国际老年医学杂志2026，Vol.47Issue(4)：426-433,8.DOI:10.3969/j.issn.1674-7593.2026.04.005
老年糖尿病合并肌少症患者运动自我效能相关因素调查及干预策略
Investigation on factors associated with exercise self-efficacy and proposed intervention strategies in patients with diabetes mellitus and sarcopenia
摘要
Abstract
Objective To investigate factors associated with exercise self-efficacy and propose targeted intervention strategies in elderly patients with diabetes mellitus(DM)and sarcopenia so as to provide reference for improving exercise compliance and delaying the progression of sarcopenia.Methods A total of 120 elderly patients with DM and sarcopenia admitted to Jiangsu Provincial Hospital were retrospectively enrolled between October 2022 and October 2024.The current situation of elderly patients with DM was evaluated and analyzed by exercise self-efficacy scale(ESES),and the relevant influencing factors were screened by univariate and multiple linear re-gression analysis.Results The total score of ESES in the 120 patients was(24.93±4.26)points,including 32 cases(26.67%)at a low level,65 cases(54.17%)at a medium level and 23 cases(19.17%)at a high level.Overall,exercise self-efficacy was at a moder-ate to low level.Univariate analysis showed that education level,appendicular skeletal muscle mass index(ASMI),grip strength,walk-ing speed,mean amplitude of glycemic excursions,diabetic foot/cardiovascular complications,severity of sarcopenia,frailty status,nu-tritional status,muscle activity function,self-care ability,anxiety/depression,cognitive function and social support level were correlated with exercise self-efficacy in elderly patients with DM and sarcopenia(all P<0.05).Multiple linear regression analysis showed that AS-MI,frailty status,muscle activity function,anxiety/depression and social support level were influencing factors of exercise self-efficacy(all P<0.05).Conclusion The exercise self-efficacy is at a moderate to low level in elderly patients with DM and sarcopenia,and its influencing factors include ASMI,frailty status,muscle activity function,anxiety/depression and social support level.Medical staffs should formulate individualized intervention strategies based on these factors to improve exercise self-efficacy.关键词
糖尿病/肌少症/运动自我效能Key words
Diabetes mellitus/Sarcopenia/Exercise self-efficacy引用本文复制引用
顾玮芸,马欧璇,狄文娟,夏丽莉,鲁俊,佟蔷薇..老年糖尿病合并肌少症患者运动自我效能相关因素调查及干预策略[J].国际老年医学杂志,2026,47(4):426-433,8.基金项目
中国老年学和老年医学学会2025年第1批立项项目(CAGG2025104) （CAGG2025104）
