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Cardiovascular and Metabolic Risk

Physical Activity and Metabolic Risk in Individuals With a Family History of Type 2 Diabetes

  1. Ulf Ekelund, PHD1,
  2. Simon J. Griffin, DM1,
  3. Nicholas J. Wareham, MD, PHD1 and
  4. on behalf of the ProActive Research Group
  1. Medical Research Council Epidemiology Unit, Cambridge, U.K.
  1. Address correspondence and reprint requests to Ulf Ekelund, MRC Epidemiology Unit, Elsie Widdowson Laboratory, Fulbourn Road, CB1 9NL, Cambridge, U.K. E-mail: ulf.ekelund{at}mrc-epid.cam.ac.uk
Diabetes Care 2007 Feb; 30(2): 337-342. https://doi.org/10.2337/dc06-1883
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    Figure 1—

    Clustered metabolic risk score stratified by quartiles of the total amount of activity (counts · day−1 × 1,000) by accelerometry in sedentary, overweight, middle-aged men and women at high risk of developing diabetes (n = 258). Data are adjusted for sex, age, and monitoring time (P for trend = 0.02).

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  • Table 1—

    Descriptive characteristics of participants

    MenWomenP value by ANOVA
    n103155
    Age (years)40.9 ± 6.440.7 ± 6.4NS
    Weight (kg)90.4 ± 16.473.7 ± 14.4<0.0001
    Height (m)1.78 ± 0.071.64 ± 0.06<0.0001
    BMI (kg/m2)28.4 ± 4.627.4 ± 5.1NS
    Fat mass (kg)22.5 ± 9.426.6 ± 10.00.01
    FFM (kg)67.9 ± 8.747.1 ± 6.2<0.0001
    Waist (cm)101.4 ± 12.088.1 ± 11.8<0.0001
    Systolic blood pressure (mmHg)127.3 ± 11.2120.8 ± 13.6<0.0001
    Diastolic blood pressure (mmHg)81.9 ± 8.876.2 ± 9.3<0.0001
    Fasting insulin (mmol · l−1)55.7 (50.2–61.8)46.5 (43.4–49.8)0.02
    Fasting glucose (mmol · l−1)5.10 ± 0.864.78 ± 0.52<0.0001
    Triglycerides (mmol · l−1)1.45 (1.31–1.61)1.05 (0.98–1.11)<0.0001
    HDL (mmol · l−1)1.22 ± 0.321.57 ± 0.38<0.0001
    Vo2max (ml·FFM · min−1)59.6 ± 11.157.8 ± 10.4NS
    Time sedentary (min · day−1)442 ± 97419 ± 770.03
    Time light (min · day−1)309 ± 80320 ± 68NS
    Time moderate and vigorous (min · day−1)30 ± 1824 ± 160.003
    No. of 5-min bouts of MVPA0.9 ± 0.90.8 ± 0.9NS
    No. of 10-min bouts of MVPA0.3 ± 0.50.2 ± 0.4NS
    Total counts (× 1,000 · day−1)283 ± 104264 ± 98NS
    • Data are means ± SD or geometric mean (95% CI). n = 258.

  • Table 2—

    Independent associations of patterns of physical activity from accelerometry and intermediary phenotypic risk factors and clustered metabolic risk in middle-aged adults with a family history of type 2 diabetes

    OutcomeSedentaryP valueLightP valueMVPAP valueTotal countsP valueFitnessP value
    Waist (cm)0.04 (−0.07 to 0.14)0.510.03 (−0.08 to 0.13)0.63−0.10 (−0.21 to 0.01)0.07−0.09 (−0.20 to 0.01)0.090.005 (−0.003 to 0.013)0.21
    Blood pressure0.02 (−0.09 to 0.12)0.77−0.02 (−0.12 to 0.09)0.75−0.03 (−0.14 to 0.07)0.53−0.03 (−0.14 to 0.08)0.59−0.005 (−0.1 to 0.002)0.17
    Insulin (mol · l−1)0.10 (0.001–0.19)0.049−0.06 (−0.18 to 0.07)0.40−0.12 (−0.21 to −0.02)0.02−0.14 (−0.23 to −0.04)0.005−0.01 (−0.02 to −0.004)0.003
    Glucose (mmol · l−1)−0.02 (−0.13 to 0.09)0.730.03 (−0.08 to 0.14)0.600.05 (−0.06 to 0.16)0.370.002 (−0.11 to 0.11)0.97−0.003 (−0.01 to 0.005)0.50
    Triglycerides (mmol · l−1)0.08 (−0.04 to 0.20)0.20−0.12 (−0.23 to −0.001)0.03−0.06 (−0.18 to 0.05)0.27−0.12 (−0.23 to −0.003)0.04−0.004 (−0.01 to 0.004)0.30
    Inverted HDL (mmol · l−1)0.10 (−0.01 to 0.21)0.08−0.06 (−0.17 to 0.05)0.28−0.07 (−0.17 to 0.03)0.17−0.11 (−0.20 to −0.001)0.030.002 (−0.005 to 0.009)0.56
    Sum Z scores0.07 (−0.01 to 0.14)0.10−0.03 (−0.12 to 0.05)0.40−0.09 (−0.17 to −0.008)0.03−0.12 (−0.20 to −0.04)0.004−0.003 (−0.007 to 0.001)0.09
    • Data are standardized β-coefficients (95% CI). n = 258. Data on insulin and triglycerides are log transformed. Data are adjusted for sex and age. Data on total counts from accelerometry are additionally adjusted for monitoring time. All subcomponents except waist circumference are additionally adjusted for waist circumference.

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Physical Activity and Metabolic Risk in Individuals With a Family History of Type 2 Diabetes
Ulf Ekelund, Simon J. Griffin, Nicholas J. Wareham
Diabetes Care Feb 2007, 30 (2) 337-342; DOI: 10.2337/dc06-1883

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Physical Activity and Metabolic Risk in Individuals With a Family History of Type 2 Diabetes
Ulf Ekelund, Simon J. Griffin, Nicholas J. Wareham
Diabetes Care Feb 2007, 30 (2) 337-342; DOI: 10.2337/dc06-1883
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