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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Format: | Article |
Language: | English |
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Elsevier
2015-01-01
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Series: | Preventive Medicine Reports |
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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. |
first_indexed | 2024-04-12T21:40:31Z |
format | Article |
id | doaj.art-ed23e91b1336431096df348d1eb718dd |
institution | Directory Open Access Journal |
issn | 2211-3355 |
language | English |
last_indexed | 2024-04-12T21:40:31Z |
publishDate | 2015-01-01 |
publisher | Elsevier |
record_format | Article |
series | Preventive Medicine Reports |
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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