| Objective:To analyze the relationship between regular exercise of community residents,living around the Endocrinology department in Jiangsu Province Hospital on Integration of Chinese and Western Medicine and cardiorespiratory fitness,10-year cardiovascular disease risk and quality of life,in order to provide theory basis for the prevention and control of cardiovascular risk in the future.Methods:This study was a community-based cross-sectional investigation.During the period from March 2018 to December 2018,300 community residents were enrolled using the convenience sample method.The general social demographic data,physical activity and quality of life,treadmill testing for cardiorespiratory fitness,physical examination and laboratory test among the participants were conducted.Results:A total of 300 community residents were enrolled in the study,aged 35-75 years.Among them,152 were in regular exercise groups and 148 were in irregular exercise group.There was no significantly difference between the two groups in the MET value(P>0.05).Compared with the irregular exercise group,the regular exercise group had lower 10-year cardiovascular disease risk(including Chinese 10-year ICVD risk and Framingham 10-year CVD risk),FPG.2hPG,HbAlc and higher quality of life level(P<0.05);Multiple linear regression analysis showed that the influence factor of MET included age and sex(P<0.001);There was a significantly difference in the population distribution of regular exercise,weekly exercise duration,exercise intensity,duration of exercise in total between low CVD risk and moderate-high CVD risk group(P<0.05);Adjusting for age,sex,smoking,SBP,TC,BMI,and diabetes,regression analysis showed regular exercise and moderate-intensity exercise were important protective factor for Chinese 10-year ICVD risk(P<0.05);Adjusting for HDL,TC,SBP,smoking,sex,age,regression analysis showed moderate-intensity exercise,regular exercise,duration of exercise in total,weekly exercise duration were protective factor for Framingham 10-year CVD risk;In this study,220 patients with diabetes and 80 patients with non-diabetes.Compared to diabetes patients,non-diabetic people had lower waist circumference,WHR,FPG,2hPG,HbAlc,HOMA2-IR,Chinese 10-year ICVD risk,smoking,alcohol consumption and hypertension,while age and HOMA2-? levels were higher(P<0.05);Among diabetes patients,compared with the irregular exercise group,HbAlc level was lower in the regular exercise group(P<0.05),while non-diabetic people,there was no significantly difference between the two groups(P>0.05).In the non-diabetic people,compared with the irregular exercise group,the 10-year ICVD risk was significantly lower in the regular exercise group(P=0.004).In the regular exercise group,diabetes patients had higher Chinese 10-year ICVD risk compared with non-diabetic people(P<0.001).There was no significantly difference in the Chinese 10-year ICVD risk group between non-diabetic irregular exercise population and diabetic regular exercise group(P>0.05);The survey included 125 males and 175 females.Compared with males,females's waist circumference,WHR,muscle mass,FPG,2hPG,HbAlc,METs,Framingham 10-year CVD risk and prevalence of smoking,drinking,hyperlipidemia and diabetes were lower,while HDL and HOMA2-p levels were higher(P<0.05).There was no significantly difference in the scores of quality of life between males and females(P>0.05).Multiple linear regression analysis found that the influence factor of quality of life included hypertension and regular exercise(P=0.004,P<0.001,respectively).Conclusions:1.For 10-year cardiovascular disease risk,irregular exercise being regarded as a equivalent of diabetes mellitus.2.Regular exercise has no effect on the improvement of MET,while it plays an important role in blood glucose control,cardiovascular risk reduction,and improvement of quality of life.3.In non-diabetic people,although regular exercise has no significant effect on HbAlc and islet function,the 10-year ICVD risk is significantly reduced.4.Moderate-intensity exercise,regular exercise,duration of exercise in total,weekly exercise duration are negatively correlated with 10-year cardiovascular risk,and considered as protective factors.5.Compared to males,females have better blood glucose control,islet ? function,and HDL level.10-year CVD risk,the prevalence rate of smoking,drinking,hyperlipidemia and diabetes are lower.6.The quality of life of community residents in regular exercise is higher.7.Compared with diabetic patients,non-diabetic people have lower 10-year ICVD risk,the prevalence rate of smoking,drinking,hypertension. |
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