How is sport participation related to mortality, diabetes and prediabetes for different body mass index levels?

Autor: Ruud H. Koning, Jochen O. Mierau, Eva Corpeleijn, Willem I. J. de Boer, Louise H. Dekker
Přispěvatelé: Reproductive Origins of Adult Health and Disease (ROAHD), Aletta Jacobs School of Public Health, Value, Affordability and Sustainability (VALUE), Research programme EEF
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Work
physical activity
Walking
030204 cardiovascular system & hematology
Overweight
Cohort Studies
0302 clinical medicine
Weight loss
Cause of Death
Orthopedics and Sports Medicine
Prediabetes
Netherlands
ALL-CAUSE MORTALITY
RISK
diabetes
LEISURE-TIME
Gardening
Middle Aged
CARDIOVASCULAR-DISEASE
OBESITY
Cohort
Female
Original Article
HEALTH
medicine.symptom
Sports
WEIGHT-LOSS
Physical Therapy
Sports Therapy and Rehabilitation
body mass index
sports participation
Prediabetic State
03 medical and health sciences
Leisure Activities
Diabetes mellitus
medicine
Humans
Exercise
Proportional Hazards Models
business.industry
Body Weight
Type 2 Diabetes Mellitus
Original Articles
030229 sport sciences
ADULTS
medicine.disease
Obesity
mortality
Bicycling
PHYSICAL-ACTIVITY
Diabetes Mellitus
Type 2
DOSE-RESPONSE METAANALYSIS
business
Risk Reduction Behavior
Body mass index
Demography
Zdroj: Scandinavian Journal of Medicine & Science in Sports
Scandinavian Journal of Medicine & Science in Sports, 31(6), 1342-1351. Wiley
ISSN: 1600-0838
0905-7188
Popis: This study examined the association of sport participation with health outcomes and whether this relation differs between body mass index (BMI)-level subpopulations. Research outcomes for sport participation were compared with other types of leisure-time physical activity (PA). We used the Cox proportional hazards regression models to assess the associations of sport participation, and four other PA types (cycling, gardening, doing odd jobs, and walking), with the risk of prediabetes, type 2 diabetes mellitus (T2DM), and all-cause mortality in 97,212 individuals (58.4% women; mean age: 46.5 years) in the Dutch LifeLines cohort. Outcomes were stratified by three BMI levels: healthy weight (BMI: 18.5-24.9 kg/m2), overweight (BMI: 25.0-29.9 kg/m2), and obesity (BMI: 30.0 kg/m2 or above). Sport participation was associated with lower health risks, but only significantly so for prediabetes (HR = 0.86, 95% CI: 0.81-0.92). For healthy weight persons, sport participation was associated with the largest risk reductions, with significantly lower risks of prediabetes (HR = 0.78, 95% CI: 0.68-0.90) and all-cause mortality (HR = 0.79, 95% CI 0.65-0.96). Other PA types were not associated with significantly lower health risks, with the exception of cycling, for which significantly lower health risks for persons with overweight were found. Our findings show that sport participation is associated with lower health risks, especially prediabetes, but the effect varies between BMI levels, with the strongest link for persons with a healthy weight. Sport participation, together with cycling, is likely to be more effective in reducing health risks than other types of PA.
Databáze: OpenAIRE
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