本研究旨在确定与糖尿病病例的久坐行为相关的生活方式和合并患病因素。本研究纳入了来自韩国国家健康与营养调查的17,832名年龄≥50岁的参与者。评估了与糖尿病患者和非糖尿病患者长时间久坐行为（LST，≥420分钟/天）相关的因素。在糖尿病患者中，LST独立与过量饮酒（OR，1.34；95% CI，1.02-1.74）和心血管疾病（OR，1.47；95% CI，1.16-1.85）相关。在非糖尿病患者中，癌症（OR，1.24；95% CI，1.06-1.44）和过去吸烟（OR，1.16；95% CI，1.01-1.35）独立与LST相关。无论是否患有糖尿病，肥胖（糖尿病：OR，1.28；95% CI，1.05-1.54；非糖尿病：OR，1.24；95% CI，1.11-1.37），有氧运动不足（糖尿病：OR，1.55；95% CI，1.30-1.84；非糖尿病：OR，1.50；95% CI，1.37-1.63），目前吸烟（糖尿病：OR，1.51；95% CI，1.11-2.05；非糖尿病：OR，1.23；95% CI，1.05-1.45）和关节炎（糖尿病：OR，1.28；95% CI，1.04-1.56；非糖尿病：OR，1.15；95% CI，1.04-1.27）与LST相关。为了减少久坐行为时间，考虑个体的糖尿病状况并采取个性化方法非常重要。

This study aimed to identify the lifestyle and comorbidity factors associated with sedentary behavior by diabetes mellitus (DM) status. A total of 17,832 participants aged ≥50 years from the Korea National Health and Nutrition Examination Survey were included. Factors associated with long sedentary time (LST, ≥420 min/day) in individuals with and without DM (non-DM) were assessed. Among individuals with DM, LST was independently associated with excessive alcohol drinking (OR, 1.34; 95% CI, 1.02-1.74) and cardiovascular disease (OR, 1.47; 95% CI, 1.16-1.85). In individuals without DM, cancer (OR, 1.24; 95% CI, 1.06-1.44) and past smoking (OR, 1.16; 95% CI, 1.01-1.35) were independently associated with LST. Obesity (DM: OR, 1.28; 95% CI, 1.05-1.54; non-DM: OR, 1.24; 95% CI, 1.11-1.37), insufficient aerobic exercise (DM: OR, 1.55; 95% CI, 1.30-1.84; non-DM: OR, 1.50; 95% CI, 1.37-1.63), current smoking (DM: OR, 1.51; 95% CI, 1.11-2.05; non-DM: OR, 1.23; 95% CI, 1.05-1.45), and arthritis (DM: OR, 1.28; 95% CI, 1.04-1.56; non-DM: OR, 1.15; 95% CI, 1.04-1.27) were consistently associated with LST regardless of DM status. To reduce sedentary behavior time, it is important to consider an individual's diabetes status and adopt a personalized approach.