Prospective associations of occupational and leisure-time physical activity with risk of diabetes: a cohort study from the United States.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals Of Work Exposures and Health Pub Date : 2024-07-08 DOI:10.1093/annweh/wxae034

Timothy A Matthews, Xinyue Liu, Liwei Chen, Jian Li

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引用次数: 0

Abstract

Objectives: Leisure-time physical activity (LTPA) can reduce the risk of incident diabetes, whereas the role of occupational physical activity (OPA) in developing diabetes is still unclear due to conflicting evidence. Moreover, the joint associations of OPA and LTPA with incident diabetes among US workers have not yet been systematically examined. The objective of this study was to assess the independent and joint associations of OPA and LTPA with incident diabetes.

Methods: This prospective cohort study included 1406 workers free from diabetes at baseline (2004-2006) from the national, population-based Mid-life in the United States (MIDUS) study. Associations of OPA and LTPA at baseline with incident diabetes during 9 years of follow-up were examined using Poisson regression models. High OPA was defined based on engagement in physical demands at work, and high LTPA was defined as participation in moderate or vigorous LTPA at least once per week.

Results: High OPA was associated with an increased risk of diabetes compared to low OPA (adjusted risk ratios and 95% confidence interval = 1.52 [1.04, 2.22]), while high LTPA was associated with a decreased risk of diabetes compared to low LTPA (0.66 [0.44, 0.97]). Diabetes risk was the highest among workers with high OPA and low LTPA (2.30 [1.30, 4.07]).

Conclusions: In a national, population-based prospective cohort study of US workers, high OPA was associated with an elevated risk of diabetes, while high LTPA was associated with a decreased diabetes risk. The combination of high OPA and low LTPA exhibited the greatest risk of diabetes.

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职业和业余时间体育锻炼与糖尿病风险的前瞻性关联：美国的一项队列研究。

目的：业余体力活动（LTPA）可以降低糖尿病的发病风险，而职业体力活动（OPA）在糖尿病发病中的作用因证据不一而尚不明确。此外，在美国工人中，职业体力活动（OPA）和休闲时间体力活动（LTPA）与糖尿病发病的共同关系尚未得到系统研究。本研究的目的是评估 OPA 和 LTPA 与糖尿病发病的独立和联合关系：这项前瞻性队列研究纳入了 1406 名基线时（2004-2006 年）未患糖尿病的工人，他们来自以人口为基础的全国性美国中年（MIDUS）研究。研究人员使用泊松回归模型检验了基线OPA和LTPA与9年随访期间糖尿病发病率的关系。高OPA的定义基于工作中的体力需求，高LTPA的定义是每周至少参加一次中等强度或高强度的LTPA：与低 OPA 相比，高 OPA 与糖尿病风险增加有关（调整风险比和 95% 置信区间 = 1.52 [1.04, 2.22]），而与低 LTPA 相比，高 LTPA 与糖尿病风险降低有关（0.66 [0.44, 0.97]）。高OPA和低LTPA工人患糖尿病的风险最高（2.30 [1.30，4.07]）：在一项对美国工人进行的全国性、基于人群的前瞻性队列研究中，高OPA与糖尿病风险升高有关，而高LTPA与糖尿病风险降低有关。高 OPA 和低 LTPA 的组合表现出最大的糖尿病风险。

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来源期刊

Annals Of Work Exposures and Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.60

自引率

19.20%

发文量

期刊介绍： About the Journal Annals of Work Exposures and Health is dedicated to presenting advances in exposure science supporting the recognition, quantification, and control of exposures at work, and epidemiological studies on their effects on human health and well-being. A key question we apply to submission is, "Is this paper going to help readers better understand, quantify, and control conditions at work that adversely or positively affect health and well-being?" We are interested in high quality scientific research addressing: the quantification of work exposures, including chemical, biological, physical, biomechanical, and psychosocial, and the elements of work organization giving rise to such exposures; the relationship between these exposures and the acute and chronic health consequences for those exposed and their families and communities; populations at special risk of work-related exposures including women, under-represented minorities, immigrants, and other vulnerable groups such as temporary, contingent and informal sector workers; the effectiveness of interventions addressing exposure and risk including production technologies, work process engineering, and personal protective systems; policies and management approaches to reduce risk and improve health and well-being among workers, their families or communities; methodologies and mechanisms that underlie the quantification and/or control of exposure and risk. There is heavy pressure on space in the journal, and the above interests mean that we do not usually publish papers that simply report local conditions without generalizable results. We are also unlikely to publish reports on human health and well-being without information on the work exposure characteristics giving rise to the effects. We particularly welcome contributions from scientists based in, or addressing conditions in, developing economies that fall within the above scope.