Physical Fitness Tests and Type 2 Diabetes Among Japanese: A Longitudinal Study From the Niigata Wellness Study.


Journal

Journal of epidemiology
ISSN: 1349-9092
Titre abrégé: J Epidemiol
Pays: Japan
ID NLM: 9607688

Informations de publication

Date de publication:
05 Apr 2019
Historique:
pubmed: 31 7 2018
medline: 17 5 2019
entrez: 31 7 2018
Statut: ppublish

Résumé

Simple physical fitness test can be a useful potential predictor of type 2 diabetes (T2DM). We examined the association between performances on simple physical fitness tests and the incidence of T2DM. This longitudinal study was conducted in 21,802 nondiabetic Japanese (6,649 women) aged 20 to 92 years, who underwent all physical fitness tests at baseline (April 2001 to March 2002). From April 2001 to March 2008, physical fitness tests, including grip strength, vertical jump, single-leg balance with eyes closed, forward bending, whole-body reaction time, and supine legs-up, were performed every year. Participants had physical fitness tests at least two times during the period. T2DM was also annually determined based on fasting blood glucose, glycated hemoglobin, and self-reported diabetes during the period. Discrete-time logit models were used to examine the influence of the serial level of each physical fitness test on the incidence of T2DM. During the entire study period, 972 participants developed diabetes. Lower relative grip strength (grip strength/body weight) and single-leg balance performance were associated with a higher incidence of T2DM. For relative grip strength, as compared with the fourth quartile group, the odds ratios for other groups ranged from 1.16 to 1.56 (P for trend < 0.001). For single-leg balance, the odds ratios ranged from 1.03 to 1.49 (P for trend < 0.001). The performance of a simple single-leg balance test as well as that of a grip strength test were negatively associated with the risk of T2DM among Japanese.

Sections du résumé

BACKGROUND BACKGROUND
Simple physical fitness test can be a useful potential predictor of type 2 diabetes (T2DM). We examined the association between performances on simple physical fitness tests and the incidence of T2DM.
METHODS METHODS
This longitudinal study was conducted in 21,802 nondiabetic Japanese (6,649 women) aged 20 to 92 years, who underwent all physical fitness tests at baseline (April 2001 to March 2002). From April 2001 to March 2008, physical fitness tests, including grip strength, vertical jump, single-leg balance with eyes closed, forward bending, whole-body reaction time, and supine legs-up, were performed every year. Participants had physical fitness tests at least two times during the period. T2DM was also annually determined based on fasting blood glucose, glycated hemoglobin, and self-reported diabetes during the period. Discrete-time logit models were used to examine the influence of the serial level of each physical fitness test on the incidence of T2DM.
RESULTS RESULTS
During the entire study period, 972 participants developed diabetes. Lower relative grip strength (grip strength/body weight) and single-leg balance performance were associated with a higher incidence of T2DM. For relative grip strength, as compared with the fourth quartile group, the odds ratios for other groups ranged from 1.16 to 1.56 (P for trend < 0.001). For single-leg balance, the odds ratios ranged from 1.03 to 1.49 (P for trend < 0.001).
CONCLUSION CONCLUSIONS
The performance of a simple single-leg balance test as well as that of a grip strength test were negatively associated with the risk of T2DM among Japanese.

Identifiants

pubmed: 30058613
doi: 10.2188/jea.JE20170280
pmc: PMC6414803
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

139-146

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Auteurs

Haruki Momma (H)

Division of Biomedical Engineering for Health and Welfare, Tohoku University Graduate School of Biomedical Engineering.
Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition.
Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine.

Susumu S Sawada (SS)

Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition.

Kiminori Kato (K)

Department of Laboratory Medicine and Clinical Epidemiology for Prevention of Noncommunicable Diseases, Niigata University Graduate School of Medical and Dental Sciences.

Yuko Gando (Y)

Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition.

Ryoko Kawakami (R)

Faculty of Sport Sciences, Waseda University.

Motohiko Miyachi (M)

Department of Health Promotion and Exercise, National Institutes of Biomedical Innovation, Health and Nutrition.

Cong Huang (C)

Department of Physical Education and Sports Science, Zhejiang University.
Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine.

Ryoichi Nagatomi (R)

Division of Biomedical Engineering for Health and Welfare, Tohoku University Graduate School of Biomedical Engineering.
Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine.

Minoru Tashiro (M)

Niigata Association of Occupational Health.

Masahiro Ishizawa (M)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine.

Satoru Kodama (S)

Department of Laboratory Medicine and Clinical Epidemiology for Prevention of Noncommunicable Diseases, Niigata University Graduate School of Medical and Dental Sciences.

Midori Iwanaga (M)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine.

Kazuya Fujihara (K)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine.

Hirohito Sone (H)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine.

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