Sedentary activity, sedentary bouts, and patterns of total daily sedentary activity, and their relationship with stress and well-being in individuals with diabetes and prediabetes: The Lolland-Falster Health Study

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-03-01 DOI:10.1016/j.mhpa.2024.100588

Sofie Rath Mortensen , Anders Grøntved , Jan Christian Brønd , Mathias Ried-Larsen , Therese Lockenwitz Petersen , Lars Bo Jørgensen , Randi Jepsen , Lars Hermann Tang , Søren T. Skou

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Abstract

Aims

This study aimed to investigate the cross-sectional associations of stress and well-being with the total amount of sedentary activity and sedentary bouts in adults with diabetes and prediabetes. A secondary aim was to explore the sedentary activity pattern during a day in adults with diabetes and prediabetes.

Methods

This cross-sectional study from the Danish Lolland-Falster Health Study categorized participants into diabetes (including both type 1 and type 2 diabetes) and prediabetes based on their HbA1c level and self-reported use of diabetes medication. Exposures were Perceived Stress Scale (scores ≥18 = moderate to high stress) and WHO-5 Well-Being Index (scores ≤50 = low well-being). Outcomes were total daily sedentary activity and sedentary bouts assessed with thigh-worn and back-worn accelerometers.

Results

Among the 562 included adult participants, 15 % had low well-being and 65 % had moderate to high stress. Higher well-being was associated with lower total sedentary activity in participants with diabetes (−1.1 min/day, 95 % CI -2.0; −0.2, for every 1-point increase in WHO-score) and participants with prediabetes (−0.6 min/day, 95 % CI -1.1; −0.05, for every 1-point increase in WHO-score). No association was found between stress and sedentary activity. During a day, participants with diabetes were more sedentary with a mean difference of −0.7 h/day (95 % CI -1.1; −0.4) when compared with participants with prediabetes.

Conclusions

This study found that higher well-being is associated with lower total daily sedentary activity in individuals with diabetes and prediabetes, while no association between stress and sedentary activity was found. These findings imply that individuals with diabetes and prediabetes and low well-being may need additional support to reduce time spent on daily sedentary activity.

查看原文本刊更多论文

糖尿病患者和糖尿病前期患者的久坐活动、久坐阵发、每日总久坐活动模式及其与压力和幸福感的关系：洛兰-法尔斯特健康研究

研究目的：本研究旨在调查糖尿病和糖尿病前期成人患者的压力和幸福感与久坐活动总量和久坐次数之间的横断面关联。方法这项横断面研究来自丹麦洛兰-法尔斯特健康研究（Danish Lolland-Falster Health Study），根据参与者的 HbA1c 水平和自我报告的糖尿病药物使用情况，将其分为糖尿病（包括 1 型和 2 型糖尿病）和糖尿病前期。暴露量表为感知压力量表（得分≥18分=中度至高度压力）和WHO-5幸福指数（得分≤50分=低幸福感）。结果562名成年参与者中，15%的人幸福感较低，65%的人有中度至高度压力。幸福感越高，糖尿病患者的总久坐活动量越低（WHO评分每增加1分，久坐活动量为-1.1分钟/天，95% CI为-2.0；-0.2），糖尿病前期患者的久坐活动量也越低（WHO评分每增加1分，久坐活动量为-0.6分钟/天，95% CI为-1.1；-0.05）。压力与久坐不动之间没有关联。与糖尿病前期患者相比，糖尿病患者在一天中的久坐时间更长，平均差异为-0.7小时/天（95 % CI -1.1; -0.4）。结论这项研究发现，糖尿病患者和糖尿病前期患者的幸福感越高，每天的久坐活动总量就越低，而压力与久坐活动之间没有关联。这些研究结果表明，糖尿病和糖尿病前期患者如果幸福感较低，可能需要额外的支持来减少每天久坐不动的时间。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;