Benefits of leisure-related physical activity and association between sedentary time and risk for hypertension and type 2 diabetes

被引:0
|
作者
Koh, Yen Sin [1 ,6 ]
Asharani, P., V [1 ]
Devi, Fiona [1 ]
Roystonn, Kumarasan [1 ]
Wang, Peizhi [1 ]
Abdin, Edimansyah [1 ]
Sum, Chee Fang [2 ]
Lee, Eng Sing [3 ,4 ]
Chong, Siow Ann [1 ]
Subramaniam, Mythily [1 ,5 ]
机构
[1] Inst Mental Hlth, Res Div, Singapore, Singapore
[2] Khoo Teck Puat Hosp, Admiralty Med Ctr, Singapore, Singapore
[3] Natl Healthcare Grp Polyclin, Clin Res Unit, Singapore, Singapore
[4] Nanyang Technol Univ, Lee Kong Chian Sch Med, Singapore, Singapore
[5] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
[6] Inst Mental Hlth, Res Div, 10 Buangkok View,Med Pk, Singapore 539747, Singapore
基金
英国医学研究理事会;
关键词
Active lifestyle; domain -specific physical activity; global physical activity questionnaire; CHRONIC DISEASES; EXERCISE;
D O I
10.47102/annals-acadmedsg.2022399
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Lifestyle modifications can reduce the risk of type 2 diabetes mellitus (T2DM) and hypertension. Our study investigated whether domain-specific physical activity (such as work, transport and leisure) and sedentary behaviour were associated with T2DM and hypertension, and whether these associations were moderated by sex and age. Method: For this cross-sectional study, data were obtained from a population survey in Singapore (n=2,867) conducted from February 2019 to March 2020. T2DM and hypertension were self-reported. Global physical activity questionnaire was used to assess domain-specific physical activity (in metabolic equivalent of task [MET]-minutes) and sedentary time (in hours). Logistic regression models were generated to examine the abovementioned associations, and adjusted for age, sex, education, ethnicity, personal income, body mass index, diet and hypertension/diabetes. Interaction terms were included individually to investigate whether age and sex moderated the associations. Results: Individuals with >826 MET-minutes of leisure-related physical activity per week had lower odds of having T2DM (odds ratio [OR] 0.46, 95% confidence interval [CI] 0.24-0.86) and hypertension (OR 0.59, 95% CI 0.37-0.94) than those with no leisure-related physical activity. Individuals with >8 hours of sedentary time daily had higher odds of having hypertension (OR 1.69, 95% CI 1.06-2.69) than those with 0-5 hours of sedentary time. Logistic regression models including interaction terms showed that the association between leisure-related physical activity and hypertension was significant for those aged 18-34 (OR 0.15, 95% CI 0.03-0.66) and 50-64 years (OR 0.44, 95% CI 0.21-0.91). The association between sedentary time and hypertension was significant for those aged 18-34 years (OR 15.07, 95% CI 1.69-133.92). Conclusion: Our results support the widespread promotion of an active lifestyle to lower the prevalence of diabetes and hypertension in Singapore.
引用
收藏
页码:172 / 181
页数:10
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