당뇨병 예방 및 관리를 위한 최적의 신체활동량 분석 연구 : 국제신체활동설문지(GPAQ)를 활용하여

Abstract

Purpose: The purpose of this study is to assess the optimal total physical activity for the prevention and management of diabetes using KNHNES data.<BR> Method: The data were obtained from the KNHNES Ⅵ conducted in 2015. The subjects, total of 3,452 adults (1,489 men and 1,963 women) aged 19 to 64 years, were used for analysis. For analysis, GPAQ was used for the questionnaire on physical activity, and demographics, health behavior factors, anthropometric measurements, and blood variables were used. The data process of this study was used the chi-square test, independent t-test, receiver operating characteristic (ROC) curve analysis, and logistic regression analysis. The significant level of hypothesis verification is set up as α=.05.<BR> Results: The results of this study are as follows. 1) As a result of analyzing the ROC curve to check the amount of physical activity for prevention and management of diabetes, the male’s AUC was 0.557 and the female’s AUC was 0.552, indicating that it was predictable p(<.001). Also, the cut-off value was 720 MET-min/week for men and 540 MET-min/week for women. 2) In men, IPGA was significantly higher in fasting blood glucose (p<.05), HbA1c (p<.01), insulin (p<.01) and HOMA-IR (p<.01) than PPAG. On the other hand, women’s IPAG was significantly higher in fasting blood glucose, HbA1c than PPAG (p<.05). 3) As a result of confirming the risk of diabetes according to the physical activity group, even when various influencing factors were adjusted, the male’s IPAG was 1.298 times higher than that of the PPAG (p<.01), and the female’s IPAG was 1.287 times higher than that of the PPAG (p<.05).<BR> Conclusion: In summary, the findings of this study confirm that if physical activity in daily life is less than 720 MET-min/week for men and 540 MET-min/week for women, it negatively affects various variables related to diabetes, increasing the risk of diabetes. Also, this study confirms that regularly performing appropriate physical activities is a major factor in preventing and managing diabetes.