Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: the Lolland-Falster Health Study

Sofie Rath Mortensen; Søren T Skou; Jan Christian Brønd; Mathias Ried-Larsen; Therese Lockenwitz Petersen; Lars Bo Jørgensen; Randi Jepsen; Lars Hermann Tang; Neda Esmailzadeh Bruun-Rasmussen; Anders Grøntved

doi:10.1136/bmjdrc-2023-003493

Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: the Lolland-Falster Health Study

Sofie Rath Mortensen
, Søren T Skou
, Jan Christian Brønd
, Mathias Ried-Larsen
, Therese Lockenwitz Petersen
, Lars Bo Jørgensen
, Randi Jepsen
, Lars Hermann Tang
, Neda Esmailzadeh Bruun-Rasmussen
, Anders Grøntved^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

Abstract

INTRODUCTION: This study aimed to describe objectively measured physical activity patterns, including daily activity according to day type (weekdays and weekend days) and the four seasons, frequency, distribution, and timing of engagement in activity during the day in individuals with diabetes and prediabetes and compared with individuals with no diabetes.

RESEARCH DESIGN AND METHODS: This cross-sectional study included data from the Danish household-based, mixed rural-provincial population study, The Lolland-Falster Health Study from 2016 to 2020. Participants were categorized into diabetes, prediabetes, and no diabetes based on their glycated hemoglobin level and self-reported use of diabetes medication. Outcome was physical activity in terms of intensity (time spent in sedentary, light, moderate, vigorous, and moderate to vigorous physical activity (MVPA) intensities), adherence to recommendations, frequency and distribution of highly inactive days (<5 min MVPA/day), and timing of engagement in activity assessed with a lower-back worn accelerometer.

RESULTS: Among 3157 participants, 181 (5.7 %) had diabetes and 568 (18.0 %) had prediabetes. Of participants with diabetes, 63.2% did not adhere to the WHO recommendations of weekly MVPA, while numbers of participants with prediabetes and participants with no diabetes were 59.5% and 49.6%, respectively. Around a third of participants with diabetes were highly inactive daily (<5 min MVPA/day) and had >2 consecutive days of inactivity during a 7-days period. Mean time spent physically active at any intensity (light, moderate, and vigorous) during a day was lower among participants with diabetes compared with participants with no diabetes and particularly from 12:00 to 15:00 (mean difference of -6.3 min MVPA (95% CI -10.2 to -2.4)). Following adjustments, significant differences in physical activity persisted between diabetes versus no diabetes, but between participants with prediabetes versus no diabetes, results were non-significant after adjusting for body mass index.

CONCLUSIONS: Inactivity was highly prevalent among individuals with diabetes and prediabetes, and distinct daily activity patterns surfaced when comparing these groups with those having no diabetes. This highlights a need to optimize current diabetes treatment and prevention to accommodate the large differences in activity engagement.

Original language	English
Article number	e003493
Number of pages	12
Journal	BMJ Open Diabetes Research and Care
Volume	11
Issue number	5
DOIs	https://doi.org/10.1136/bmjdrc-2023-003493
Publication status	Published - Sept 2023

Funding

SRM is currently funded by a research grant from Naestved, Slagelse, Ringsted Hospitals Research Fund (project no. A986), a research grant from The Health Science Research Fund of Region Zealand (project no. A1136), and a research grant from Steno Diabetes Center Zealand. AG is funded by the European Research Council (SCREENS, grant agreement No 716657), the Novo Nordisk Foundation (grant number NNF20SH0062965), and TrygFonden (grant number 130081 and 115606). STS is currently funded by a program grant from Region Zealand (Exercise First) and two grants from the European Union's Horizon 2020 research and innovation program, one from the European Research Council (MOBILIZE, grant agreement No 801790) and the other under grant agreement No 945377 (ESCAPE). MRL is funded by Trygfonden. LHT is currently funded by a grant from the Danish Regions and The Danish Confederation through the Development and Research Fund for financial support (project no. 2703), a grant from Region Zealand (Exercise First) and Naestved, Slagelse, Ringsted Hospitals research fond, Denmark (project no. A1277). The funders had no role in the study design, data collection, decision to publish, or preparation of the manuscript.

Funders	Funder number
Naestved-Slagelse-Ringsted Hospitals research fund, Denmark
Region Sjælland	A1136
Steno Diabetes Center Sjaelland
Novo Nordisk Foundation	NNF20SH0062965
TrygFonden Kystlivredning	130081, 115606
European Union	801790
Danish Administrative Regions and Bio-and Genome Bank Denmark
Danish Health Confederation	2703
European Research Council under the European Union	716657
Academy of Finland	130081

Keywords

Diabetes mellitus, type 2
Epidemiology
Exercise
Prediabetic state

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10.1136/bmjdrc-2023-003493

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Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: The Lolland-Falster Health Study
Mortensen, S. R., Skou, S. T., Brønd, J. C., Ried-Larsen, M., Petersen, T. L., Jørgensen, L. B., Jepsen, R., Tang, L. H., Bruun-Rasmussen, N. E. & Grøntved, A., 2023.
Research output: Contribution to conference › Poster › Research › peer-review
Hver tredje person med diabetes har en meget inaktiv hverdag
Mortensen, S. R. & Grøntved, A., Dec 2023, In: BestPractice Nordic.
Research output: Contribution to journal › Article › Communication

Cite this

Mortensen, S. R., Skou, S. T., Brønd, J. C., Ried-Larsen, M., Petersen, T. L., Jørgensen, L. B., Jepsen, R., Tang, L. H., Bruun-Rasmussen, N. E., & Grøntved, A. (2023). Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: the Lolland-Falster Health Study. BMJ Open Diabetes Research and Care, 11(5), Article e003493. https://doi.org/10.1136/bmjdrc-2023-003493

@article{1f88b2f9e68044d5b86eb8e4ad1afec4,

title = "Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: the Lolland-Falster Health Study",

abstract = "INTRODUCTION: This study aimed to describe objectively measured physical activity patterns, including daily activity according to day type (weekdays and weekend days) and the four seasons, frequency, distribution, and timing of engagement in activity during the day in individuals with diabetes and prediabetes and compared with individuals with no diabetes.RESEARCH DESIGN AND METHODS: This cross-sectional study included data from the Danish household-based, mixed rural-provincial population study, The Lolland-Falster Health Study from 2016 to 2020. Participants were categorized into diabetes, prediabetes, and no diabetes based on their glycated hemoglobin level and self-reported use of diabetes medication. Outcome was physical activity in terms of intensity (time spent in sedentary, light, moderate, vigorous, and moderate to vigorous physical activity (MVPA) intensities), adherence to recommendations, frequency and distribution of highly inactive days (<5 min MVPA/day), and timing of engagement in activity assessed with a lower-back worn accelerometer.RESULTS: Among 3157 participants, 181 (5.7 \%) had diabetes and 568 (18.0 \%) had prediabetes. Of participants with diabetes, 63.2\% did not adhere to the WHO recommendations of weekly MVPA, while numbers of participants with prediabetes and participants with no diabetes were 59.5\% and 49.6\%, respectively. Around a third of participants with diabetes were highly inactive daily (<5 min MVPA/day) and had >2 consecutive days of inactivity during a 7-days period. Mean time spent physically active at any intensity (light, moderate, and vigorous) during a day was lower among participants with diabetes compared with participants with no diabetes and particularly from 12:00 to 15:00 (mean difference of -6.3 min MVPA (95\% CI -10.2 to -2.4)). Following adjustments, significant differences in physical activity persisted between diabetes versus no diabetes, but between participants with prediabetes versus no diabetes, results were non-significant after adjusting for body mass index.CONCLUSIONS: Inactivity was highly prevalent among individuals with diabetes and prediabetes, and distinct daily activity patterns surfaced when comparing these groups with those having no diabetes. This highlights a need to optimize current diabetes treatment and prevention to accommodate the large differences in activity engagement.",

keywords = "Diabetes mellitus, type 2, Epidemiology, Exercise, Prediabetic state",

author = "Mortensen, \{Sofie Rath\} and Skou, \{S{\o}ren T\} and Br{\o}nd, \{Jan Christian\} and Mathias Ried-Larsen and Petersen, \{Therese Lockenwitz\} and J{\o}rgensen, \{Lars Bo\} and Randi Jepsen and Tang, \{Lars Hermann\} and Bruun-Rasmussen, \{Neda Esmailzadeh\} and Anders Gr{\o}ntved",

note = "{\textcopyright} Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2023",

month = sep,

doi = "10.1136/bmjdrc-2023-003493",

language = "English",

volume = "11",

journal = "BMJ Open Diabetes Research and Care",

issn = "2052-4897",

publisher = "BMJ Publishing Group",

number = "5",

}

Mortensen, SR , Skou, ST, Brønd, JC, Ried-Larsen, M, Petersen, TL, Jørgensen, LB, Jepsen, R , Tang, LH, Bruun-Rasmussen, NE & Grøntved, A 2023, 'Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: the Lolland-Falster Health Study', BMJ Open Diabetes Research and Care, vol. 11, no. 5, e003493. https://doi.org/10.1136/bmjdrc-2023-003493

TY - JOUR

T1 - Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes

T2 - the Lolland-Falster Health Study

AU - Mortensen, Sofie Rath

AU - Skou, Søren T

AU - Brønd, Jan Christian

AU - Ried-Larsen, Mathias

AU - Petersen, Therese Lockenwitz

AU - Jørgensen, Lars Bo

AU - Jepsen, Randi

AU - Tang, Lars Hermann

AU - Bruun-Rasmussen, Neda Esmailzadeh

AU - Grøntved, Anders

PY - 2023/9

Y1 - 2023/9

N2 - INTRODUCTION: This study aimed to describe objectively measured physical activity patterns, including daily activity according to day type (weekdays and weekend days) and the four seasons, frequency, distribution, and timing of engagement in activity during the day in individuals with diabetes and prediabetes and compared with individuals with no diabetes.RESEARCH DESIGN AND METHODS: This cross-sectional study included data from the Danish household-based, mixed rural-provincial population study, The Lolland-Falster Health Study from 2016 to 2020. Participants were categorized into diabetes, prediabetes, and no diabetes based on their glycated hemoglobin level and self-reported use of diabetes medication. Outcome was physical activity in terms of intensity (time spent in sedentary, light, moderate, vigorous, and moderate to vigorous physical activity (MVPA) intensities), adherence to recommendations, frequency and distribution of highly inactive days (<5 min MVPA/day), and timing of engagement in activity assessed with a lower-back worn accelerometer.RESULTS: Among 3157 participants, 181 (5.7 %) had diabetes and 568 (18.0 %) had prediabetes. Of participants with diabetes, 63.2% did not adhere to the WHO recommendations of weekly MVPA, while numbers of participants with prediabetes and participants with no diabetes were 59.5% and 49.6%, respectively. Around a third of participants with diabetes were highly inactive daily (<5 min MVPA/day) and had >2 consecutive days of inactivity during a 7-days period. Mean time spent physically active at any intensity (light, moderate, and vigorous) during a day was lower among participants with diabetes compared with participants with no diabetes and particularly from 12:00 to 15:00 (mean difference of -6.3 min MVPA (95% CI -10.2 to -2.4)). Following adjustments, significant differences in physical activity persisted between diabetes versus no diabetes, but between participants with prediabetes versus no diabetes, results were non-significant after adjusting for body mass index.CONCLUSIONS: Inactivity was highly prevalent among individuals with diabetes and prediabetes, and distinct daily activity patterns surfaced when comparing these groups with those having no diabetes. This highlights a need to optimize current diabetes treatment and prevention to accommodate the large differences in activity engagement.

AB - INTRODUCTION: This study aimed to describe objectively measured physical activity patterns, including daily activity according to day type (weekdays and weekend days) and the four seasons, frequency, distribution, and timing of engagement in activity during the day in individuals with diabetes and prediabetes and compared with individuals with no diabetes.RESEARCH DESIGN AND METHODS: This cross-sectional study included data from the Danish household-based, mixed rural-provincial population study, The Lolland-Falster Health Study from 2016 to 2020. Participants were categorized into diabetes, prediabetes, and no diabetes based on their glycated hemoglobin level and self-reported use of diabetes medication. Outcome was physical activity in terms of intensity (time spent in sedentary, light, moderate, vigorous, and moderate to vigorous physical activity (MVPA) intensities), adherence to recommendations, frequency and distribution of highly inactive days (<5 min MVPA/day), and timing of engagement in activity assessed with a lower-back worn accelerometer.RESULTS: Among 3157 participants, 181 (5.7 %) had diabetes and 568 (18.0 %) had prediabetes. Of participants with diabetes, 63.2% did not adhere to the WHO recommendations of weekly MVPA, while numbers of participants with prediabetes and participants with no diabetes were 59.5% and 49.6%, respectively. Around a third of participants with diabetes were highly inactive daily (<5 min MVPA/day) and had >2 consecutive days of inactivity during a 7-days period. Mean time spent physically active at any intensity (light, moderate, and vigorous) during a day was lower among participants with diabetes compared with participants with no diabetes and particularly from 12:00 to 15:00 (mean difference of -6.3 min MVPA (95% CI -10.2 to -2.4)). Following adjustments, significant differences in physical activity persisted between diabetes versus no diabetes, but between participants with prediabetes versus no diabetes, results were non-significant after adjusting for body mass index.CONCLUSIONS: Inactivity was highly prevalent among individuals with diabetes and prediabetes, and distinct daily activity patterns surfaced when comparing these groups with those having no diabetes. This highlights a need to optimize current diabetes treatment and prevention to accommodate the large differences in activity engagement.

KW - Diabetes mellitus, type 2

KW - Epidemiology

KW - Exercise

KW - Prediabetic state

U2 - 10.1136/bmjdrc-2023-003493

DO - 10.1136/bmjdrc-2023-003493

M3 - Article

C2 - 37699719

SN - 2052-4897

VL - 11

JO - BMJ Open Diabetes Research and Care

JF - BMJ Open Diabetes Research and Care

IS - 5

M1 - e003493

ER -

Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: the Lolland-Falster Health Study

Abstract

Funding

Keywords

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Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: The Lolland-Falster Health Study

Hver tredje person med diabetes har en meget inaktiv hverdag

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