TY - JOUR
T1 - Daily patterns of physical activity by type 2 diabetes definition
T2 - Comparing diabetes, prediabetes, and participants with normal glucose levels in NHANES 2003-2006
AU - Steeves, Jeremy A.
AU - Murphy, Rachel A.
AU - Crainiceanu, Ciprian M.
AU - Zipunnikov, Vadim
AU - Van Domelen, Dane R.
AU - Harris, Tamara B.
N1 - Funding Information:
This work was supported by the Intramural Research Program of the National Institute on Aging and the National Science Foundation Graduate Research Fellowship under grant no. DGE-0940903 . The authors acknowledge the editorial assistance of the NIH Fellows Editorial Board, National Institutes of Health, and the statistical support of Young Cho, Center for Aging and Translational Research, College of Health Sciences, University of Wisconsin–Milwaukee.
Publisher Copyright:
© 2015 Published by Elsevier Inc.
PY - 2015/2/21
Y1 - 2015/2/21
N2 - 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.
AB - 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.
KW - Cross sectional
KW - Diabetes
KW - PA
KW - Patterns
KW - Prediabetes
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U2 - 10.1016/j.pmedr.2015.02.007
DO - 10.1016/j.pmedr.2015.02.007
M3 - Article
C2 - 25909051
AN - SCOPUS:84925238833
SN - 2211-3355
VL - 2
SP - 152
EP - 157
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
ER -