Recent Developments in Sedentary Behavior Interventions for Populations with or at High Risk for Type 2 Diabetes

doi:10.12114/j.issn.1007-9572.2018.34.0024

Abstract

Abstract: Sedentary behavior is significantly associated with the incidence of metabolic diseases including type 2 diabetes mellitus（T2DM）.In foreign countries，the measurement of sedentary behavior，the relationship between sedentary behavior and disease，and intervention strategies have attracted much attention.At home，the study of sedentary behavior is still in its infancy.We reviewed the studies about sedentary behavior interventions in populations with or at high risk for T2DM，at home and abroad，with a view to providing a new idea for reducing the sedentary behaviors in such populations.

Key words: Diabetes mellitus, type 2；Risk factors；Sedentary lifestyle；Health education

摘要： 久坐行为与包括2型糖尿病在内的代谢性疾病的发病率存在明显相关性。在国外，对久坐行为的测量、久坐行为与疾病的关系及其干预策略的研究受到广泛关注。在国内，久坐行为的研究尚处于起步阶段。本文对国内外2型糖尿病患者及其高危人群久坐行为干预的相关研究进行综述，以期为干预2型糖尿病患者及其高危人群久坐行为提供新思路。

关键词: 糖尿病, 2型, 危险因素, 久坐生活方式, 健康教育

WANG Ya,SUN Juan,DENG Nan, et al. Recent Developments in Sedentary Behavior Interventions for Populations with or at High Risk for Type 2 Diabetes[J]. Chinese General Practice, 2018, 21(34): 4283-4288. DOI: 10.12114/j.issn.1007-9572.2018.34.0024.
王娅,孙娟,邓楠等. 久坐行为干预在2型糖尿病患者及其高危人群中的研究进展[J]. 中国全科医学, 2018, 21(34): 4283-4288. DOI: 10.12114/j.issn.1007-9572.2018.34.0024.

References

［1］WANG L，GAO P，ZHANG M，et al.Prevalence and ethnic pattern of diabetes and prediabetes in China in 2013［J］.JAMA，2017，317（24）：2515-2523.DOI：10.1001/jama.2017.7596.
［2］POPKIN B M.Nutrition transition and the global diabetes epidemic［J］.Current Diabetes Reports，2015，15（9）：64.DOI：10.1007/s11892-015-0631-4.
［3］HTOO Z W，HSU W，ROSENKRANZ R.Systematic review and meta-analysis：is lifestyle modification effective for glycemic
control among adults with type Ⅱ diabetes in Southeast Asia?［J］.Diabetes Research and Clinical Practice，2016，122：148-153.DOI：10.1016/j.diabres.2016.10.008.
［4］中华医学会糖尿病学分会.中国2型糖尿病防治指南（2013年版）［J］.中华糖尿病杂志，2014，6（7）：447-498.DOI：10.3760/cma.j.issn.1674-5809.2014.07.004.
Chinese Diabetes Society.Guide to prevention and treatment of type 2 diabetes in China（2013）［J］.Chinese Journal of Diabetes Mellitus，2014，6（7）：447-498.DOI：10.3760/cma.j.issn.1674-5809.2014.07.004.
［5］DE GREEF K P，DEFORCHE B I，RUIGE J B，et al.The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients［J］.Patient Education and Counseling，2011，84（2）：275-279.DOI：10.1016/j.pec.2010.07.010.
［6］LARSEN R N，DEMPSEY P C，DILLON F，et al.Does the type of activity "break" from prolonged sitting differentially impact on postprandial blood glucose reductions? An exploratory analysis［J］.Appl Physiol Nutr Metab，2017，42（8）：897-900.DOI：10.1139/apnm-2016-0642.
［7］DEMPSEY P C，BLANKENSHIP J M，LARSEN R N，et al.Interrupting prolonged sitting in type 2 diabetes：nocturnal persistence of improved glycaemic control［J］.Diabetologia，2017，60（3）：499-507.DOI：10.1007/s00125-016-4169-z.
［8］GRACE M S，DEMPSEY P C，SETHI P，et al.Breaking up prolonged sitting alters the postprandial plasma lipidomic profile of adults with type 2 diabetes［J］.Journal of Clinical Endocrinology & Metabolism，2017，102（6）：1991-1999.DOI：10.1210/jc.2016-3926.
［9］HENSON J，DAVIES M J，BODICOAT D H，et al.Breaking up prolonged sitting with standing or walking attenuates the postprandial metabolic response in postmenopausal women：a randomized acute study［J］.Diabetes Care，2016，39（1）：130-138.DOI：10.2337/dc15-1240.
［10］Sedentary Behaviour Research Network.Letter to the editor：standardized use of the terms "sedentary" and "sedentary behaviours"［J］.Appl Physiol Nutr Metab，2012，37（3）：540-542.DOI：10.1139/h2012-024.
［11］蔡雪.计步器干预对2型糖尿病患者运动量、久坐时间以及体重的影响［D］.南京：东南大学，2016.
［12］ULLRICH A，VOIGT L，BAUMANN S，et al.A cross-sectional analysis of the associations between leisure-time sedentary behaviors and clustered cardiometabolic risk［J］.BMC Public Health，2018，18（1）：327.DOI：10.1186/s12889-018-5213-3.
［13］VASANKARI V，HUSU P，V?H?-YPY? H，et al.Subjects with cardiovascular disease or high disease risk are more sedentary and less active than their healthy peers［J］.BMJ Open Sport Exerc Med，2018，4（1）：e000363.DOI：10.1136/bmjsem-2018-000363.
［14］DE WINTER M，RIOUX B V，BOUDREAU J G，et al.Physical activity and sedentary patterns among metabolically healthy individuals living with obesity［J］.Journal of Diabetes Research，2018，2018：7496768.DOI：10.1155/2018/7496768.
［15］杨枝，李勉，徐佰慧，等.静坐时间与代谢综合征相关性研究［J］.中国实用内科杂志，2011，31（11）：883-885.
YANG Z，LI M，XU B H，et al.Correlation between sedentary time and metabolic syndrome［J］.Chinese Journal of Practical Internal Medicine，2011，31（11）：883-885.
［16］?SVOLD B O，MIDTHJELL K，KROKSTAD S，et al.Prolonged sitting may increase diabetes risk in physically inactive individuals：an 11 year follow-up of the HUNT Study，Norway［J］.Diabetologia，2017，60（5）：830-835.DOI：10.1007/s00125-016-4193-z.
［17］ZHANG Y，ZHOU M，JIA Y，et al.Correction：sedentary time and its association with risk for disease incidence，mortality，and hospitalization in adults［J］.Annals of Internal Medicine，2015，163（5）：79-83.DOI：10.7326/L15-5134.
［18］CHAU J Y，GRUNSEIT A C，CHEY T，et al.Daily sitting time and all-cause mortality：a meta- analysis［J］.PLoS One，2013，8（11）：e80000.DOI：10.1371/journal.pone.0080000.
［19］WILMOT E G，EDWARDSON C L，ACHANA F A，et al.Sedentary time in adults and the association with diabetes，cardiovascular disease and death：systematic review and meta-analysis［J］.Diabetologia，2012，55（11）：2895-2905.DOI：10.1007/s00125-012-2677-z.
［20］HENSON J，EDWARDSON C L，MORGAN B，et al.Sedentary time and MRI-derived measures of adiposity in active versus inactive individuals［J］.Obesity，2018，26（1）：29-36.DOI：10.1002/oby.22034.
［21］HEALY G N，DUNSTAN D W，SALMON J，et al.Breaks in sedentary time：beneficial associations with metabolic risk［J］.Diabetes Care，2008，31（4）：661-666.DOI：10.2337/dc07-2046.
［22］HEALY G N，MATTHEWS C E，DUNSTAN D W，et al.Sedentary time and cardio-metabolic biomarkers in US adults：NHANES 2003-06［J］.European Heart Journal，2011，32（5）：590-597.DOI：10.1093/eurheartj/ehq451.
［23］PATTERSON R，MCNAMARA E，TAINIO M，et al.Sedentary behaviour and risk of all-cause，cardiovascular and cancer mortality，and incident type 2 diabetes：a systematic review and dose response meta-analysis［J］.European Journal of Epidemiology，2018，33（9）：811-829.DOI：10.1007/s10654-018-0380-1.
［24］SANCHEZ-VILLEGAS A，ARA I，GUILLéN-GRIMA F，et al.Physical activity，sedentary index，and mental disorders in the SUN cohort study［J］.Med Sci Sports Exerc，2008，40（5）：827-834.DOI：10.1249/MSS.0b013e31816348b9.
［25］ZHU Y，BLUMENTHAL J A，SHI C，et al.Sedentary behavior and the risk of depression in patients with acute coronary syndromes［J］.Am J Cardiol，2018，121（12）：1456-1460.DOI：10.1016/j.amjcard.2018.02.031.
［26］WERNECK A O，OYEYEMI A L，SZWARCWALD C L，
et al.Associations between TV viewing and depressive symptoms among 60 202 Brazilian adults：the Brazilian national health survey［J］.J Affect Disord，2018，236：23-30.DOI：10.1016/j.jad.2018.04.083.
［27］CHU A H Y，VAN DAM R M，BIDDLE S J H，et al.Self-reported domain-specific and accelerometer-based physical activity and sedentary behaviour in relation to psychological distress among an urban Asian population［J］.International Journal of Behavioral Nutrition and Physical Activity，2018，15（1）：36.DOI：10.1186/s12966-018-0669-1.
［28］HAMBURG N M，MCMACKIN C J，HUANG A L，et al.Physical inactivity rapidly induces insulin resistance and microvascular dysfunction in healthy volunteers［J］.Arterioscler Thromb Vasc Biol，2007，27（12）：2650-2656.DOI：10.1161/ATVBAHA.107.153288.
［29］TREMBLAY M S，COLLEY R C，SAUNDERS T J，et al.Physiological and health implications of a sedentary lifestyle［J］.Appl Physiol Nutr Metab，2010，35（6）：725-740.DOI：10.1139/H10-079.
［30］HAMILTON M T，HAMILTON D G，ZDERIC T W.Role of low energy expenditure and sitting in obesity，metabolic syndrome，type 2 diabetes，and cardiovascular disease［J］.Diabetes，2007，56（11）：2655-2667.DOI：10.2337/db07-0882.
［31］CHEVANCE G，FOUCAUT A M，BERNARD P.State of knowledge on sedentary behaviors［J］.Presse Med，2016，45（3）：313-318.DOI：10.1016/j.lpm.2016.01.004.
［32］CLARK B K，SUGIYAMA T，HEALY G N，et al.Validity and reliability of measures of television viewing time and other non-occupational sedentary behaviour of adults：a review［J］.Obesity Reviews，2009，10（1）：7-16.DOI：10.1111/j.1467-789X.2008.00508.x.
［33］MATTHEWS C E.Physical activity in the United States measured by accelerometer：comment［J］.Med Sci Sports Exerc，2008，40（6）：1188-1189.DOI：10.1249/MSS.0b013e31817057da.
［34］DE GREEF K，DEFORCHE B，TUDOR-LOCKE C，et al.A cognitive-behavioural pedometer-based group intervention on physical activity and sedentary behaviour in individuals with type 2 diabetes［J］.Health Education Research，2010，25（5）：724-736.DOI：10.1093/her/cyq017.
［35］WILLIAMS J，STUBBS B，GAUGHRAN F，et al.'Walk This Way'— a pilot of a health coaching intervention to reduce sedentary behaviour and increase low intensity exercise in people with serious mental illness：study protocol for a randomised controlled trial［J］.Trials，2016，17（1）：594.DOI：10.1186/s13063-016-1660-2.
［36］ZHAO G，FORD E S，LI C，et al.Compliance with physical activity recommendations in US adults with diabetes［J］.Diabetic Medicine，2008，25（2）：221-227.DOI：10.1111/j.1464-5491.2007.02332.x.
［37］DUNSTAN D W，HOWARD B，HEALY G N，et al.Too much sitting：a health hazard［J］.Diabetes Research and Clinical Practice，2012，97（3）：368-376.DOI：10.1016/j.diabres.2012.05.020.
［38］HENSON J，YATES T，BIDDLE S J H，et al.Associations of objectively measured sedentary behaviour and physical activity with markers of cardiometabolic health［J］.Diabetologia，2013，56（5）：1012-1020.DOI：10.1007/s00125-013-2845-9.
［39］裴丽，王美凤，王燕，等.糖尿病患者体力活动状况及影响因素分析［J］.中华行为医学与脑科学杂志，2015，24（12）：1109-1112.DOI：10.3760/cma.j.issn.1674-6554.2015.12.014.
PEI L，WANG M F，WANG Y，et al.Status and influencing factors of physical activity in patients with diabetes mellitus［J］.Chinese Journal of Behavioral Medicine and Brain Science，2015，24（12）：1109-1112.DOI：10.3760/cma.j.issn.1674-6554.2015.12.014.
［40］阳琰，邓华聪，龙健，等.重庆市居民静坐看电视时间与糖调节受损2型糖尿病的关系［J］.重庆医学，2013，42（34）：4168-4169.DOI：10.3969/j.issn.1671-8348.2013.34.024.
YANG Y，DENG H C，LONG J，et al.Relationship between sitting and watching television time and impaired glucose regulation，type 2 diabetes mellitus in Chongqing ［J］.Chongqing Medicine，2013，42（34）：4168-4169.DOI：10.3969/j.issn.1671-8348.2013.34.024.
［41］COLBERG S R，SIGAL R J，YARDLEY J E，et al.Physical activity/exercise and diabetes：a position statement of the American Diabetes Association［J］.Diabetes Care，2016，39（11）：2065-2079.DOI：10.2337/dc16-1728.
［42］尹晓峰，杨圣韬.《2008美国体力活动指南》：背景与过程回顾［J］.体育科研，2011，32（1）：16-23.DOI：10.3969/j.issn.1006-1207.2011.01.004.
YIN X F，YANG S T."Physical Activity Guidelines Advisory Committee Report，2008"：background & process review ［J］.Sport Science Research，2011，32（1）：16-23.DOI：10.3969/j.issn.1006-1207.2011.01.004.
［43］GARBER C，BLISSMER B，DESCHENES M，et al.American College of Sports Medicine position stand.Quantity and quality of exercise for developing and maintaining cardiorespiratory，musculoskeletal，and neuromotor fitness in apparently healthy adults：guidance for prescribing exercise［J］.Med Sci Sports Exerc，2011，43（7）：1334-1359.DOI：10.1249/MSS.0b013e318213fefb.
［44］CIOLAC E G.Exercise training as a preventive tool for age-related disorders：a brief review［J］.Clinics，2013，68（5）：710-717.DOI：10.6061/clinics/2013（05）20.
［45］KNUTTGEN H G.Strength training and aerobic exercise：comparison and contrast［J］.J Strength Cond Res，2007，21（3）：973-978.DOI：10.1519/R-505011.1.
［46］SNOWLING N J，HOPKINS W G.Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients：a meta-analysis［J］.Diabetes Care，2006，29（11）：2518-2527.DOI：10.2337/dc06-1317.
［47］S DELEVATTI R，SCHUCH F B，KANITZ A C，et al.Quality of life and sleep quality are similarly improved after aquatic or dry-land aerobic training in patients with type 2 diabetes：a randomized clinical trial［J］.Journal of Science and Medicine in Sport，2017，21（5）：483-488.DOI：10.1016/j.jsams.2017.08.024.
［48］DEMPSEY P C，LARSEN R N，SETHI P，et al.Benefits for type 2 diabetes of interrupting prolonged sitting with brief bouts of light walking or simple resistance activities［J］.Diabetes Care，2016，39（6）：964-972.DOI：10.2337/dc15-2336.
［49］EDWARDSON C L，HENSON J，BODICOAT D H，et al.Associations of reallocating sitting time into standing or stepping with glucose，insulin and insulin sensitivity：a cross-sectional analysis of adults at risk of type 2 diabetes［J］.BMJ Open，2017，7（1）：e14267.DOI：10.1136/bmjopen-2016-014267.
［50］TUDOR-LOCKE C E，BELL R C，MYERS A M，et al.Pedometer-determined ambulatory activity in individuals with type 2 diabetes［J］.Diabetes Res Clin Pract，2002，55（3）：191-199.DOI：10.1016/S0168-8227（01）00317-5.
［51］蒋娟，徐灵莉，张晓娟，等.计步器在2型糖尿病病人个性化量化运动中的应用研究［J］.护理研究，2015，29（29）：3606-3609.DOI：10.3969/j.issn.1009-6493.2015.29.008.
JIANG J，XU L L，ZHANG X J，et al.Study on application of pedometer in personalized quantitative exercise of patients with type 2 diabetes［J］.Chinese Nursing Research，2015，29（29）：3606-3609.DOI：10.3969/j.issn.1009-6493.2015.29.008.
［52］BRAVATA D M，SMITH-SPANGLER C，SUNDARAM V，et al.Using pedometers to increase physical activity and improve health［J］.JAMA，2007，298（19）：2296-2304.DOI：10.1001/jama.298.19.2296.
［53］HANSON S，JONES A.Is there evidence that walking groups have health benefits? A systematic review and meta-analysis［J］.British Journal of Sports Medicine，2015，49（11）：710-715.DOI：10.1136/bjsports-2014-094157.
［54］BRAKENRIDGE C L，HEALY G N，WINKLER E A，et al.Usage，acceptability，and effectiveness of an activity tracker in a randomized trial of a workplace sitting intervention：mixed-methods evaluation［J］.Interactive Journal of Medical Research，2018，7（1）：e5.DOI：10.2196/ijmr.9001.
［55］申翘璇，楼青青，张丹毓，等.抗阻力运动在2型糖尿病治疗中的研究进展［J］.中华护理杂志，2012，47（4）：367-369.DOI：10.3761/j.issn.0254-1769.2012.04.036.
SHEN Q X，LOU Q Q，ZHANG D Y，et al.Progress of anti-resistance exercise in the treatment of type 2 diabetes mellitus［J］.Chinese Journal of Nursing，2012，47（4）：367-369.DOI：10.3761/j.issn.0254-1769.2012.04.036.
［56］SUETTA C，ANDERSEN J L，DALGAS U，et al.Resistance training induces qualitative changes in muscle morphology，muscle architecture，and muscle function in elderly postoperative patients［J］.Journal of Applied Physiology，2008，105（1）：180-186.DOI：10.1152/japplphysiol.01354.2007.
［57］LIU C J，LATHAM N K.Progressive resistance strength training for improving physical function in older adults［J］.Cochrane Database of Systematic Reviews，2009（3）：CD002759.DOI：10.1002/14651858.CD002759.
［58］KWON H R，HAN K A，KU Y H，et al.The effects of resistance training on muscle and body fat mass and muscle strength in type 2 diabetic women［J］.Korean Diabetes Journal，2010，34（2）：101-110.DOI：10.4093/kdj.2010.34.2.101.
［59］BROOKS N，LAYNE J E，GORDON P L，et al.Strength training improves muscle quality and insulin sensitivity in Hispanic older adults with type 2 diabetes［J］.Int J Med Sci，2006，4（1）：19-27.DOI：10.7150/ijms.4.19.
［60］李国立.不同运动方式对代谢综合征患者炎症因子的影响［J］.沈阳体育学院学报，2014，33（1）：69-74.
LI G L.Effects of different exercise modes on inflammatory factors of patients with metabolic syndrome［J］.Journal of Shenyang Sport University，2014，33（1）：69-74.
［61］马翠红.抗阻运动对2型糖尿病病人糖脂代谢的影响［D］.济南：山东大学，2016.
［62］THIEBAUD R S，LOENNEKE J P，FAHS C A，et al.The effects of elastic band resistance training combined with blood flow restriction on strength，total bone-free lean body mass and muscle thickness in postmenopausal women［J］.Clinical Physiology and Functional Imaging，2013，33（5）：344-352.DOI：10.1111/cpf.12033.

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