Type 2 & other diabetes

Association of Longitudinal Activity Measures and Diabetes Risk: An Analysis From the National Institutes of Health All of Us Research Program

J Clin Endocrinol MetabPublished Prospective cohort study

Main finding · Hazard of incident diabetesResult — go to the resultReduction in hazard 44% 95% CI 15%–63%

Authors' conclusion

Greater time in any type of physical activity intensity was associated with lower risk of T2DM irrespective of age, sex, BMI, or sedentary time.

Study context

Population
All of Us Research Program participants with personal Fitbit accelerometer data; median age 51 years, 74% female, 89% White; 2010 to 202197 (2%) incident T2D cases
Participants
5,677 participants
Exposure
Average daily step count of 10 700 vs 6000
Outcome
Incident T2D
Follow-up
Median 3.8 years
Methodological detailstime-varying Cox proportional hazards models with repeated measures of physical activity, commercial wearable device (Fitbit) data linked to electronic health records
  • Time-varying Cox proportional hazards models with repeated measures of physical activity
  • Commercial wearable device (Fitbit) data linked to electronic health records

Main finding

Hazard of incident diabetes

Reduction in hazard

44%

95% CI 15%–63%

P = 0.01

As reported in the abstract

Observational data: associations, not effects.

Further findings

Average duration of activity intensities (lightly, fairly, very active)

Similar benefits seen comparing groups by average duration of various activity intensities

Effect modification by age, sex, body mass index (BMI) or sedentary time

No evidence for effect modification by age, sex, BMI, or sedentary time

Original publication

Association of Longitudinal Activity Measures and Diabetes Risk: An Analysis From the National Institutes of Health All of Us Research Program. J Clin Endocrinol Metab. Published 2 December 2022. doi:10.1210/clinem/dgac695

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