摘要
目的:探讨运动习惯对2型糖尿病老年患者中医体质维度指标的影响。方法:采用中医体质量表辨识1740名2型糖尿病老年患者的中医体质类型,同时根据患者的运动习惯将患者分为经常运动组(685例)、有时运动组(587例)、偶尔或不运动组(468例)。采用广义线性模型分析不同运动习惯对老年患者9种体质维度得分的影响。结果:单因素分析显示年龄(χ2=17.279)、婚况(χ2=5.920)、文化程度(χ2=30.712)对运动习惯的影响有统计学意义,P<0.05。广义线性模型分析可见经常运动组患者的8种偏颇体质维度的得分均低于偶尔或不运动组,平和质的得分高于偶尔或不运动组,β值分别为-9.83,-6.82,-3.97,-5.59,-3.63,-5.52,-6.41,-2.25,9.30,均P<0.05;有时运动组仅在气虚质、阳虚质、血瘀质维度得分低于偶尔或不运动组,平和质维度的得分高于偶尔或不运动组,β值分别为-3.22,-3.64,-2.56,4.40,均P<0.05,其余维度得分无差异。结论:运动锻炼可以改善老年患者的体质,应开展经常性的运动锻炼。
Objective： To explore the effect of exercise habits on the TCM constitution of old patients with 2 diabetes mellitus. Methods： TCM constitution questionnaire was used to evaluate the constitution types of 1740 old patients with T2 DM. According to the patients＇ exercise habits, they were divided into regular exercise group （685 cases）, sometimes exercise group （587 cases）, occasional or no exercise group （468 cases）. Generalized linear model analysis was used to analyze the effect of exercise habits on scores of 9 constitutions. Results. Univariate analysis showed that age （ X2 = 17. 279） ,marital status （X2 = 5. 920） and educational level （x2 = 30. 712） had statistically significant effect on exercise habits, P 〈 0.05. Generalized linear models showed that patients in regular exercise group had lower scores in eight bi- ased constitution aspects, Qi - deficiency （ β = - 9.83 ）, Yang - deficiency （ β = - 6.82 ）, Yin - deficiency （ β = - 3.97 ）, phlegm - wetness （ β = - 5.59 ）, damp - heat （ β = - 3.63 ）, blood stasis （ β = - 5.52 ）, Qi - depression （β = -6.41 ） ,special diathesis （β = -2.25） ,and had higher score in gentleness type （13 =9.30） than patients in occa- sional or non - exercise group, all P 〈 0.05. Patients in sometimes exercise group had lower scores only in Qi - deficiency （ β = - 3.22）, Yang - deficiency （ β = - 3.64）, blood stasis （ β = - 2.56 ）, and had higher score in gentleness type （ β = 4.40） than patients in occasional or non - exercise group, all P 〈 0. 05. Conclusions ： Regular exercise habits can enhance the constitution of elderly patients with type 2 diabetes.
出处
《中华中医药学刊》
CAS
北大核心
2015年第10期2315-2318,共4页
Chinese Archives of Traditional Chinese Medicine
基金
国家自然科学基金项目(30873256)
国家重点基础研究发展计划(973计划)项目(2011CB505403)
关键词
2型糖尿病
中医体质
运动
广义线性模型
type 2 diabetes mellitus
constitution
exercise
generalized linear model
