目的 探讨绝经后糖尿病性骨质疏松（diabetic osteoporosis,DOP）患者身体活动(physical activity，PA)行为分型及特点，为临床制订针对性PA干预措施提供依据。方法 2023年10月至2024年9月，便利抽样法选取江苏省某三级甲等医院内分泌科就诊的338例绝经后DOP患者为研究对象，采用一般资料调查表、国际身体活动问卷长卷、运动自我效能量表、简易疾病认知问卷、社会支持评定量表和医院焦虑抑郁量表对其进行调查，使用潜在剖面分析PA的分型，多元Logistic回归分析各类别的影响因素。结果 绝经后DOP患者PA可分为3类：高活跃-运动型（33.7%）、中活跃-工作型（37.9%）、低活跃-居家型（28.4%）；文化程度、DOP病程、并发症数量、疼痛、运动自我效能、疾病认知等是不同潜在类别的影响因素（均P＜0.05）。结论 绝经后DOP患者PA存在3个类别，医护人员可依据人群特征实施针对性干预，以提高PA干预的有效性。

Objective To explore the behavioral types and characteristics of physical activity (PA) in postmenopausal women with diabetic osteoporosis (DOP)，and to provide evidence for developing targeted PA interventions in clinical practice.Methods From October 2023 to September 2024，338 postmenopausal DOP patients from the endocrinology department of a tertiary A hospital in Jiangsu province were selected by convenience sampling，and surveyed using a general information questionnaire，the International Physical Activity Questionnaire-Long Form，the Exercise Self-Efficacy Scale，the Brief Illness Perception Questionnaire，the Social Support Rating Scale，and the Hospital Anxiety and Depression Scale.Latent profile analysis was used to classify PA types，and multivariate logistic regression was employed to analyze influencing factors for each category.Results PA of these patients could be classified into 3 types：high-active exercise type (33.7%)，moderate-active work type (37.9%)，and low-active homebound type (28.4%).Educational level，duration of DOP，number of complications，pain，exercise self-efficacy，and illness perception were influencing factors for different latent categories (all P＜0.05).Conclusions PA in postmenopausal DOP patients falls into 3 distinct types.Healthcare providers can implement targeted intervention based on these characteristics to enhance its effectiveness.

R473.58

镇江市社会发展科技计划项目（FZ2022092）