医学
危险系数
糖尿病
内科学
比例危险模型
2型糖尿病
2型糖尿病
人口
队列研究
队列
置信区间
久坐的生活习惯
前瞻性队列研究
死因
疾病
内分泌学
肥胖
环境卫生
作者
Jie Lu,Xiting Cao,Xinyu Chang,Guowei Zheng,Hao Zhu,Shuaijie Gao,Zhenwei Wang,Xiaocan Jia,Xuezhong Shi,Yongli Yang
标识
DOI:10.1016/j.pcd.2023.11.010
摘要
Abstract
Aims
To investigate the dose-response association between physical activity and all-cause and cardiovascular mortality in adults with type 2 diabetes mellitus and the effects of replacing sedentary behavior with physical activity. Methods
4808 adults with type 2 diabetes mellitus were included in NHANES 2007–2018. Cox proportional hazards models were used to calculate hazard ratios and 95% confidence intervals. Isotemporal substitution analyses were further to determine the possible benefit of replacing sedentary time. Results
During a median follow-up of 6.58 years, 902 deaths occurred, including 290 deaths from cardiovascular disease. Compared with the inactive group, the low-active and high-active groups were associated with declined risks of all-cause mortality [HRs (95% CIs) 0.64 (0.50, 0.83); 0.60 (0.50, 0.73), respectively] and cardiovascular mortality [0.50 (0.29, 0.88); 0.54 (0.39, 0.76)), respectively]. Dose-response analysis showed a significant U-shaped curve between physical activity and all-cause and cardiovascular mortality. Replacing 30 min/day of sedentary time with physical activity was substantially linked to a reduced risk of 8–32% mortality. Conclusion
A high level of PA of 40.52 and 31.66 MET-h/week was respectively related to the lowest risk of all-cause and cardiovascular mortality. Replacing sedentary time with physical activity could benefit the type 2 diabetes mellitus population.
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