2型糖尿病成年患者的周末战士式身体活动模式与全因死亡率之间的关联：一项基于2007年至2018年美国国家健康与营养检查调查（NHANES）的前瞻性队列研究。
Association between weekend warrior physical activity pattern and all-cause mortality among adults living with type 2 diabetes: a prospective cohort study from NHANES 2007 to 2018.
作者信息
Mahe Jinli, Xu Ao, Liu Li, Hua Lei, Tu Huiming, Huo Yujia, Huang Weiyuan, Liu Xinru, Wang Jian, Tang Jinhao, Zhao Yang, Liu Zhining, Hong Qiaojun, Ye Rong, Hu Panpan, Jia Peng, Huang Junjie, Kong Xiangyi, Ge Zongyuan, Xu Aimin, Wu Longfei, Du Chaopin, Shi Feng, Cui Hanbin, Wang Shengfeng, Li Zhihui, Wang Liang, Zhang Lei, Zhang Lin
机构信息
The School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Suzhou Industrial Park Monash Research Institute of Science and Technology, Monash University, Suzhou, China.
出版信息
Diabetol Metab Syndr. 2024 Sep 12;16(1):226. doi: 10.1186/s13098-024-01455-0.
BACKGROUND
It is uncertain whether the weekend warrior pattern is associated with all-cause mortality among adults living with type 2 diabetes. This study explored how the 'weekend warrior' physical activity (PA) pattern was associated with all-cause mortality among adults living with type 2 diabetes.
METHODS
This prospective cohort study investigated US adults living with type 2 diabetes in the National Health and Nutrition Examination Survey (NHANES). Mortality data was linked to the National Death Index. Based on self-reported leisure-time and occupational moderate-to-vigorous PA (MVPA), participants were categorized into 3 groups: physically inactive (< 150 min/week of MVPA), weekend warrior (≥ 150 min/week of MVPA in 1 or 2 sessions), and physically active (≥ 150 min/week of MVPA in 3 or more sessions).
RESULTS
A total of 6067 participants living with type 2 diabetes [mean (SD) age, 61.4 (13.5) years; 48.0% females] were followed for a median of 6.1 years, during which 1206 deaths were recorded. Of leisure-time and occupational activity, compared with inactive individuals, hazard ratios (HRs) for all-cause mortality were 0.49 (95% CI 0.26-0.91) and 0.57 (95% CI 0.38-0.85) for weekend warrior individuals, and 0.55 (95% CI 0.45-0.67) and 0.64 (95% CI 0.53-0.76) for regularly active individuals, respectively. However, when compared leisure-time and occupational weekend warrior with regularly active participants, the HRs were 0.82 (95% CI 0.42-1.61) and 1.00 (95% CI 0.64-1.56) for all-cause mortality, respectively.
CONCLUSIONS
Weekend warrior PA pattern may have similar effects on lowering all-cause mortality as regularly active pattern among adults living with type 2 diabetes, regardless of leisure-time or occupational activity. Therefore, weekend warrior PA pattern may be sufficient to reduce all-cause mortality for adults living with type 2 diabetes.
背景
周末战士式的运动模式与2型糖尿病成年患者的全因死亡率之间是否存在关联尚不确定。本研究探讨了“周末战士”身体活动（PA）模式与2型糖尿病成年患者全因死亡率之间的关联。
方法
这项前瞻性队列研究调查了美国国家健康与营养检查调查（NHANES）中的2型糖尿病成年患者。死亡率数据与国家死亡指数相关联。根据自我报告的休闲时间和职业中度至剧烈身体活动（MVPA），参与者被分为3组：身体不活跃（每周MVPA<150分钟）、周末战士（每周1或2次，MVPA≥150分钟）和身体活跃（每周3次或更多次，MVPA≥150分钟）。
结果
共有6067名2型糖尿病患者[平均（标准差）年龄，61.4（13.5）岁；48.0%为女性]被随访了6.1年，在此期间记录了1206例死亡。在休闲时间和职业活动方面，与不活跃个体相比，周末战士个体全因死亡率的风险比（HR）分别为0.49（95%CI 0.26-0.91）和0.57（95%CI 0.38-0.85），经常活跃个体的HR分别为0.55（95%CI 0.45-0.67）和0.64（95%CI 0.53-0.76）。然而，将休闲时间和职业周末战士与经常活跃的参与者进行比较时，全因死亡率的HR分别为0.82（95%CI 0.42-1.61）和1.00（95%CI 0.64-1.56）。
结论
无论休闲时间或职业活动如何，周末战士式的PA模式在降低2型糖尿病成年患者全因死亡率方面可能与经常活跃的模式具有相似的效果。因此，周末战士式的PA模式可能足以降低2型糖尿病成年患者的全因死亡率。
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