Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006

Objective: Diabetes is associated with low levels of physical activity (PA), but detailed objective information about how PA patterns vary by diabetes definition is lacking. Methods: PA was measured with ActiGraph accelerometers in older (60+) adults from the 2003–2006 National Health and Nutrition...

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Main Authors: Jeremy A. Steeves, Rachel A. Murphy, Ciprian M. Crainiceanu, Vadim Zipunnikov, Dane R. Van Domelen, Tamara B. Harris
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335515000170
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author Jeremy A. Steeves
Rachel A. Murphy
Ciprian M. Crainiceanu
Vadim Zipunnikov
Dane R. Van Domelen
Tamara B. Harris
author_facet Jeremy A. Steeves
Rachel A. Murphy
Ciprian M. Crainiceanu
Vadim Zipunnikov
Dane R. Van Domelen
Tamara B. Harris
author_sort Jeremy A. Steeves
collection DOAJ
description Objective: Diabetes is associated with low levels of physical activity (PA), but detailed objective information about how PA patterns vary by diabetes definition is lacking. Methods: PA was measured with ActiGraph accelerometers in older (60+) adults from the 2003–2006 National Health and Nutrition Examination Survey (n = 1,043) and analyzed in 2014. Diabetes definition (normal glucose levels, prediabetes, and diabetes) was assessed (fasting glucose, hemoglobin A1C, and self-report). Accelerometer data were used to characterize total activity counts (TAC) per day and hour-by-hour activity counts by diabetes definition. Multiple linear regression models explored the relationship between diabetes definition and TAC. Results: Despite similar patterns of PA, diabetes participants had significantly lower TAC compared to participants with normal glucose levels and prediabetes. Diabetes participants' activity counts per hour declined more rapidly after 12 p.m., with the biggest differences between the groups occurring at 4:00 p.m. Participants with normal glucose levels and prediabetes had similar TAC and daily PA profiles. Conclusion: Our novel methodology provides information about PA patterns by diabetes definition. Significantly lower TAC in the diabetes group, their significant drop in afternoon PA, and the similarity of PA between participants with normal glucose levels and prediabetes provide insight into potential targets for intervention.
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spelling doaj.art-ed23e91b1336431096df348d1eb718dd2022-12-22T03:15:47ZengElsevierPreventive Medicine Reports2211-33552015-01-012C15215710.1016/j.pmedr.2015.02.007Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006Jeremy A. Steeves0Rachel A. Murphy1Ciprian M. Crainiceanu2Vadim Zipunnikov3Dane R. Van Domelen4Tamara B. Harris5Cancer Prevention Fellowship Program Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USALaboratory of Epidemiology, and Population Sciences, Intramural Research Program, National Institute on Aging, Bethesda, MD, USADepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USALaboratory of Epidemiology, and Population Sciences, Intramural Research Program, National Institute on Aging, Bethesda, MD, USAObjective: Diabetes is associated with low levels of physical activity (PA), but detailed objective information about how PA patterns vary by diabetes definition is lacking. Methods: PA was measured with ActiGraph accelerometers in older (60+) adults from the 2003–2006 National Health and Nutrition Examination Survey (n = 1,043) and analyzed in 2014. Diabetes definition (normal glucose levels, prediabetes, and diabetes) was assessed (fasting glucose, hemoglobin A1C, and self-report). Accelerometer data were used to characterize total activity counts (TAC) per day and hour-by-hour activity counts by diabetes definition. Multiple linear regression models explored the relationship between diabetes definition and TAC. Results: Despite similar patterns of PA, diabetes participants had significantly lower TAC compared to participants with normal glucose levels and prediabetes. Diabetes participants' activity counts per hour declined more rapidly after 12 p.m., with the biggest differences between the groups occurring at 4:00 p.m. Participants with normal glucose levels and prediabetes had similar TAC and daily PA profiles. Conclusion: Our novel methodology provides information about PA patterns by diabetes definition. Significantly lower TAC in the diabetes group, their significant drop in afternoon PA, and the similarity of PA between participants with normal glucose levels and prediabetes provide insight into potential targets for intervention.http://www.sciencedirect.com/science/article/pii/S2211335515000170DiabetesPrediabetesPACross sectionalPatterns
spellingShingle Jeremy A. Steeves
Rachel A. Murphy
Ciprian M. Crainiceanu
Vadim Zipunnikov
Dane R. Van Domelen
Tamara B. Harris
Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006
Preventive Medicine Reports
Diabetes
Prediabetes
PA
Cross sectional
Patterns
title Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006
title_full Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006
title_fullStr Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006
title_full_unstemmed Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006
title_short Daily patterns of physical activity by type 2 diabetes definition: Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003–2006
title_sort daily patterns of physical activity by type 2 diabetes definition comparing diabetes prediabetes and participants with normal glucose levels in nhanes 2003 2006
topic Diabetes
Prediabetes
PA
Cross sectional
Patterns
url http://www.sciencedirect.com/science/article/pii/S2211335515000170
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