Journal article
Risk Estimates for Diabetes and Hypertension with Different Physical Activity Methods
Medicine and science in sports and exercise, Vol.51(12), pp.2498-2505
12/01/2019
DOI: 10.1249/MSS.0000000000002083
PMCID: PMC7138450
PMID: 31274682
Abstract
Purpose To estimate risks of incident type 2 diabetes (T2D) and stage 2 and greater hypertension associated with self-reported and accelerometer-determined moderate-vigorous physical activity (MVPA) separately and adjusted for each other. Methods The sample included 2291 black and white men and women, ages 38-50 yr, in the Coronary Artery Risk Development in Young Adults (CARDIA) fitness study, conducted during the year 20 core CARDIA examination. Accelerometer-determined (Actigraph, LLC. model 7164) MVPA (MVPA-Acc), assessed at year 20, was defined as minutes per day of counts >= 2020 min(-1). Self-reported MVPA (MVPA-SR) was assessed at year 20 using the CARDIA Physical Activity History. Incident T2D was ascertained at years 25 and 30 from fasting glucose, 2 h glucose tolerance test, HbA1c, or diabetes medication; incident hypertension was ascertained at those same times from measured blood pressure or use of antihypertensive medications. Modified Poisson regression models estimated relative risk (RR) of incident (years 25 and 30) T2D or hypertension, associated with middle and high tertiles of year 20 MVPA-Acc alone, year 20 MVPA-SR alone, and both, adjusted for each other, relative to bottom tertile. Results In men, MVPA-Acc, but not MVPA-SR, was associated with a 37% to 67% decreased risk of incident T2D in a dose-response relation that persisted with adjustment for BMI, Similar associations were observed in women, although the risk reduction was similar in the second and third tertiles, relative to the bottom tertile. In both men and women, MVPA-Acc was marginally associated with reduced risk of incident stage 2 and greater hypertension, but only after adjustment for BMI, whereas MVPA-SR was not associated in either sex. Conclusions Accelerometer-determined MVPA may provide more consistent risk estimates for incident diabetes than self-reported MVPA.
Details
- Title: Subtitle
- Risk Estimates for Diabetes and Hypertension with Different Physical Activity Methods
- Creators
- Barbara Sternfeld - Kaiser PermanenteKelley Pettee Gabriel - The University of Texas at AustinSheng-fang Jiang - Kaiser PermanenteKara M Whitaker - University of IowaDavid R Jacobs - University of MinnesotaCharles P Quesenberry - Kaiser PermanenteMercedes Carnethon - Northwestern UniversityStephen Sidney - Kaiser Permanente
- Resource Type
- Journal article
- Publication Details
- Medicine and science in sports and exercise, Vol.51(12), pp.2498-2505
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- DOI
- 10.1249/MSS.0000000000002083
- PMID
- 31274682
- PMCID
- PMC7138450
- ISSN
- 0195-9131
- eISSN
- 1530-0315
- Number of pages
- 8
- Grant note
- National Heart, Lung, and Blood Institute (NHLBI); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) HHSN268201800003I / Northwestern University R01 HL078972 / NHLBI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) HHSN268201800004I / Kaiser Foundation Research Institute HHSN268201800005I; HHSN268201800007I / University of Alabama at Birmingham HHSN268201800006I / University of Minnesota; University of Minnesota System
- Language
- English
- Date published
- 12/01/2019
- Academic Unit
- Epidemiology; Health and Human Physiology
- Record Identifier
- 9984245773602771
Metrics
4 Record Views