Daily Physical Activity Assessed by a Triaxial Accelerometer Is Beneficially Associated with Waist Circumference, Serum Triglycerides, and Insulin Resistance in Japanese Patients with Prediabetes or Untreated Early Type 2 Diabetes

Abstract

Aim. To investigate the association between daily physical activity and metabolic risk factors in Japanese adults with prediabetes or untreated early type 2 diabetes (T2D). Methods. Daily physical activity level was measured using a triaxial accelerometer. We assessed correlations between physical activity level and waist circumference, blood pressure, fasting levels of plasma glucose, serum triglycerides, and insulin and homeostasis model assessment-insulin resistance (HOMA-IR). Results. A total of 80 patients were studied. After adjustment for age and body mass index, in all subjects, physical activity level was negatively associated with waist circumference (β = −0.124, P = 0.018) and fasting serum triglycerides (β = −0.239, P = 0.035), insulin (β = −0.224, P = 0.022). In men, physical activity level was negatively associated with systolic blood pressure (β = −0.351, P = 0.044), fasting plasma glucose (β = −0.369, P = 0.025) and insulin (β = −0.362, P = 0.012), and HOMA-IR (β = −0.371, P = 0.011). No significant associations were found between physical activity level and metabolic risk factors in women. Conclusion. Objectively measured daily physical activity is beneficially associated with waist circumference, serum triglycerides, and insulin resistance in individuals with prediabetes or untreated early T2D. (This trial is registered with UMIN000015774.)

In Search of the Assessment of the Physical Activity Level Of the Youth With the Use of the Ipaq

“…The authors have also indicated that the results of the analysis of the physical activity level in the younger age group up to 15 years of age should be treated with the utmost caution. They also recommended the use of an objective measuring method such as an accelerometer, which is increasingly more often applied in the recent years in youth research [19,20,21,22,23,24,25].…”

Correlates of accelerometer-assessed physical activity and sedentary time among adults with type 2 diabetes

“…16,17 Identifying correlates of objectively assessed physical activity and sedentary behaviour in people living with diabetes may enable us to identify certain groups of individuals with type 2 diabetes who may be more or less likely to engage in these behaviours. The aims of this study were to 1) describe the volume and patterns of daily sedentary time, as well as daily LPA and MVPA and 2) examine the socio-demographic and behavioural correlates of daily time spent sedentary, in LPA and in MVPA among adults with type 2 diabetes.…”

Higher daily energy expenditure by locomotive activities is favorably associated with cardiac autonomic nervous function and arterial stiffness

“…Hence, it is important to investigate the association between daily locomotive activities such as walking and cardiovascular risk factors. Recently, we showed that daily physical activity measured by a triaxial accelerometer was favorably associated with fasting plasma glucose, blood pressure, serum triglycerides and insulin resistance in male subjects with glucose intolerance [4]. However, daily physical activity was not significantly associated with those metabolic parameters in women [4].…”

“…Recently, we showed that daily physical activity measured by a triaxial accelerometer was favorably associated with fasting plasma glucose, blood pressure, serum triglycerides and insulin resistance in male subjects with glucose intolerance [4]. However, daily physical activity was not significantly associated with those metabolic parameters in women [4].We have certified that we comply with the Principles of Ethical Publishing in the International Journal of Cardiology. A total of 80 drug-naive patients (38 men and 42 women) with prediabetes and early type 2 diabetes were investigated.…”

“…A total of 80 drug-naive patients (38 men and 42 women) with prediabetes and early type 2 diabetes were investigated. Daily physical activity was measured using a triaxial accelerometer (Active Style Pro HJA-350IT; Omron Co., Ltd.) as we previously reported [4]. Briefly, subjects studied wore the accelerometer for 7 consecutive days, and daily energy expenditure (EE) was calculated by a manufactured regression equation using metabolic equivalent values assessed by the accelerometer.…”