Cardiopulmonary fitness and its influencing factors in patients with type 2 diabetes mellitus
10.3969/j.issn.1001-1242.2024.09.010
- VernacularTitle:2型糖尿病患者心肺耐量及其影响因素分析
- Author:
Qing MENG
1
,
2
;
Hongwei ZHAI
;
Na LIU
Author Information
1. 徐州市康复医院,江苏省徐州市,221000
2. 江苏医药职业学院教学医院
- Keywords:
type 2 diabetes mellitus;
cardiopulmonary exercise testing;
cardiopulmonary fitness;
influencing factors
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(9):1310-1315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate cardiopulmonary exercise fitness in patients with type 2 diabetes mellitus(T2DM)and investigate its influencing factors and possible mechanism. Method:A retrospective analysis was conducted on the medical records of 169 patients with T2DM who under-went cardiopulmonary exercise testing(CPET)from January 2021 to December 2022.Cardiopulmonary fitness was evaluated by peak oxygen consumption(peak VO2)value in CPET.Patients were divided into cardiopulmo-nary fitness normal group and abnormal group according to peak VO2％value in CPET.Univariate analysis was used to compare the differences in clinical data between the two groups,and multivariate Logistic regres-sion analysis was used to screen the independent influencing factors to construct risk prediction. Result:A total of 169 cases were included,with 48 cases in the cardiopulmonary fitness normal group and 121 cases in the abnormal group.Multivariate Logistic regression analysis showed that body mass index,histo-ry of hypertension,history of heart disease,glycated hemoglobin level,insulin resistance index and physical ex-ercise were independent influencing factors for the exercise fitness in T2DM(OR=1.278,5.159,3.876,2.911,2.586,0.086,all P＜0.05). Conclusion:Cardiopulmonary fitness is commonly reduced in patients with T2DM.Body mass index,glycated hemoglobin level,insulin resistance index,history of hypertension,history of heart disease are independent risk factors for declined cardiopulmonary fitness.While regular physical exercise is a protective factor.
