Anna A Divney1, Rosenda Murillo2, Fatima Rodriguez3, Chloe A Mirzayi4, Emma K Tsui4, Sandra E Echeverria5. 1. Department of Community Health and Social Sciences, CUNY Graduate School of Public Health & Health Policy, New York, NY anna.divney@sph.cuny.edu. 2. Department of Psychological, Health, and Learning Sciences, College of Education, University of Houston, Houston, TX. 3. Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA. 4. Department of Community Health and Social Sciences, CUNY Graduate School of Public Health & Health Policy, New York, NY. 5. Department of Public Health Education, The University of North Carolina at Greensboro, Greensboro, NC.
Abstract
OBJECTIVE: Leisure-time physical activity (LTPA) has been shown to prevent or delay the development of diabetes. However, little research exists examining how other domains of PA (e.g., occupation based [OPA] and transportation based [TPA]) are associated with diabetes prevalence across diverse racial/ethnic groups. We examined associations between OPA, TPA, and LTPA and diabetes prevalence and whether associations differed by race/ethnicity. RESEARCH DESIGN AND METHODS: Participants in the 2011-2016 National Health and Nutrition Examination Survey (NHANES) self-reported domain-specific PA. Diabetes status was determined by self-reported doctor/health professional-diagnosis of diabetes or a glycosylated hemoglobin (HbA1c) measurement of ≥6.5% (48 mmol/mol). Multivariable log binomial models examined differences in diabetes prevalence by PA level in each domain and total PA among Latinos (n = 3,931), non-Latino whites (n = 6,079), and non-Latino blacks (n = 3,659). RESULTS: Whites reported the highest prevalence of achieving PA guidelines (64.9%), followed by Latinos (61.6%) and non-Latino blacks (60.9%; P < 0.0009). Participants achieving PA guidelines were 19-32% less likely to have diabetes depending on PA domain in adjusted models. Diabetes prevalence was consistently higher among non-Latino blacks (17.1%) and Latinos (14.1%) compared with non-Latino whites (10.7%; P < 0.0001), but interaction results showed the protective effect of PA was similar across PA domain and race/ethnicity-except within TPA, where the protective effect was 4% greater among non-Latino whites compared with Latinos (adjusted difference in risk differences 0.04, P = 0.01). CONCLUSIONS: PA policies and programs, beyond LTPA, can be leveraged to reduce diabetes prevalence among all population groups. Future studies are needed to confirm potentially differential effects of transportation-based active living on diabetes prevalence across race/ethnicity.
OBJECTIVE: Leisure-time physical activity (LTPA) has been shown to prevent or delay the development of diabetes. However, little research exists examining how other domains of PA (e.g., occupation based [OPA] and transportation based [TPA]) are associated with diabetes prevalence across diverse racial/ethnic groups. We examined associations between OPA, TPA, and LTPA and diabetes prevalence and whether associations differed by race/ethnicity. RESEARCH DESIGN AND METHODS: Participants in the 2011-2016 National Health and Nutrition Examination Survey (NHANES) self-reported domain-specific PA. Diabetes status was determined by self-reported doctor/health professional-diagnosis of diabetes or a glycosylated hemoglobin (HbA1c) measurement of ≥6.5% (48 mmol/mol). Multivariable log binomial models examined differences in diabetes prevalence by PA level in each domain and total PA among Latinos (n = 3,931), non-Latino whites (n = 6,079), and non-Latino blacks (n = 3,659). RESULTS: Whites reported the highest prevalence of achieving PA guidelines (64.9%), followed by Latinos (61.6%) and non-Latino blacks (60.9%; P < 0.0009). Participants achieving PA guidelines were 19-32% less likely to have diabetes depending on PA domain in adjusted models. Diabetes prevalence was consistently higher among non-Latino blacks (17.1%) and Latinos (14.1%) compared with non-Latino whites (10.7%; P < 0.0001), but interaction results showed the protective effect of PA was similar across PA domain and race/ethnicity-except within TPA, where the protective effect was 4% greater among non-Latino whites compared with Latinos (adjusted difference in risk differences 0.04, P = 0.01). CONCLUSIONS:PA policies and programs, beyond LTPA, can be leveraged to reduce diabetes prevalence among all population groups. Future studies are needed to confirm potentially differential effects of transportation-based active living on diabetes prevalence across race/ethnicity.
Authors: David Berrigan; Richard P Troiano; Timothy McNeel; Charles Disogra; Rachel Ballard-Barbash Journal: Am J Prev Med Date: 2006-09 Impact factor: 5.043
Authors: Barbara E Ainsworth; William L Haskell; Stephen D Herrmann; Nathanael Meckes; David R Bassett; Catrine Tudor-Locke; Jennifer L Greer; Jesse Vezina; Melicia C Whitt-Glover; Arthur S Leon Journal: Med Sci Sports Exerc Date: 2011-08 Impact factor: 5.411
Authors: Sheri R Colberg; Ronald J Sigal; Jane E Yardley; Michael C Riddell; David W Dunstan; Paddy C Dempsey; Edward S Horton; Kristin Castorino; Deborah F Tate Journal: Diabetes Care Date: 2016-11 Impact factor: 19.112
Authors: Richard P Troiano; David Berrigan; Kevin W Dodd; Louise C Mâsse; Timothy Tilert; Margaret McDowell Journal: Med Sci Sports Exerc Date: 2008-01 Impact factor: 5.411
Authors: George A Mensah; Richard S Cooper; Anna Maria Siega-Riz; Lisa A Cooper; Justin D Smith; C Hendricks Brown; John M Westfall; Elizabeth O Ofili; LeShawndra N Price; Sonia Arteaga; Melissa C Green Parker; Cheryl R Nelson; Bradley J Newsome; Nicole Redmond; Rebecca A Roper; Bettina M Beech; Jada L Brooks; Debra Furr-Holden; Samson Y Gebreab; Wayne H Giles; Regina Smith James; Tené T Lewis; Ali H Mokdad; Kari D Moore; Joseph E Ravenell; Al Richmond; Nancy E Schoenberg; Mario Sims; Gopal K Singh; Anne E Sumner; Roberto P Treviño; Karriem S Watson; M Larissa Avilés-Santa; Jared P Reis; Charlotte A Pratt; Michael M Engelgau; David C Goff; Eliseo J Pérez-Stable Journal: Circ Res Date: 2018-01-19 Impact factor: 17.367
Authors: Stéphanie A Prince; Kristi B Adamo; Meghan E Hamel; Jill Hardt; Sarah Connor Gorber; Mark Tremblay Journal: Int J Behav Nutr Phys Act Date: 2008-11-06 Impact factor: 6.457
Authors: Gabriel M Knight; Gabriela Spencer-Bonilla; David M Maahs; Manuel R Blum; Areli Valencia; Bongeka Z Zuma; Priya Prahalad; Ashish Sarraju; Fatima Rodriguez; David Scheinker Journal: BMJ Open Diabetes Res Care Date: 2020-11
Authors: Zixin Zeng; Yuqian Bian; Yiran Cui; Donghui Yang; Yafeng Wang; Chuanhua Yu Journal: Int J Environ Res Public Health Date: 2020-10-25 Impact factor: 3.390