组比较,血糖波动大组病程更长,腰围、臀围、腰臀比、体脂率更小,差异有统计学意义(P＜0.05)。相关性分析显示:SDBG与腰围、臀围、腰臀比、体脂率呈负相关(r分别为-0.225、-0.162、-0.166、-0.232,均P＜0.05)。二元Logistic回归分析显示:调整了病程、腰臀比后,体脂率是血糖波动的独立影响因素(OR=0.946,95%CI:0.903～0.991,P=0.020)。结论老年2型糖尿病病人体脂率与血糖波动呈负相关,关注老年糖尿病病人血糖波动,应注意维持合理的体脂率。

关键词: 老年人, 2型糖尿病, 体脂率, 血糖波动

Abstract: Objective To investigate the relationship between body fat percentage (BFP)and blood glucose fluctuation in the elderly patients with type 2 diabetes mellitus(T2DM). Methods The levels of BFP and blood glucose of 188 elderly patients with T2DM were collected, and the blood glucose standard deviation(SDBG) was used to reflect blood glucose fluctuation. According to the level of SDBG,all the patients were divided into great blood glucose fluctuation group(SDBG≥2 mmol/L) and small blood glucose fluctuation group(SDBG＜2 mmol/L). The levels of waist circumference, hip circumference, waist-to-hip ratio and BFP in the two groups were observed and compared.The relationship between SDBG and above indexes was analyzed. Results Compared to small blood glucose fluctuation group,the course of disease was significantly longer, and the waist circumference, hip circumference,waist-to-hip ratio,BFP were significantly lower in the great blood glucose fluctuation group(P<0.05). SDBG was negatively correlated with waist circumference,hip circumference,waist-to-hip ratio and BFP(r=-0.225,-0.162,-0.166,-0.232,respectively,all P<0.05). Binary Logistic regression analysis showed that BFP was the influencing factor of blood glucose fluctuation after adjusting course of disease, waist-to-hip ratio(OR=0.946, 95%CI: 0.903-0.991, P=0.020). Conclusions There is a negative correlation between BFP and blood glucose fluctuation in the elderly patients with T2DM. It is important to maintain reasonable BFP in the elderly patients with T2DM.

Key words: aged, type 2 diabetes mellitus, body fat percentage , blood glucose fluctuation

中图分类号:

R 587.1

单竹子, 王雪菲, 巫海娣, 刘冬梅, 姜华, 唐伟, 莫永珍, 崔焱. 老年2型糖尿病病人体脂率与血糖波动的相关性研究[J]. 实用老年医学, 2024, 38(7): 693-696.

SHAN Zhuzi, WANG Xuefei, WU Haidi, LIU Dongmei, JIANG Hua, TANG Wei, MO Yongzhen, CUI Yan. Study on the relationship between percentage of body fat and blood glucose fluctuation in elderly patients with type 2 diabetes mellitus[J]. Practical Geriatrics, 2024, 38(7): 693-696.

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