Abstract: Objective: To assess the current physical activity levels of middle -aged and young adults with diabetic retinopathy and analyze the influencing factors. Methods: A survey was conducted using a general information questionnaire and the short form of the international physical activity questionnaire among 190 middle-aged and young patients with diabetic retinopathy who treated the tertiary eye hospital in Tianjin from July 2022 to January 2023. Results: Among the 190 patients, 179(94.2%) exhibited low levels of physical activity. Binary logistic regression analysis indicated that high medication adherence (OR=0.230) is a protective factor for physical activity, while body mass index (BMI) (OR=1.398) and visual acuity (OR=1.376) are risk factors for physical activity. Conclusion: Physical activity levels among middle-aged and young diabetic retinopathy patients are low. BMI, visual acuity, and medication adherence are significant factors affecting physical activity. It is recommended to develop targeted and individualized physical activity strategies based on these factors to enhance health-promoting behaviors among middle-aged and young diabetic retinopathy patients.

Key words: Middle-aged and young, Diabetic retinopathy, Physical activity, Influencing factors

摘要： 目的：了解中青年糖尿病视网膜病变患者的体力活动现状并分析其影响因素。方法：采用一般情况调查表及国际体力活动问卷短卷对 2022 年 7 月至 2023 年 1 月就诊于天津市某三级甲等眼科医院的 190 例中青年糖尿病视网膜病变患者进行调查。结果：190 例患者中，179 例（94.2%）中青年糖尿病视网膜病变患者的体力活动处于低水平；二分类 Logistic 回归分析结果显示，高服药依从性水平（OR=0.230）是体力活动的保护因素；身体质量指数（OR=1.398）、视力（OR=1.376）是体力活动的危险因素。结论：中青年糖尿病视网膜病变患者的体力活动水平较低，身体质量指数、视力及服药依从性水平是中青年糖尿病视网膜病变患者体力活动的重要影响因素，建议根据影响因素制定针对性的个体化体力活动策略，提高中青年糖尿病视网膜病变患者的健康促进行为。

关键词: 中青年, 糖尿病视网膜病变, 体力活动, 影响因素