2型糖尿病患者运动水平、睡眠质量与血糖的关系

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【中图分类号】R587.1 【文献标识码】A

【Abstract】 Objective To analyze the association between exercise level， sleep quality， blood glucose in patients with type 2 diabetes melitus （T2DM）， to explore the mediating role sleep quality between exercise level blood glucose. Methods Using convenience sampling， T2DM patients from the at Shong from August 2022 to March 2023 were selected as research subjects. Daily exercise levels sleep quality scores were collected via a 5-day consecutive diary， daily average blood glucose （MG） was measured using a continuous glucose monitoring system. A multilevel structural equation modeling （MSEM） was used to analyze the association between daily exercise level，sleep quality scores， MGat both the individual within-individual levels，as well as the mediating effect. Results A total 80 T2DM patients were enrolled， with 400 valid data points collected. Correlation analysis showed that daily exercise level， daily sleep quality， MG were significantlycorelated atboth the individual within-individual levels.Multilevel mediation effect analysis showed thatatthe individual level，daily exercise levels affect MG through daily sleepquality; while within individuals，daily exercise level had both a direct association with MG an indirect association through daily sleep quality. Conclusion The roles exercise sleep should be emphasized in blood glucose control for T2DM patients. In clinical practice，personalized intervention measures can be developed for exercise sleep to strengthen personalized management diabetes.

【Keywords】Diabetes mellitus; Activity; Sleep quality; Blood glucose; Diary method

我国2型糖尿病（type2diabetesmellitus，T2DM）患者基数庞大，血糖长期控制不佳引起的多种并发症是其死亡主要原因[-2]。（剩余15401字）