Zhou Jianfan, Yin Shuting, Du Litao, Xue Xiangli, He Qiang, Zhao Na, Chen Si, Zhang Xianliang
School of Physical Education, Shandong University, 17922 Jingshi Road, Lixia District, Jinan 250061, China.
School of Sports and Health, Shandong Sport University, 10600 Century Avenue, Licheng District, Jinan 250102, China.
Nutrients. 2024 Dec 27;17(1):47. doi: 10.3390/nu17010047.
This study aims to explore the independent and combined associations of physical activity (PA) in different domains and inflammatory diet with type 2 diabetes mellitus (T2DM).
Data from 8736 American adults from the NHANES 2007-2016 were used. PA in different domains was assessed using the self-reported Global Physical Activity Questionnaire, and dietary inflammatory index was estimated based on 24 h dietary recalls. T2DM diagnosis was determined by a combination of self-report and laboratory data. A multivariate modified Poisson regression model was used to explore the independent and combined associations of moderate-vigorous intensity physical activity (MVPA) and inflammatory diet with T2DM.
PA in the Work MVPA, Recreational MVPA and Total MVPA domains was independently associated with reduced risk of T2DM, and an inflammatory diet was independently associated with elevated risk of T2DM. In the combined analysis, the combination of active and anti-inflammatory within the Work MVPA, Recreational MVPA and Total MVPA fields was associated with the greatest reduced risk of T2DM, and always associated with decreased risk of T2DM in the active group.
Our study emphasizes that the combination of active PA and anti-inflammatory diet is closely associated with the reduced risk of T2DM, and suggests the combination of both for the prevention and treatment of T2DM.
本研究旨在探讨不同领域的体力活动（PA）及炎性饮食与2型糖尿病（T2DM）之间的独立关联和联合关联。
使用了来自2007 - 2016年美国国家健康与营养检查调查（NHANES）的8736名美国成年人的数据。使用自我报告的全球体力活动问卷评估不同领域的PA，并根据24小时饮食回忆估算饮食炎性指数。T2DM诊断通过自我报告和实验室数据相结合来确定。采用多变量修正泊松回归模型探讨中等强度至高强度体力活动（MVPA）和炎性饮食与T2DM之间的独立关联和联合关联。
工作领域MVPA、休闲领域MVPA和总MVPA与T2DM风险降低独立相关，而炎性饮食与T2DM风险升高独立相关。在联合分析中，工作领域MVPA、休闲领域MVPA和总MVPA范围内的积极活动与抗炎饮食的组合与T2DM风险降低幅度最大相关，并且在积极活动组中始终与T2DM风险降低相关。
我们的研究强调，积极的体力活动与抗炎饮食的组合与T2DM风险降低密切相关，并建议二者结合用于T2DM的预防和治疗。
