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頁籤選單縮合
題 名 | 糖尿病患者體位、生化指標與飲食特質之探討=Survey of Anthropometry, Biochemical Assessment, and Dietary Status in Patients with Type 2 Diabetes |
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作 者 | 吳芳禎; 廖惠珍; 張水秀; | 書刊名 | 臺灣營養學會雜誌 |
卷 期 | 36:2 2011.06[民100.06] |
頁 次 | 頁50-57 |
分類號 | 411.3 |
關鍵詞 | 高血糖; 糖尿病; 肥胖; 血脂; 血壓; Hyperglycemia; Diabetes; Obesity; Serum lipids; Blood pressure; |
語 文 | 中文(Chinese) |
中文摘要 | 高血糖是糖尿病的主要症狀,糖尿病患者為代謝症候群及心血管疾病的危險族群。本研究探討成人高血糖與體位、血壓及生化值等因子之相關性。健康成年人的禁食血糖值分別與腰圍、臀圍、身體質量指數、年齡、收縮壓及舒張壓有顯著的正相關(p<0.05),表示腰臀圍愈大愈肥胖,或年齡愈長者,血糖偏高的機率增加。女性糖尿病患者的體重大多是屬於過重的範圍。糖尿病患者之禁食血糖值與糖化血色素具有高度顯著水準的正相關(p<0.01)。另外,糖尿病患有家族史的比例佔29.7%,可見得遺傳的因素亦不容忽視。健康成年人之禁食血糖值、三酸甘油脂及高密度脂蛋白膽固醇分別為86.13、98.95、57.23 mg/dl,而糖尿病患者則為208.78、174.84、47.81 mg/dl,顯示糖尿病患者之禁食血糖值及三酸甘油脂顯著比健康成年人高(p<0.01)。而高密度脂蛋白膽固醇顯著比健康成年人為低(p<0.05)。另外,糖尿病患者的血壓值皆較健康成年人顯著為高(p<0.01)。在飲食方面,經由羅吉斯迴歸分析糖尿病患者應增加乳製品及水果類的攝取,並減少主食類、豆類及內臟類的攝取。綜合以上結果,禁食血糖值與血壓、血脂值、腰臀圍等因素有正相關性,建議藉由生活型態的改變,來降低高血糖之發生率。 |
英文摘要 | Hyperglycemia is a major syndrome of diabetes who are a potential population with metabolic syndrome and cardiovascular disease. The purpose of this study was to investigate relationships among hyperglycemia, anthropometrics, blood pressure, and biochemical assessments. Results showed that fasting plasma glucose of healthy subjects was significantly positively correlated (p<0.05) with waist circumference, hip circumference, the body mass index, age, and systolic and diastolic blood pressures. Plasma glucose increased with waist circumference, hip circumference, and obesity. Most female patients were overweight. Fasting plasma glucose and hemoglobin A(subscript 1c) revealed significant positive correlations (p<0.01). Patients with a family history of type 2 diabetes accounted for 29.7% of the total. In addition, the effect of heredity should not be ignored. In the group of healthy subjects, fasting plasma glucose, triglyceride, and high-density lipoprotein cholesterol (HDL-C) were 86.13, 98.95, and 57.23 mg/dl, respectively. For patients with type 2 diabetes mellitus (DM), fasting plasma glucose, triglyceride and HDL-C were 208.78, 174.84, and 47.81 mg/dl, respectively. Fasting plasma glucose and triglyceride of patients with type 2 DM were higher than those of healthy subjects (p<0.01). High density lipoprotein cholesterol of patients with type 2 DM was lower than that of healthy subjects (p<0.05). In addition, the blood pressure of patients with type 2 DM was higher than that of healthy subjects (p<0.01). As to the diet, it was suggested that patients with type 2 DM might increase their intake of dairy products and fresh fruits, and reduce their intake of staples, beans, and animal organs. In conclusion, fasting plasma glucose was positively correlated with blood pressure, serum lipids, and waist and hip circumferences. The results suggest that it is possible to decrease the incidence of hyperglycemia by changing one's lifestyle. |
本系統中英文摘要資訊取自各篇刊載內容。