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Objectively Measured Physical Activity in Older Adults With and Without Diabetes
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.ORCID iD: 0000-0002-4341-1745
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
2019 (English)In: Clinical Diabetes, ISSN 0891-8929, E-ISSN 1945-4953, Vol. 37, no 2, p. 142-149, article id cd180041Article in journal (Refereed) Published
Abstract [en]

Background: Increased physical activity (PA) is ordinated to increase glycemic control in subjects with diabetes. We evaluated objectively measured as well as self-reported PA in elderly individuals with and without diabetes.

Method: The study included 1872 community-dwelling individuals (49% women), all aged 70 years. Objective PA was measured by accelerometers worn for 1 week. Physical activity patterns in subjects with and without diabetes were evaluated using multivariable adjustable regression models.

Results: In the cohort 210 subjects (138 men and 72 women) were found to have diabetes. Self-reported PA showed a weak association with objective PA (r = 0.06, p = 0.01).  Individuals with known diabetes had fewer steps per day (mean 5,754) than those with detected diabetes at baseline (mean 6,359) or no diabetes (mean 7,375, all p < 0.05). A cut-off value of at least 6,000 steps per day discriminated best between individuals with and without diabetes (multi-adjusted odds ratio (OR), 0.50, 95% CI, 0.36–0.69), and overall step-count also showed the strongest correlation with objective visceral adipose tissue (VAT, β = 0.29, p < 0.001). In contrast, objectively measured PA in at least 10-minute bouts, as recommended by WHO, did not discriminate between individuals with a without diabetes (OR, 0.92, 95% CI, 0.66–1.28).

Conclusion: Despite recommendations given to subjects with diabetes, objectively measured PA was more than 20% lower in elderly individuals with diabetes. Daily step-counts was also associated with VAT, a potential mediator of the effects of PA.

Place, publisher, year, edition, pages
American Diabetes Association , 2019. Vol. 37, no 2, p. 142-149, article id cd180041
National Category
Clinical Medicine Endocrinology and Diabetes
Research subject
Public health
Identifiers
URN: urn:nbn:se:umu:diva-154288DOI: 10.2337/cd18-0041OAI: oai:DiVA.org:umu-154288DiVA, id: diva2:1270970
Available from: 2018-12-14 Created: 2018-12-14 Last updated: 2019-06-12Bibliographically approved

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Hult, AndreasJohansson, JonasNordström, PeterNordström, Anna

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