郭佳
  • 学位:医学博士学位
  • 职称:教授
  • 学科:护理学
  • 所在单位:湘雅护理学院

教授 博士生导师 硕士生导师

所在单位:湘雅护理学院
学历:博士研究生毕业
办公地点:湘雅护理学院
性别:
联系方式:电子邮箱:guojia621@163.com
学位:医学博士学位
在职信息:在职
主要任职:中南大学湘雅护理学院副院长,湘雅护理学院对外交流合作中心主任,澳大利亚JBI循证卫生保健中心之湘雅循证实践与健康创新中心执行主任
其他任职:美国护理科学院Fellow、国际家庭护理协会会员专委会co-chair、SCI期刊Journal of Clinical Nursing和Journal of Advanced Nursing的审稿专家、“十四五”规划教材研究生护理学专业规划教材《循证护理学》副主编、全国护士执业资格考试题库建设专家、《中华糖尿病杂志》和《广西医科大学学报》审稿专家、《中南大学学报(医学版)》中青年编委、《中华现代护理杂志》编委;全国卫生产业企业管理协会妇科智能诊疗分会常务理事、中国1型糖尿病联盟护理专业委员会副主任委员、湖南省健康管理协会糖尿病教育与管理专业委员会副主任委员
毕业院校:中南大学

学科:护理学

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Do obesity and low levels of physical activity increase the risk for developing type 2 diabetes mellitus among women with prior gestational diabetes in rural China?
点击次数:
影响因子:
2.163
DOI码:
10.1002/nur.22043
所属单位:
中南大学
发表刊物:
Research in Nursing & Health
刊物所在地:
美国
关键字:
body mass index; diabetes; exercise; gestational; glucose intolerance; obesity; waist circumference.
摘要:
Moderate-to-vigorous intensity physical activity (MVPA) and obesity play important roles in the development of type 2 diabetes mellitus (T2DM) among women with prior gestational diabetes mellitus (GDM). Yet, how MVPA affects the risk of developing T2DM among women with prior GDM across the different categories of obesity indicators is unclear. This study aimed to describe the levels of postpartum abnormal glucose tolerance (AGT), obesity indicators (body mass index [BMI] and waist circumference [WC]), and MVPA and to explore the independent effect and joint effect of MVPA and obesity indicators (BMI and WC) on the risk for developing AGT among women with prior GDM in rural China. A total of 425 women with prior GDM were recruited from two county-level hospitals in Western and Eastern Hunan, China. Data were collected with self-reported measurements on sociodemographics and clinical factors as well as postpartum weight-related behaviors (physical activity and dietary intake). The 75-g oral glucose tolerance test, weight, height, and WC were measured on site. Binary logistic regression models and multiplitive interaction models were used to explore the independent and joint associations of BMI and MVPA as well as WC and MVPA on AGT, respectively. One-fifth (20.9%) of the sample women had AGT. The obesity indicators were significantly associated with an increased risk of postpartum AGT, but MVPA was not. In joint effect analyses, larger WC and insufficient MVPA were not significantly associated with increased risk of AGT compared with normal WC and sufficient MVPA (mutually adjusted odds ratio [OR], 1.43; 95% confidence interval [CI], 0.46-4.43; p > .05). In joint effect analyses of MVPA and BMI, the mutually adjusted OR for developing AGT in women who were obese and had insufficient MVPA was 4.49 (95% CI, 1.35-14.92; p < .05) compared with normal weight and sufficient MVPA. Adequate weight management and increased MVPA are warranted for Chinese women with prior GDM to prevent T2DM.
备注:
Q1区
合写作者:
Shan Jiang, Qing Long, Honghui Zhang, Jyu-Lin Chen
第一作者:
Ping Mao
论文类型:
期刊论文
通讯作者:
Jia Guo
学科门类:
护理学
文献类型:
J
卷号:
43
期号:
4
页面范围:
387-395
是否译文:
收录刊物:
SCI
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