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Joint associations of physical activity and hypertension with the development of type 2 diabetes among urban men and women in Mainland China.

BACKGROUNDPhysical activity (PA) and hypertension (HTN) are important influences on the development of type 2 diabetes (T2D). However, the joint impact of PA and HTN on T2D development is unknown. METHODSTwo community-based prospective cohort studies, with the same protocols, instruments and questio... Full description

Journal Title: PloS one 2014, Vol.9(2), p.e88719
Main Author: Xu, Fei
Other Authors: Ware, Robert S , Tse, Lap Ah , Wang, Youfa , Wang, Zhiyong , Hong, Xin , Chan, Emily Ying Yang , Dunstan, David W , Owen, Neville
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1932-6203 ; DOI: 1932-6203 ; DOI: 10.1371/journal.pone.0088719
Link: http://search.proquest.com/docview/1500683325/?pq-origsite=primo
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title: Joint associations of physical activity and hypertension with the development of type 2 diabetes among urban men and women in Mainland China.
format: Article
creator:
  • Xu, Fei
  • Ware, Robert S
  • Tse, Lap Ah
  • Wang, Youfa
  • Wang, Zhiyong
  • Hong, Xin
  • Chan, Emily Ying Yang
  • Dunstan, David W
  • Owen, Neville
subjects:
  • Adult–Metabolism
  • Blood Glucose–Epidemiology
  • Blood Pressure–Blood
  • China–Epidemiology
  • Diabetes Mellitus, Type 2–Physiopathology
  • Fasting–Prevention & Control
  • Female–Blood
  • Humans–Physiopathology
  • Hypertension–Physiology
  • Incidence–Physiology
  • Male–Physiology
  • Middle Aged–Physiology
  • Motor Activity–Physiology
  • Prospective Studies–Physiology
  • Blood Glucose
ispartof: PloS one, 2014, Vol.9(2), p.e88719
description: BACKGROUNDPhysical activity (PA) and hypertension (HTN) are important influences on the development of type 2 diabetes (T2D). However, the joint impact of PA and HTN on T2D development is unknown. METHODSTwo community-based prospective cohort studies, with the same protocols, instruments and questionnaires, were conducted among adults in urban areas of Nanjing, China, during 2004-2007 and 2007-2010. T2D was defined using World Health Organization criteria based on physicians' diagnosis and fasting blood glucose concentration. PA level (sufficient/insufficient) and blood pressure status (hypertensive/normotensive) were assessed at baseline and the third year of follow-up. We pooled and analyzed data from these two studies. RESULTSAmong 4550 participants aged 35 years or older, the three-year cumulative incidence of T2D was 5.1%. After adjusting for potential confounders, participants with sufficient PA were less likely to develop T2D than those with insufficient PA (OR = 0.43, 95%CI = 0.27, 0.68) and those who were normotensive were less likely to develop T2D than those who were hypertensive (OR = 0.39, 95%CI = 0.29, 0.51). Compared to participants with insufficient PA and who were hypertensive, those with sufficient PA and hypertension were at lower risk of developing T2D (OR = 0.36, 95%CI = 0.19, 0.69), as were those with insufficient PA who were normotensive (OR = 0.37, 95%CI = 0.28, 0.50) and those with sufficient PA who were normotensive (OR = 0.19, 95%CI = 0.10, 0.37). CONCLUSIONSInsufficient PA was found to be associated with the development of T2D among adults with and without hypertension. These findings support a role for promoting higher physical activity levels to lower T2D risk in both hypertensive and non-hypertensive individuals.
language: eng
source:
identifier: E-ISSN: 1932-6203 ; DOI: 1932-6203 ; DOI: 10.1371/journal.pone.0088719
fulltext: fulltext
issn:
  • 19326203
  • 1932-6203
url: Link


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titleJoint associations of physical activity and hypertension with the development of type 2 diabetes among urban men and women in Mainland China.
creatorXu, Fei ; Ware, Robert S ; Tse, Lap Ah ; Wang, Youfa ; Wang, Zhiyong ; Hong, Xin ; Chan, Emily Ying Yang ; Dunstan, David W ; Owen, Neville
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subjectAdult–Metabolism ; Blood Glucose–Epidemiology ; Blood Pressure–Blood ; China–Epidemiology ; Diabetes Mellitus, Type 2–Physiopathology ; Fasting–Prevention & Control ; Female–Blood ; Humans–Physiopathology ; Hypertension–Physiology ; Incidence–Physiology ; Male–Physiology ; Middle Aged–Physiology ; Motor Activity–Physiology ; Prospective Studies–Physiology ; Blood Glucose
descriptionBACKGROUNDPhysical activity (PA) and hypertension (HTN) are important influences on the development of type 2 diabetes (T2D). However, the joint impact of PA and HTN on T2D development is unknown. METHODSTwo community-based prospective cohort studies, with the same protocols, instruments and questionnaires, were conducted among adults in urban areas of Nanjing, China, during 2004-2007 and 2007-2010. T2D was defined using World Health Organization criteria based on physicians' diagnosis and fasting blood glucose concentration. PA level (sufficient/insufficient) and blood pressure status (hypertensive/normotensive) were assessed at baseline and the third year of follow-up. We pooled and analyzed data from these two studies. RESULTSAmong 4550 participants aged 35 years or older, the three-year cumulative incidence of T2D was 5.1%. After adjusting for potential confounders, participants with sufficient PA were less likely to develop T2D than those with insufficient PA (OR = 0.43, 95%CI = 0.27, 0.68) and those who were normotensive were less likely to develop T2D than those who were hypertensive (OR = 0.39, 95%CI = 0.29, 0.51). Compared to participants with insufficient PA and who were hypertensive, those with sufficient PA and hypertension were at lower risk of developing T2D (OR = 0.36, 95%CI = 0.19, 0.69), as were those with insufficient PA who were normotensive (OR = 0.37, 95%CI = 0.28, 0.50) and those with sufficient PA who were normotensive (OR = 0.19, 95%CI = 0.10, 0.37). CONCLUSIONSInsufficient PA was found to be associated with the development of T2D among adults with and without hypertension. These findings support a role for promoting higher physical activity levels to lower T2D risk in both hypertensive and non-hypertensive individuals.
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titleJoint associations of physical activity and hypertension with the development of type 2 diabetes among urban men and women in Mainland China.
descriptionBACKGROUNDPhysical activity (PA) and hypertension (HTN) are important influences on the development of type 2 diabetes (T2D). However, the joint impact of PA and HTN on T2D development is unknown. METHODSTwo community-based prospective cohort studies, with the same protocols, instruments and questionnaires, were conducted among adults in urban areas of Nanjing, China, during 2004-2007 and 2007-2010. T2D was defined using World Health Organization criteria based on physicians' diagnosis and fasting blood glucose concentration. PA level (sufficient/insufficient) and blood pressure status (hypertensive/normotensive) were assessed at baseline and the third year of follow-up. We pooled and analyzed data from these two studies. RESULTSAmong 4550 participants aged 35 years or older, the three-year cumulative incidence of T2D was 5.1%. After adjusting for potential confounders, participants with sufficient PA were less likely to develop T2D than those with insufficient PA (OR = 0.43, 95%CI = 0.27, 0.68) and those who were normotensive were less likely to develop T2D than those who were hypertensive (OR = 0.39, 95%CI = 0.29, 0.51). Compared to participants with insufficient PA and who were hypertensive, those with sufficient PA and hypertension were at lower risk of developing T2D (OR = 0.36, 95%CI = 0.19, 0.69), as were those with insufficient PA who were normotensive (OR = 0.37, 95%CI = 0.28, 0.50) and those with sufficient PA who were normotensive (OR = 0.19, 95%CI = 0.10, 0.37). CONCLUSIONSInsufficient PA was found to be associated with the development of T2D among adults with and without hypertension. These findings support a role for promoting higher physical activity levels to lower T2D risk in both hypertensive and non-hypertensive individuals.
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titleJoint associations of physical activity and hypertension with the development of type 2 diabetes among urban men and women in Mainland China.
authorXu, Fei ; Ware, Robert S ; Tse, Lap Ah ; Wang, Youfa ; Wang, Zhiyong ; Hong, Xin ; Chan, Emily Ying Yang ; Dunstan, David W ; Owen, Neville
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abstractBACKGROUNDPhysical activity (PA) and hypertension (HTN) are important influences on the development of type 2 diabetes (T2D). However, the joint impact of PA and HTN on T2D development is unknown. METHODSTwo community-based prospective cohort studies, with the same protocols, instruments and questionnaires, were conducted among adults in urban areas of Nanjing, China, during 2004-2007 and 2007-2010. T2D was defined using World Health Organization criteria based on physicians' diagnosis and fasting blood glucose concentration. PA level (sufficient/insufficient) and blood pressure status (hypertensive/normotensive) were assessed at baseline and the third year of follow-up. We pooled and analyzed data from these two studies. RESULTSAmong 4550 participants aged 35 years or older, the three-year cumulative incidence of T2D was 5.1%. After adjusting for potential confounders, participants with sufficient PA were less likely to develop T2D than those with insufficient PA (OR = 0.43, 95%CI = 0.27, 0.68) and those who were normotensive were less likely to develop T2D than those who were hypertensive (OR = 0.39, 95%CI = 0.29, 0.51). Compared to participants with insufficient PA and who were hypertensive, those with sufficient PA and hypertension were at lower risk of developing T2D (OR = 0.36, 95%CI = 0.19, 0.69), as were those with insufficient PA who were normotensive (OR = 0.37, 95%CI = 0.28, 0.50) and those with sufficient PA who were normotensive (OR = 0.19, 95%CI = 0.10, 0.37). CONCLUSIONSInsufficient PA was found to be associated with the development of T2D among adults with and without hypertension. These findings support a role for promoting higher physical activity levels to lower T2D risk in both hypertensive and non-hypertensive individuals.
doi10.1371/journal.pone.0088719
urlhttp://search.proquest.com/docview/1500683325/
date2014-01-01