Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes

Abstract Aims/Introduction This study examined the association among sedentary time (ST), physical activity (PA), glycated hemoglobin and body composition in Japanese type 2 diabetes patients. Materials and Methods Patients with type 2 diabetes who visited the outpatient clinic at Kawasaki Medical S...

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Main Authors: Shuhei Nakanishi, Hidenori Hirukawa, Masashi Shimoda, Fuminori Tatsumi, Kenji Kohara, Atsushi Obata, Seizo Okauchi, Yukino Katakura, Junpei Sanada, Yoshiro Fushimi, Momoyo Nishioka, Yuki Kan, Akiko Tomita‐Mizoguchi, Hayato Isobe, Hideyuki Iwamoto, Kaio Takahashi, Tomoatsu Mune, Kohei Kaku, Hideaki Kaneto
Format: Article
Language:English
Published: Wiley 2020-05-01
Series:Journal of Diabetes Investigation
Subjects:
Online Access:https://doi.org/10.1111/jdi.13185
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author Shuhei Nakanishi
Hidenori Hirukawa
Masashi Shimoda
Fuminori Tatsumi
Kenji Kohara
Atsushi Obata
Seizo Okauchi
Yukino Katakura
Junpei Sanada
Yoshiro Fushimi
Momoyo Nishioka
Yuki Kan
Akiko Tomita‐Mizoguchi
Hayato Isobe
Hideyuki Iwamoto
Kaio Takahashi
Tomoatsu Mune
Kohei Kaku
Hideaki Kaneto
author_facet Shuhei Nakanishi
Hidenori Hirukawa
Masashi Shimoda
Fuminori Tatsumi
Kenji Kohara
Atsushi Obata
Seizo Okauchi
Yukino Katakura
Junpei Sanada
Yoshiro Fushimi
Momoyo Nishioka
Yuki Kan
Akiko Tomita‐Mizoguchi
Hayato Isobe
Hideyuki Iwamoto
Kaio Takahashi
Tomoatsu Mune
Kohei Kaku
Hideaki Kaneto
author_sort Shuhei Nakanishi
collection DOAJ
description Abstract Aims/Introduction This study examined the association among sedentary time (ST), physical activity (PA), glycated hemoglobin and body composition in Japanese type 2 diabetes patients. Materials and Methods Patients with type 2 diabetes who visited the outpatient clinic at Kawasaki Medical School Hospital, Okayama, Japan, comprised the study’s participants. Self‐administered International Physical Activity Questionnaire short forms were obtained and analyzed for 1,053 patients, including 158 patients for whom waist circumference and visceral fat accumulation were measured. From the questionnaire, three categorical data (low, moderate, high) and continuous data (METs/h/week) regarding PA and ST (min/day), respectively, were obtained. Results The patients categorized as having low PA had significantly higher body mass index than those categorized as having high levels, after adjustment was made for confounders. Continuous data of PA were negatively associated with waist circumference and visceral fat accumulation. ST was positively associated with body mass index. After dividing the participants into four groups according to medians of ST and PA, the following categories were established: long ST and low PA, long ST but high PA, short ST but low PA and short ST and high PA. In terms of body mass index, short ST and high PA measured significantly lower than long ST and low PA. For waist circumference and visceral fat accumulation, short ST but low PA and short ST and high PA measured significantly lower than long ST and low PA and long ST but high. Conclusions These results imply that the combination of avoiding sedentary behavior and increasing PA might be important in the prevention bodyweight gain and in the avoidance of central obesity, respectively, in Japanese type 2 diabetes patients.
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spelling doaj.art-ea7903ad82794a1d9f94643daea974ba2022-12-21T19:50:43ZengWileyJournal of Diabetes Investigation2040-11162040-11242020-05-0111363363910.1111/jdi.13185Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetesShuhei Nakanishi0Hidenori Hirukawa1Masashi Shimoda2Fuminori Tatsumi3Kenji Kohara4Atsushi Obata5Seizo Okauchi6Yukino Katakura7Junpei Sanada8Yoshiro Fushimi9Momoyo Nishioka10Yuki Kan11Akiko Tomita‐Mizoguchi12Hayato Isobe13Hideyuki Iwamoto14Kaio Takahashi15Tomoatsu Mune16Kohei Kaku17Hideaki Kaneto18Division of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanDepartment of Internal Medicine Kawasaki Hospital Kawasaki Medical School Okayama JapanDivision of Diabetes, Metabolism and Endocrinology Kawasaki Medical School Okayama JapanAbstract Aims/Introduction This study examined the association among sedentary time (ST), physical activity (PA), glycated hemoglobin and body composition in Japanese type 2 diabetes patients. Materials and Methods Patients with type 2 diabetes who visited the outpatient clinic at Kawasaki Medical School Hospital, Okayama, Japan, comprised the study’s participants. Self‐administered International Physical Activity Questionnaire short forms were obtained and analyzed for 1,053 patients, including 158 patients for whom waist circumference and visceral fat accumulation were measured. From the questionnaire, three categorical data (low, moderate, high) and continuous data (METs/h/week) regarding PA and ST (min/day), respectively, were obtained. Results The patients categorized as having low PA had significantly higher body mass index than those categorized as having high levels, after adjustment was made for confounders. Continuous data of PA were negatively associated with waist circumference and visceral fat accumulation. ST was positively associated with body mass index. After dividing the participants into four groups according to medians of ST and PA, the following categories were established: long ST and low PA, long ST but high PA, short ST but low PA and short ST and high PA. In terms of body mass index, short ST and high PA measured significantly lower than long ST and low PA. For waist circumference and visceral fat accumulation, short ST but low PA and short ST and high PA measured significantly lower than long ST and low PA and long ST but high. Conclusions These results imply that the combination of avoiding sedentary behavior and increasing PA might be important in the prevention bodyweight gain and in the avoidance of central obesity, respectively, in Japanese type 2 diabetes patients.https://doi.org/10.1111/jdi.13185Body mass indexGlycated hemoglobinPhysical activity
spellingShingle Shuhei Nakanishi
Hidenori Hirukawa
Masashi Shimoda
Fuminori Tatsumi
Kenji Kohara
Atsushi Obata
Seizo Okauchi
Yukino Katakura
Junpei Sanada
Yoshiro Fushimi
Momoyo Nishioka
Yuki Kan
Akiko Tomita‐Mizoguchi
Hayato Isobe
Hideyuki Iwamoto
Kaio Takahashi
Tomoatsu Mune
Kohei Kaku
Hideaki Kaneto
Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes
Journal of Diabetes Investigation
Body mass index
Glycated hemoglobin
Physical activity
title Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes
title_full Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes
title_fullStr Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes
title_full_unstemmed Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes
title_short Impact of physical activity and sedentary time on glycated hemoglobin levels and body composition: Cross‐sectional study using outpatient clinical data of Japanese patients with type 2 diabetes
title_sort impact of physical activity and sedentary time on glycated hemoglobin levels and body composition cross sectional study using outpatient clinical data of japanese patients with type 2 diabetes
topic Body mass index
Glycated hemoglobin
Physical activity
url https://doi.org/10.1111/jdi.13185
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