{"title":"根据久坐行为分组的手部力量对 HbA1c、体重指数和身体成分的影响：日本 2 型糖尿病患者的横断面研究。","authors":"Shuhei Nakanishi, Masashi Shimoda, Tomohiko Kimura, Yukino Katakura, Junpei Sanada, Yoshiro Fushimi, Yuichiro Iwamoto, Hideyuki Iwamoto, Tomoatsu Mune, Kohei Kaku, Hideaki Kaneto","doi":"10.21315/mjms2024.31.3.14","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The impact of hand strength in consideration of sedentary behaviour on diabetes management in patients with type 2 diabetes mellitus (T2DM) is unclear. The purpose of this study was to examine the impact of hand strength on HbA1c, body mass index (BMI) and body composition by group according to the duration of sedentary behaviour in Japanese patients with T2DM.</p><p><strong>Methods: </strong>In this retrospective, cross-sectional, single-centre study, hand strength standardised by bodyweight (GS) and sedentary time (ST), were obtained and analysed in a total of 270 Japanese T2DM outpatients in 2021. After dividing the patients into four categories of median values (high and low GS, and long and short ST), odds ratios (ORs) for good control of HbA1c, BMI, waist circumference (WC) and intra-abdominal fat (IAF) were investigated using logistic regression models.</p><p><strong>Results: </strong>The high GS/short ST group was found to have a significantly higher (OR = 2.01; 95% CI: 1.00, 4.03; <i>P</i> = 0.049) for controlled HbA1c compared with that of the low GS/long ST group. The high GS/short ST and the high GS/long ST groups had significantly higher ORs for controlled BMI, WC and IAF compared with the OR of the low GS/long ST group. In addition, the ORs were significantly increased with a positive trend in order from low GS/long ST, low GS/short ST, high GS/long ST, to high GS/short ST in all models (<i>P</i> < 0.001 for trend).</p><p><strong>Conclusion: </strong>Hand strength, with modest effects from sedentary behaviour, could be helpful for diabetes management in T2DM patients.</p>","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229562/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Impact of Hand Strength on HbA1c, Body Mass Index and Body Composition by Group According to Sedentary Behaviour: Cross-Sectional Study in Japanese Patients with Type 2 Diabetes Mellitus.\",\"authors\":\"Shuhei Nakanishi, Masashi Shimoda, Tomohiko Kimura, Yukino Katakura, Junpei Sanada, Yoshiro Fushimi, Yuichiro Iwamoto, Hideyuki Iwamoto, Tomoatsu Mune, Kohei Kaku, Hideaki Kaneto\",\"doi\":\"10.21315/mjms2024.31.3.14\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The impact of hand strength in consideration of sedentary behaviour on diabetes management in patients with type 2 diabetes mellitus (T2DM) is unclear. The purpose of this study was to examine the impact of hand strength on HbA1c, body mass index (BMI) and body composition by group according to the duration of sedentary behaviour in Japanese patients with T2DM.</p><p><strong>Methods: </strong>In this retrospective, cross-sectional, single-centre study, hand strength standardised by bodyweight (GS) and sedentary time (ST), were obtained and analysed in a total of 270 Japanese T2DM outpatients in 2021. After dividing the patients into four categories of median values (high and low GS, and long and short ST), odds ratios (ORs) for good control of HbA1c, BMI, waist circumference (WC) and intra-abdominal fat (IAF) were investigated using logistic regression models.</p><p><strong>Results: </strong>The high GS/short ST group was found to have a significantly higher (OR = 2.01; 95% CI: 1.00, 4.03; <i>P</i> = 0.049) for controlled HbA1c compared with that of the low GS/long ST group. The high GS/short ST and the high GS/long ST groups had significantly higher ORs for controlled BMI, WC and IAF compared with the OR of the low GS/long ST group. In addition, the ORs were significantly increased with a positive trend in order from low GS/long ST, low GS/short ST, high GS/long ST, to high GS/short ST in all models (<i>P</i> < 0.001 for trend).</p><p><strong>Conclusion: </strong>Hand strength, with modest effects from sedentary behaviour, could be helpful for diabetes management in T2DM patients.</p>\",\"PeriodicalId\":47388,\"journal\":{\"name\":\"Malaysian Journal of Medical Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229562/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Malaysian Journal of Medical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21315/mjms2024.31.3.14\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Malaysian Journal of Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21315/mjms2024.31.3.14","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/27 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
摘要
背景：考虑到久坐行为对 2 型糖尿病（T2DM）患者糖尿病管理的影响，手部力量的影响尚不明确。本研究的目的是根据日本 T2DM 患者久坐行为的持续时间，按组别研究手部力量对 HbA1c、体重指数（BMI）和身体成分的影响：在这项回顾性、横断面、单中心研究中，对 2021 年 270 名日本 T2DM 门诊患者的手部力量进行了采集和分析，手部力量以体重（GS）和久坐时间（ST）为标准。根据中位值将患者分为四类（高GS和低GS、长ST和短ST）后，使用逻辑回归模型研究了HbA1c、BMI、腰围（WC）和腹内脂肪（IAF）控制良好的几率比（ORs）：结果发现，与低 GS/ 长 ST 组相比，高 GS/ 短 ST 组的 HbA1c 控制率明显更高（OR = 2.01；95% CI：1.00，4.03；P = 0.049）。与低 GS/ 长 ST 组的 OR 相比，高 GS/ 短 ST 组和高 GS/ 长 ST 组控制 BMI、WC 和 IAF 的 OR 明显更高。此外，在所有模型中，从低GS/长ST组、低GS/短ST组、高GS/长ST组到高GS/短ST组，ORs都呈显著增加的正趋势（趋势P<0.001）：结论：在久坐行为的适度影响下，手部力量有助于 T2DM 患者的糖尿病管理。
The Impact of Hand Strength on HbA1c, Body Mass Index and Body Composition by Group According to Sedentary Behaviour: Cross-Sectional Study in Japanese Patients with Type 2 Diabetes Mellitus.
Background: The impact of hand strength in consideration of sedentary behaviour on diabetes management in patients with type 2 diabetes mellitus (T2DM) is unclear. The purpose of this study was to examine the impact of hand strength on HbA1c, body mass index (BMI) and body composition by group according to the duration of sedentary behaviour in Japanese patients with T2DM.
Methods: In this retrospective, cross-sectional, single-centre study, hand strength standardised by bodyweight (GS) and sedentary time (ST), were obtained and analysed in a total of 270 Japanese T2DM outpatients in 2021. After dividing the patients into four categories of median values (high and low GS, and long and short ST), odds ratios (ORs) for good control of HbA1c, BMI, waist circumference (WC) and intra-abdominal fat (IAF) were investigated using logistic regression models.
Results: The high GS/short ST group was found to have a significantly higher (OR = 2.01; 95% CI: 1.00, 4.03; P = 0.049) for controlled HbA1c compared with that of the low GS/long ST group. The high GS/short ST and the high GS/long ST groups had significantly higher ORs for controlled BMI, WC and IAF compared with the OR of the low GS/long ST group. In addition, the ORs were significantly increased with a positive trend in order from low GS/long ST, low GS/short ST, high GS/long ST, to high GS/short ST in all models (P < 0.001 for trend).
Conclusion: Hand strength, with modest effects from sedentary behaviour, could be helpful for diabetes management in T2DM patients.
期刊介绍：
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access, fully online journal that is published at least six times a year. The journal’s scope encompasses all aspects of medical sciences including biomedical, allied health, clinical and social sciences. We accept high quality papers from basic to translational research especially from low & middle income countries, as classified by the United Nations & World Bank (https://datahelpdesk.worldbank.org/knowledgebase/ articles/906519), with the aim that published research will benefit back the bottom billion population from these countries. Manuscripts submitted from developed or high income countries to MJMS must contain data and information that will benefit the socio-health and bio-medical sciences of these low and middle income countries. The MJMS editorial board consists of internationally regarded clinicians and scientists from low and middle income countries.
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