| Purpose:The objective of this study was firstly to assess the levels of well-being index,the occurrence of symptoms of anxiety and physical activity among people with the healthy population,pre-diabetes,and diabetes,as well as to analyze the differences between them.The second purpose was to explore the association of the occurrence of anxiety,physical activity with the incidence of pre-diabetes,diabetes.This study may help to lay a scientific foundation for lifestyle intervention studies involving physical activity interventions.Methods:A cross-sectional survey was conducted on 18 to 64-year-old residents in Jiangsu province using multi-stage stratified sampling.All subjects were asked to complete a unified questionnaire and carry out physical measurements,to collect relevant information.The assessment tools included the WHO Well-being Index(WHO-5),the Self-Rating Anxiety Scale(SAS),the International Physical Activity Questionnaire(IPAQ-S)to assess the well-being index,anxiety and physical activities of the subjects.All the data were analyzed by SPSS 14.0 statistical software.Results:1.A total of 7859 people actually participated in the survey,excluding rejection and physical examination and other items were incomplete,effective samples were 7689 people(the total).According to WHO Diabetes Diagnostic Criteria(1999),5901 residents were normal blood glucose,accounting for 76.7%of the total.1287 were pre-diabetes mellitus(PDM),accounting for 16.7%of the total.501 were newly diagnosed type 2 diabetes(T2DM),accounting for 6.5%of the total.2.New incidence rate of pre-diabetes and diabetes:The overall new incidence rate of pre-diabetes was 16.7%,6.5%of diabetes.The new incidence rate of pre-diabetes among male was 18.7%,15.2%in female.The new incidence rate of diabetes among male was 7.6%,5.7%in female.3.Well-being index:The overall population WHO-5 total mean score was 79.95 ± 22.94.The total mean score of WHO-5 in the healthy population was 78.65 ± 23.49.The overall WHO-5 mean score of pre-diabetes was 80.61±22.14.The overall WHO-5 mean score of diabetes was 80.59±23.20.The overall WHO-5 mean score of pre-diabetes was higher than the healthy population(P<0.05).There was no significant difference among three group after layered gender,age,education level and occupation in the overall mean score of WHO-5(P>0.05).4.Anxiety:The overall population mean SAS standard score was 36.73±10.21.The SAS mean standard score of the healthy population was 36.65±10.40.The mean SAS standard score of pre-diabetes was 36.86±9.40.The mean SAS standard score of diabetes was 37.25±9.90.There was no significant difference among the healthy population,pre-diabtes and diabetes in the mean SAS standard score(P>0.05).The prevalence of anxiety in the healthy population and pre-diabetes(mild anxiety and above)was 9.5%.The prevalence of anxiety in diabetic patients was 10.4%.There was no significant difference among the healthy population,pre-diabetes and diabetes in the prevalence of anxiety(P>0.05).There was no significant difference in the healthy population and pre-diabetes between male and female in the prevalence of anxiety(9.2%vs9.6%;8.5%vs 10.4%,P>0.05).The prevalence of anxiety in female diabetes was higher than male(7.4%vs13.5%,P<0.05).After stratified by degree of education,data showed that the SAS standard score in pre-diabetes were higher than the healthy population among people illiteracy or lack of literacy.In the "college/undergraduate and above" groups,suffering from pre-diabetes anxiety is lighter than the healthy population.Occupational stratification shows that,not in the cause,business units are not farmers in the group,suffering from diabetes's SAS standard points higher than those with pre-diabetes and the healthy population.5.Physical activity:The overall population of "physical inactivity" were 866 people(22.2%).In the healthy population,"physical inactivity" were 680(23.2%).In the pre-diabetes group,physical activity level "inactivity" were 131(18.8%).In the diabetic patients,"physical inactivity"were 55(19.4%).There was no significant difference among the healthy population,prediabtes and diabetes in physical activity(P>0.05).Gender stratification showed that "physical inactivity" of women in the healthy population were more than men(P<0.05).Otherwise,no significant gender difference in physical activity in pre-diabetes and diabetes(P>0.05).6.Different physical activity level psychological situation:There were differences in the well-being of different physical activity levels(P<0.05).There was no significant difference in the degree of anxiety between the different physical activity levels(P>0.05).7.The logistic regression analysis showed that gender,age,educational level,region,BMI were risk factors of pre-diabetes(P<0.05).We did not find that anxiety and physical activity can affect the occurrence of pre-diabetes.The logistic regression analysis revealed that age,region,BMI were the risk factors of diabetes(P<0.05).No relationship was found between anxiety and physical activity with diabetes(P>0.05).Conclusion:1.The overall new incidence rate of pre-diabetes was 16.7%,6.5%of diabetes.2.The well-being index of pre-diabetes was higher than the healthy population.There were no significant difference in well-being index degreee among three group.3.After stratified by degree of education,data showed that the SAS standard score in pre-diabetes were higher than the healthy population among people illiteracy or lack of literacy.In the "college/undergraduate and above" groups,suffering from pre-diabetes anxiety is lighter than the healthy population.Occupational stratification shows that,not in the cause,business units are not farmers in the group,suffering from diabetes's SAS standard points higher than those with pre-diabetes and the healthy population.4.Threre were no significant difference in the rate of physical activity inactive among the healthy population,pre-diabetes and diabetes.Physical inactivity were more frequent among females than among males in the healthy population.5.There were differences in the well-being of different physical activity levels.There was no significant difference in the degree of anxiety between the different physical activity levels.6.We did not find anxiety and physical activity can affect the occurrence of pre-diabetes.We did not find anxiety and physical activity can affect the occurrence of diabetes. |
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