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. 2020 Oct 25;17(21):7803.
doi: 10.3390/ijerph17217803.

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Zixin Zeng  1 , Yuqian Bian  2 , Yiran Cui  1 , Donghui Yang  1 , Yafeng Wang  1 , Chuanhua Yu  1
Affiliations

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Zixin Zeng et al. Int J Environ Res Public Health. .

Abstract

Background: Diabetes and physical inactivity are prevalent worldwide. Risk of diabetes is known to be related with insufficient physical activity (PA), but associations with the respective dimensions of PA is unclear. Objective: To describe the patterns of physical activity among Chinese middle- and older-aged individuals and figure out their associations with diabetes risk in different dimensions. Methods: Extracting self-reported data from China Health and Retirement Longitudinal Study (CHARLS, 2015), this study included 6196 participants. Multivariate logistic regression was conducted to determine the association between diabetes risk and PA dimensions such as intensity, frequency, duration, and volume. Results: Concerning frequency, lower diabetes risk was associated with performing vigorous PA at any frequency overall. For duration, smaller odds of diabetes were observed in performing vigorous PA 2-4 h/day (OR 0.46, 95%CI 0.30 to 0.71), moderate PA ≥4 h/day (OR 0.59, 95%CI 0.42 to 0.82) and light PA ≥4 h/day (OR 0.59, 95%CI 0.41 to 0.85) overall. For volume, lower diabetes risk was associated with performing moderate-to-vigorous PA (MVPA) ≥2250 METs/week (OR 0.58, 95%CI 0.42 to 0.81) in middle-aged group (45-64 years), whereas no significant associations between MVPA and diabetes risk were found in older aged group (≥65 years). Conclusions: Our results revealed that physical inactivity is prevalent in China, with a greater proportion in the diabetes group. Lower risk of diabetes was associated with higher frequency, longer duration and longer volume of PA at higher intensity in middle-aged respondents and similar associations at lower intensity for the older adults. Additionally, further well-designed prospective studies are needed to confirm our findings.

Keywords: diabetes risk; middle- and older-aged individuals; physical activity.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Volume of VPA (a), MPA (b), LPA (c) and MVPA (d) in diabetic and non-diabetic participants.
Figure 1
Figure 1
Volume of VPA (a), MPA (b), LPA (c) and MVPA (d) in diabetic and non-diabetic participants.
Figure 2
Figure 2
Frequency of VPA (a), MPA (b) and LPA (c) in diabetic and non-diabetic participants.
Figure 2
Figure 2
Frequency of VPA (a), MPA (b) and LPA (c) in diabetic and non-diabetic participants.
Figure 3
Figure 3
Duration of VPA (a), MPA (b) and LPA (c) in diabetic and non-diabetic participants.
See this image and copyright information in PMC

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