The combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health Study

Abstract Background Although the negative relationship between cardiorespiratory fitness (CRF) or muscular fitness and diabetes mellitus were respectively observed in many previous studies, there is still a lack of studies that include CRF and muscular fitness simultaneously. Therefore, this study a...

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Main Authors: Dong Wang, Susumu S. Sawada, Hiroki Tabata, Ryoko Kawakami, Tomoko Ito, Kumpei Tanisawa, Mitsuru Higuchi, Kaori Ishii, Koichiro Oka, Katsuhiko Suzuki, Shizuo Sakamoto
Format: Article
Language:English
Published: BMC 2022-03-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-022-12971-x
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author Dong Wang
Susumu S. Sawada
Hiroki Tabata
Ryoko Kawakami
Tomoko Ito
Kumpei Tanisawa
Mitsuru Higuchi
Kaori Ishii
Koichiro Oka
Katsuhiko Suzuki
Shizuo Sakamoto
author_facet Dong Wang
Susumu S. Sawada
Hiroki Tabata
Ryoko Kawakami
Tomoko Ito
Kumpei Tanisawa
Mitsuru Higuchi
Kaori Ishii
Koichiro Oka
Katsuhiko Suzuki
Shizuo Sakamoto
author_sort Dong Wang
collection DOAJ
description Abstract Background Although the negative relationship between cardiorespiratory fitness (CRF) or muscular fitness and diabetes mellitus were respectively observed in many previous studies, there is still a lack of studies that include CRF and muscular fitness simultaneously. Therefore, this study aimed to investigate the relationship between the combination of CRF and muscular fitness and diabetes through a cross-sectional study.  Methods This study was part of WASEDA'S Health Study, a cohort study launched in 2014. We used a part of the baseline data collected for this study. Maximal exercise test using a cycle ergometer and leg extension power (LEP) test were respectively used to evaluate CRF and muscular fitness. Since LEP is affected by body weight, relative LEP (rLEP) which is LEP per body weight, was used as an index of muscular fitness. 796 men (56.5 ± 10.4 years old) who completed a medical examination and fitness tests, were divided into two groups based on CRF and rLEP, respectively. The prevalence of diabetes was collected based on a self-reported questionnaire or blood test. Odds ratios and 95% confidence intervals (CIs) for the prevalence of diabetes were obtained using logistic regression models while adjusting for age, body mass index, exercise habits, family history of diabetes, smoking habits, and drinking habits. Results 55 (7%) participants had diabetes. Compared to participants with lower CRF or rLEP, the odds ratio (95% CIs) of diabetes in those with higher CRF or rLEP was 0.46 (0.21–0.98) or 0.34 (0.16–0.74), respectively. Furthermore, using the lower CRF and lower rLEP group as the reference, the odds ratio (95% CIs) for the lower CRF and higher rLEP group was 0.32 (0.12–0.88), and higher CRF and higher rLEP group was 0.21 (0.07–0.63), after adjusting for potential confounding factors. Conclusions CRF and rLEP have independent and joint inverse associations with diabetes prevalence. In addition, participants with high CRF and high rLEP had a lower prevalence of diabetes compared to those with only high CRF or only high rLEP.
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spelling doaj.art-3c84437770a54c37805cebcb7ff56e2b2022-12-21T22:10:32ZengBMCBMC Public Health1471-24582022-03-012211910.1186/s12889-022-12971-xThe combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health StudyDong Wang0Susumu S. Sawada1Hiroki Tabata2Ryoko Kawakami3Tomoko Ito4Kumpei Tanisawa5Mitsuru Higuchi6Kaori Ishii7Koichiro Oka8Katsuhiko Suzuki9Shizuo Sakamoto10Graduate School of Sport Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityWaseda Institute for Sport SciencesFaculty of Sport Sciences, Waseda UniversityWaseda Institute for Sport SciencesFaculty of Sport Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityAbstract Background Although the negative relationship between cardiorespiratory fitness (CRF) or muscular fitness and diabetes mellitus were respectively observed in many previous studies, there is still a lack of studies that include CRF and muscular fitness simultaneously. Therefore, this study aimed to investigate the relationship between the combination of CRF and muscular fitness and diabetes through a cross-sectional study.  Methods This study was part of WASEDA'S Health Study, a cohort study launched in 2014. We used a part of the baseline data collected for this study. Maximal exercise test using a cycle ergometer and leg extension power (LEP) test were respectively used to evaluate CRF and muscular fitness. Since LEP is affected by body weight, relative LEP (rLEP) which is LEP per body weight, was used as an index of muscular fitness. 796 men (56.5 ± 10.4 years old) who completed a medical examination and fitness tests, were divided into two groups based on CRF and rLEP, respectively. The prevalence of diabetes was collected based on a self-reported questionnaire or blood test. Odds ratios and 95% confidence intervals (CIs) for the prevalence of diabetes were obtained using logistic regression models while adjusting for age, body mass index, exercise habits, family history of diabetes, smoking habits, and drinking habits. Results 55 (7%) participants had diabetes. Compared to participants with lower CRF or rLEP, the odds ratio (95% CIs) of diabetes in those with higher CRF or rLEP was 0.46 (0.21–0.98) or 0.34 (0.16–0.74), respectively. Furthermore, using the lower CRF and lower rLEP group as the reference, the odds ratio (95% CIs) for the lower CRF and higher rLEP group was 0.32 (0.12–0.88), and higher CRF and higher rLEP group was 0.21 (0.07–0.63), after adjusting for potential confounding factors. Conclusions CRF and rLEP have independent and joint inverse associations with diabetes prevalence. In addition, participants with high CRF and high rLEP had a lower prevalence of diabetes compared to those with only high CRF or only high rLEP.https://doi.org/10.1186/s12889-022-12971-xAerobic capacityMuscle strengthMuscle massPhysical activityEpidemiology
spellingShingle Dong Wang
Susumu S. Sawada
Hiroki Tabata
Ryoko Kawakami
Tomoko Ito
Kumpei Tanisawa
Mitsuru Higuchi
Kaori Ishii
Koichiro Oka
Katsuhiko Suzuki
Shizuo Sakamoto
The combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health Study
BMC Public Health
Aerobic capacity
Muscle strength
Muscle mass
Physical activity
Epidemiology
title The combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health Study
title_full The combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health Study
title_fullStr The combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health Study
title_full_unstemmed The combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health Study
title_short The combination of cardiorespiratory fitness and muscular fitness, and prevalence of diabetes mellitus in middle-aged and older men: WASEDA’S Health Study
title_sort combination of cardiorespiratory fitness and muscular fitness and prevalence of diabetes mellitus in middle aged and older men waseda s health study
topic Aerobic capacity
Muscle strength
Muscle mass
Physical activity
Epidemiology
url https://doi.org/10.1186/s12889-022-12971-x
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