TY  - JOUR
PY  - 2019//
TI  - Diabetes prevalence by leisure-, transportation-, and occupation-based physical activity among racially/ethnically diverse U.S. adults
JO  - Diabetes care
A1  - Divney, Anna A.
A1  - Murillo, Rosenda
A1  - Rodriguez, Fatima
A1  - Mirzayi, Chloe A.
A1  - Tsui, Emma K.
A1  - Echeverria, Sandra E.
SP  - 1241
EP  - 1247
VL  - 42
IS  - 7
N2  - OBJECTIVE: Leisure-time physical activity (LTPA) has been shown to prevent or delay the development of diabetes. However, little research exists examining how other domains of PA (e.g., occupation based [OPA] and transportation based [TPA]) are associated with diabetes prevalence across diverse racial/ethnic groups. We examined associations between OPA, TPA, and LTPA and diabetes prevalence and whether associations differed by race/ethnicity. RESEARCH DESIGN AND METHODS: Participants in the 2011-2016 National Health and Nutrition Examination Survey (NHANES) self-reported domain-specific PA. Diabetes status was determined by self-reported doctor/health professional-diagnosis of diabetes or a glycosylated hemoglobin (HbA<sub>1c</sub>) measurement of ≥6.5% (48 mmol/mol). Multivariable log binomial models examined differences in diabetes prevalence by PA level in each domain and total PA among Latinos (<i>n</i> = 3,931), non-Latino whites (<i>n</i> = 6,079), and non-Latino blacks (<i>n</i> = 3,659). <br><br>RESULTS: Whites reported the highest prevalence of achieving PA guidelines (64.9%), followed by Latinos (61.6%) and non-Latino blacks (60.9%; <i>P</i> < 0.0009). Participants achieving PA guidelines were 19-32% less likely to have diabetes depending on PA domain in adjusted models. Diabetes prevalence was consistently higher among non-Latino blacks (17.1%) and Latinos (14.1%) compared with non-Latino whites (10.7%; <i>P</i> < 0.0001), but interaction results showed the protective effect of PA was similar across PA domain and race/ethnicity-except within TPA, where the protective effect was 4% greater among non-Latino whites compared with Latinos (adjusted difference in risk differences 0.04, <i>P</i> = 0.01). <br><br>CONCLUSIONS: PA policies and programs, beyond LTPA, can be leveraged to reduce diabetes prevalence among all population groups. Future studies are needed to confirm potentially differential effects of transportation-based active living on diabetes prevalence across race/ethnicity.<br><br>© 2019 by the American Diabetes Association.<p />  <p>Language: en</p>
LA  - en
SN  - 0149-5992
UR  - http://dx.doi.org/10.2337/dc18-2432
ID  - ref1
ER  -