Physical Activity Dimensions Associated with Impaired Glucose Metabolism

被引:8
作者
Amadid, Hanan [1 ,2 ,3 ]
Johansen, Nanna B. [4 ]
Bjerregaard, Anne-Louise [2 ,3 ]
Vistisen, Dorte [1 ]
Faerch, Kristine [1 ]
Brage, Soren [5 ]
Lauritzen, Torsten [2 ,3 ]
Witte, Daniel R. [2 ,3 ,6 ]
Sandbaek, Annelli [2 ,3 ]
Jorgensen, Marit E. [1 ,7 ]
机构
[1] Steno Diabet Ctr Copenhagen, Dept Clin Epidemiol, Gentofte, Denmark
[2] Univ Aarhus, Dept Publ Hlth, Res Unit, Aarhus, Denmark
[3] Univ Aarhus, Sect Gen Practice, Aarhus, Denmark
[4] Res Ctr Prevent & Hlth, Glostrup, Denmark
[5] Univ Cambridge, MRC Epidemiol Unit, Cambridge, England
[6] Danish Diabet Acad, Odense, Denmark
[7] Univ Southern Denmark, Natl Publ Hlth Inst, Odense, Denmark
基金
英国医学研究理事会;
关键词
DECISION TREE ANALYSIS; TYPE 2 DIABETES PREVENTION; EPIDEMIOLOGY; COMBINED ACCELEROMETERY AND HEART RATE MONITORING; HEART-RATE; SEDENTARY TIME; RISK; INTENSITY; VALIDITY; ACCELEROMETRY; PEOPLE; RELIABILITY; PREVENTION; MORTALITY;
D O I
10.1249/MSS.0000000000001362
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Purpose: Physical activity (PA) is important in the prevention of Type 2 diabetes, yet little is known about the role of specific dimensions of PA, including sedentary time in subgroups at risk for impaired glucose metabolism (IGM). We applied a data-driven decision tool to identify dimensions of PA associated with IGM across age, sex, and body mass index (BMI) groups. Methods: This cross-sectional study included 1501 individuals (mean (SD) age, 65.6 (6.8) yr) at high risk for Type 2 diabetes from the ADDITION-PRO study. PA was measured by an individually calibrated combined accelerometer and heart rate monitor worn for 7 d. PA energy expenditure, time spent in different activity intensities, bout duration, and sedentary time were considered determinants of IGM together with age, sex, and BMI. Decision tree analysis was applied to identify subgroup-specific dimensions of PA associated with IGM. IGM was based on oral glucose tolerance test results and defined as a fasting plasma glucose level of >= 6.1 mmol.L-1 and/or a 2-h plasma glucose level of >= 7.8 mmol.L-1. Results: Among overweight (BMI >= 25 kg.m(-2)) men, accumulating less than 30 min.d(-1) of moderate-to-vigorous PA was associated with IGM, whereas among overweight women, sedentary time was associated with IGM. Among individuals older than 53 yr with normal weight (BMI < 25 kg.m(-2)), time spent in light PA was associated with IGM. None of the dimensions of PA were associated with IGM among individuals <= 53 yr of age with normal weight. Conclusions: We identified subgroups in which different activity dimensions were associated with IGM. Methodology and results from this study may suggest a preliminary step toward the goal of tailoring and targeting PA interventions aimed at Type 2 diabetes prevention.
引用
收藏
页码:2176 / 2184
页数:9
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