규칙적 운동과 제 2형 당뇨병 발생에 관한 전향적 코호트 연구- 공복혈당장애군을 대상으로- (A Prospective Cohort Study of Exercise and the Incidence of Type 2 Diabetes in Impaired Fasting Glucose Group)

서지정보

· 발행기관 : 대한예방의학회
· 수록지 정보 : 예방의학회지 / 41권 / 1호 / 45 ~ 50페이지
· 저자명 : 엄홍대, 이덕철, 김연수, 이상이

초록

exercise and the incidence of type 2 diabetes in an
impaired fasting glucose group.
Methods : This prospective cohort study was conducted
in 19,440 men and 4,297 women, aged 30-69 years, with
impaired fasting glucose at baseline who had undergone
biennial medical evaluation through the National Health
Insurance Corporation from 2000 to 2004. Impaired fasting
glucose was defined as fasting glucose of 100 to 125 mg/dl
and the subjects were divided into 3 groups depending on
weekly exercise frequency. Multivariate logistic regression
analysis was used to evaluate the association between the
baseline exercise status and incidence of type 2 diabetes.
Results : During the 4-year follow-up, a total of 3,239
men and 283 women developed type 2 diabetes, a
cumulative incidence of 16.6% for men, and 6.5% for
women. Also, 1,688 men (21.2%) and 127 women (15.2%)
developed type 2 diabetes in the obese group. The
adjusted relative risk (RR) of developing type 2 diabetes in
non-exercising men was significantly higher than exercising
men regularly (RR= 1.375, 95% CI=1.236-1.529)(p<0.0001),
and the RR for non-exercising women was higher than
exercising women regularly (RR=1.124, 95% CI=0.711-
1.778). The RR for non-exercise men/women in the obese
group was 1.571 (95% CI=1.351-1.827)(p<0.0001)/1.869
(95% CI=0.846-4.130).
Conclusions : Regular exercise is effective in preventing
type 2 diabetes in people with impaired fasting glucose,
and particularly in obese people. People with risk factors
for diabetes should participate in a regular exercise
program.

영어초록

exercise and the incidence of type 2 diabetes in an
impaired fasting glucose group.
Methods : This prospective cohort study was conducted
in 19,440 men and 4,297 women, aged 30-69 years, with
impaired fasting glucose at baseline who had undergone
biennial medical evaluation through the National Health
Insurance Corporation from 2000 to 2004. Impaired fasting
glucose was defined as fasting glucose of 100 to 125 mg/dl
and the subjects were divided into 3 groups depending on
weekly exercise frequency. Multivariate logistic regression
analysis was used to evaluate the association between the
baseline exercise status and incidence of type 2 diabetes.
Results : During the 4-year follow-up, a total of 3,239
men and 283 women developed type 2 diabetes, a
cumulative incidence of 16.6% for men, and 6.5% for
women. Also, 1,688 men (21.2%) and 127 women (15.2%)
developed type 2 diabetes in the obese group. The
adjusted relative risk (RR) of developing type 2 diabetes in
non-exercising men was significantly higher than exercising
men regularly (RR= 1.375, 95% CI=1.236-1.529)(p<0.0001),
and the RR for non-exercising women was higher than
exercising women regularly (RR=1.124, 95% CI=0.711-
1.778). The RR for non-exercise men/women in the obese
group was 1.571 (95% CI=1.351-1.827)(p<0.0001)/1.869
(95% CI=0.846-4.130).
Conclusions : Regular exercise is effective in preventing
type 2 diabetes in people with impaired fasting glucose,
and particularly in obese people. People with risk factors
for diabetes should participate in a regular exercise
program.

참고자료

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