Device-measured physical activity and type 2 diabetes mellitus risk

ObjectivesWe investigated how device-measured physical activity (PA) volume (PA energy expenditure [PAEE]) and intensity (fraction of PAEE from moderate-to-vigorous PA [FMVPAEE]) were associated with the incidence of type 2 diabetes mellites (T2DM).MethodsThis population-based prospective cohort stu...

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Main Authors: Wenzhao Li, Weizhi Zhang, Zhenhua Xing
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1275182/full
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author Wenzhao Li
Weizhi Zhang
Zhenhua Xing
Zhenhua Xing
author_facet Wenzhao Li
Weizhi Zhang
Zhenhua Xing
Zhenhua Xing
author_sort Wenzhao Li
collection DOAJ
description ObjectivesWe investigated how device-measured physical activity (PA) volume (PA energy expenditure [PAEE]) and intensity (fraction of PAEE from moderate-to-vigorous PA [FMVPAEE]) were associated with the incidence of type 2 diabetes mellites (T2DM).MethodsThis population-based prospective cohort study included 90,044 participants. The primary exposures were PAEE and FMVPAEE. The secondary exposures were energy expenditure exerted during light, moderate, and vigorous PA and their fraction of PAEE.ResultsEach 1-SD increase in PAEE was associated with a 17% lower risk of T2DM (hazard ratio [HR]: 0.83, 95% confidence interval [CI]: 0.78–0.98). Each 1-SD increase in FMVPAEE was associated with a 21% lower incidence of T2DM (HR: 0.79, 95% CI: 0.74–0.83). Achieving the same PA volume (KJ/kg/day) through vigorous PA (HR: 0.88, 95% CI: 0.85–0.91) was more effective in preventing T2DM than moderate PA (HR: 0.97, 95% CI: 0.96–0.98) and light PA (HR: 0.99, 95% CI: 0.98–1.00).ConclusionA higher PA volume is associated with a lower incidence of T2DM. Achieving the same PA volumes through higher-intensity PA is more effective than low-intensity PA in reducing T2DM incidence.
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spelling doaj.art-f75449c716564d11b92297c0e43cf05a2023-12-18T11:27:12ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-12-011410.3389/fendo.2023.12751821275182Device-measured physical activity and type 2 diabetes mellitus riskWenzhao Li0Weizhi Zhang1Zhenhua Xing2Zhenhua Xing3Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, ChinaDepartment of Emergency Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaEmergency Medicine and Difficult Diseases Institute, Central South University, Changsha, Hunan, ChinaObjectivesWe investigated how device-measured physical activity (PA) volume (PA energy expenditure [PAEE]) and intensity (fraction of PAEE from moderate-to-vigorous PA [FMVPAEE]) were associated with the incidence of type 2 diabetes mellites (T2DM).MethodsThis population-based prospective cohort study included 90,044 participants. The primary exposures were PAEE and FMVPAEE. The secondary exposures were energy expenditure exerted during light, moderate, and vigorous PA and their fraction of PAEE.ResultsEach 1-SD increase in PAEE was associated with a 17% lower risk of T2DM (hazard ratio [HR]: 0.83, 95% confidence interval [CI]: 0.78–0.98). Each 1-SD increase in FMVPAEE was associated with a 21% lower incidence of T2DM (HR: 0.79, 95% CI: 0.74–0.83). Achieving the same PA volume (KJ/kg/day) through vigorous PA (HR: 0.88, 95% CI: 0.85–0.91) was more effective in preventing T2DM than moderate PA (HR: 0.97, 95% CI: 0.96–0.98) and light PA (HR: 0.99, 95% CI: 0.98–1.00).ConclusionA higher PA volume is associated with a lower incidence of T2DM. Achieving the same PA volumes through higher-intensity PA is more effective than low-intensity PA in reducing T2DM incidence.https://www.frontiersin.org/articles/10.3389/fendo.2023.1275182/fulltype 2 diabetes mellitesphysical activitylight physical activitymoderate physical activityvigorous physical activity
spellingShingle Wenzhao Li
Weizhi Zhang
Zhenhua Xing
Zhenhua Xing
Device-measured physical activity and type 2 diabetes mellitus risk
Frontiers in Endocrinology
type 2 diabetes mellites
physical activity
light physical activity
moderate physical activity
vigorous physical activity
title Device-measured physical activity and type 2 diabetes mellitus risk
title_full Device-measured physical activity and type 2 diabetes mellitus risk
title_fullStr Device-measured physical activity and type 2 diabetes mellitus risk
title_full_unstemmed Device-measured physical activity and type 2 diabetes mellitus risk
title_short Device-measured physical activity and type 2 diabetes mellitus risk
title_sort device measured physical activity and type 2 diabetes mellitus risk
topic type 2 diabetes mellites
physical activity
light physical activity
moderate physical activity
vigorous physical activity
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1275182/full
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