Association between Walking Pace and Diabetes: Findings from the Chilean National Health Survey 2016-2017.
Chile (MeSH)
diabetes mellitus
glucose
glycosylated haemoglobin A
health surveys
walking pace
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
24 07 2020
24 07 2020
Historique:
received:
23
02
2020
revised:
26
04
2020
accepted:
27
04
2020
entrez:
30
7
2020
pubmed:
30
7
2020
medline:
2
12
2020
Statut:
epublish
Résumé
Walking pace is a well-known indicator of physical capability, but it is also a strong predictor of type 2 diabetes (T2D). However, there is a lack of evidence on the association between walking pace and T2D, specifically, within developing countries such as Chile. To investigate the association between self-reported walking pace and T2D in the Chilean adult population. 5520 Chilean participants (aged 15 to 90 years, 52.1% women) from the Chilean National Health Survey 2016-2017 were included in this cross-sectional study. Both walking pace (slow, average, and brisk) and diabetes data were collected through self-reported methods. Fasting blood glucose (reported in mg/dl) and glycosylated haemoglobin A (HbA1c) scores were determined via blood exams. In the unadjusted model, and compared to people who reported a slow walking pace, those with average and brisk walking pace had lower blood glucose levels (β = -7.74 mg/dL (95% CI: -11.08 to -4.40) and β = -11.05 mg/dL (95% CI: -14.36 to -7.75), respectively) and lower HbA1c (β = -0.34% (95% CI: -0.57 to -0.11) and β= -0.72% (95% CI: -0.94 to -0.49)), respectively. After adjusting for sociodemographic, Body Mass Index and lifestyle factors, the association between glycaemia and HbA1c remained only for brisk walkers. Both the average and brisk walker categories had lower odds of T2D (OR: 0.59 (95% CI: 0.41 to 0.84) and (OR 0.48 (95% CI: 0.30 to 0.79), respectively). Brisk walkers were associated with lower blood glucose and HbA1c levels. Moreover, average to brisk walking pace also showed a lower risk for T2D.
Sections du résumé
BACKGROUND
Walking pace is a well-known indicator of physical capability, but it is also a strong predictor of type 2 diabetes (T2D). However, there is a lack of evidence on the association between walking pace and T2D, specifically, within developing countries such as Chile.
AIM
To investigate the association between self-reported walking pace and T2D in the Chilean adult population.
METHODS
5520 Chilean participants (aged 15 to 90 years, 52.1% women) from the Chilean National Health Survey 2016-2017 were included in this cross-sectional study. Both walking pace (slow, average, and brisk) and diabetes data were collected through self-reported methods. Fasting blood glucose (reported in mg/dl) and glycosylated haemoglobin A (HbA1c) scores were determined via blood exams.
RESULTS
In the unadjusted model, and compared to people who reported a slow walking pace, those with average and brisk walking pace had lower blood glucose levels (β = -7.74 mg/dL (95% CI: -11.08 to -4.40) and β = -11.05 mg/dL (95% CI: -14.36 to -7.75), respectively) and lower HbA1c (β = -0.34% (95% CI: -0.57 to -0.11) and β= -0.72% (95% CI: -0.94 to -0.49)), respectively. After adjusting for sociodemographic, Body Mass Index and lifestyle factors, the association between glycaemia and HbA1c remained only for brisk walkers. Both the average and brisk walker categories had lower odds of T2D (OR: 0.59 (95% CI: 0.41 to 0.84) and (OR 0.48 (95% CI: 0.30 to 0.79), respectively).
CONCLUSION
Brisk walkers were associated with lower blood glucose and HbA1c levels. Moreover, average to brisk walking pace also showed a lower risk for T2D.
Identifiants
pubmed: 32722215
pii: ijerph17155341
doi: 10.3390/ijerph17155341
pmc: PMC7432405
pii:
doi:
Substances chimiques
Blood Glucose
0
Glycated Hemoglobin A
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
Ann Rehabil Med. 2017 Feb;41(1):72-79
pubmed: 28289638
Nutr Hosp. 2018 Mar 01;35(2):400-407
pubmed: 29756975
Br J Sports Med. 2018 Jun;52(12):761-768
pubmed: 29858463
J Gerontol A Biol Sci Med Sci. 2017 Feb;72(2):266-270
pubmed: 27927757
Psychogeriatrics. 2016 May;16(3):165-71
pubmed: 26114989
Eur J Epidemiol. 2015 Jul;30(7):529-42
pubmed: 26092138
PLoS One. 2014 Oct 17;9(10):e109767
pubmed: 25329391
J Public Health (Oxf). 2016 Jun;38(2):e98-e105
pubmed: 26112281
Patient Educ Couns. 2002 May;47(1):23-8
pubmed: 12023097
Diabetes Care. 2004 May;27(5):1047-53
pubmed: 15111519
Eur J Prev Cardiol. 2020 Jul;27(10):1036-1044
pubmed: 31698963
Rev Med Chil. 2008 Aug;136(8):1056-64
pubmed: 18949192
J Nutr Health Aging. 2009 Dec;13(10):881-9
pubmed: 19924348
Lancet. 2015 Aug 8;386(9993):533-40
pubmed: 26049253
Nutr Hosp. 2019 Mar 07;36(1):149-158
pubmed: 30834756
Rev Peru Med Exp Salud Publica. 2017 Oct-Dec;34(4):619-626
pubmed: 29364417
Rev Med Chil. 2010 Sep;138(9):1124-30
pubmed: 21249280
Med Sci Sports Exerc. 2019 Mar;51(3):472-480
pubmed: 30303933
JAMA Netw Open. 2019 Oct 2;2(10):e1912352
pubmed: 31577355
Arch Gerontol Geriatr. 2018 Jan;74:77-82
pubmed: 29040888
Atherosclerosis. 2019 Oct;289:51-56
pubmed: 31450014
J Strength Cond Res. 2017 Nov;31(11):3235-3244
pubmed: 29065080
Int J Environ Res Public Health. 2019 Apr 27;16(9):
pubmed: 31035553
J Geriatr Oncol. 2015 Nov;6(6):484-96
pubmed: 26362356
Diabetes Care. 2016 Nov;39(11):2065-2079
pubmed: 27926890
J Am Geriatr Soc. 2015 Jun;63(6):1129-36
pubmed: 26096387
J Phys Act Health. 2012 Jul;9(5):698-705
pubmed: 22733873
Diabetes Care. 2012 Aug;35(8):1672-9
pubmed: 22596176
BMJ. 2018 Mar 23;360:k1046
pubmed: 29572376
Med Sci Sports Exerc. 2014;46(5):933-9
pubmed: 24968127
Eur Heart J. 2017 Nov 14;38(43):3232-3240
pubmed: 29020281
Diabetes Care. 2005 Jun;28(6):1503-4
pubmed: 15920080
Diabetes Care. 2007 Mar;30(3):744-52
pubmed: 17327354
J Gerontol A Biol Sci Med Sci. 2013 Jan;68(1):39-46
pubmed: 22923430
World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253
pubmed: 11234459
J Am Geriatr Soc. 2013 May;61(5):769-75
pubmed: 23617584