Physical activity and television watching in relation to risk of type 2 diabetes: the Black Women's Health Study

Am J Epidemiol. 2009 Feb 15;169(4):428-34. doi: 10.1093/aje/kwn344. Epub 2008 Dec 4.

Abstract

Few modifiable risk factors for type 2 diabetes have been documented in the high-risk population of US black women. The authors used data from 45,668 black women aged 21-69 years, followed biennially from 1995 to 2005 in the Black Women's Health Study, to estimate incidence rate ratios for type 2 diabetes comparing various levels of physical activity and television watching. Cox proportional hazards models were used to control confounding factors. During 10 years of follow-up, 2,928 incident cases of type 2 diabetes were identified. Vigorous activity was inversely associated with type 2 diabetes risk (P(trend)<0.0001); the incidence rate ratio for >or= 7 hours per week was 0.43 (95% confidence interval (CI): 0.31, 0.59) relative to no activity. Brisk walking for >or= 5 hours per week was associated with reduced type 2 diabetes risk (incidence rate ratio=0.67, 95% CI: 0.49, 0.92) relative to no walking. Television watching was associated with an increased type 2 diabetes risk: The incidence rate ratio was 1.86 (95% CI: 1.54, 2.24) for >or= 5 hours relative to <1 hour of television per day, independent of physical activity. These observational data suggest that black women might reduce their risk of developing type 2 diabetes by increasing their time spent walking or engaged in vigorous physical activity and by limiting television watching.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • African Americans / psychology
  • African Americans / statistics & numerical data*
  • Aged
  • Body Mass Index
  • Cohort Studies
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / prevention & control
  • Exercise
  • Female
  • Health Behavior / ethnology
  • Humans
  • Incidence
  • Leisure Activities / psychology
  • Middle Aged
  • Monitoring, Ambulatory / methods
  • Motor Activity* / physiology
  • Proportional Hazards Models
  • Risk Factors
  • Surveys and Questionnaires
  • Television / statistics & numerical data*
  • United States / epidemiology
  • Walking* / physiology
  • Walking* / statistics & numerical data
  • Women's Health
  • Young Adult