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Walking and type 2 diabetes risk using CANRISK scores among older adults
The objective of this study was to determine the association between pedometer-assessed steps and type 2 diabetes risk using the Public Health Agency of Canada-developed 16-item Canadian Diabetes Risk Questionnaire (CANRISK) among a large population-based sample of older adults across Alberta, Canad...
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Published in: | Applied physiology, nutrition, and metabolism nutrition, and metabolism, 2017-01, Vol.42 (1), p.33-38 |
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creator | Johnson, Steven T Eurich, Dean T Lytvyak, Ellina Mladenovic, Ana Taylor, Lorian M Johnson, Jeffrey A Vallance, Jeff K |
description | The objective of this study was to determine the association between pedometer-assessed steps and type 2 diabetes risk using the Public Health Agency of Canada-developed 16-item Canadian Diabetes Risk Questionnaire (CANRISK) among a large population-based sample of older adults across Alberta, Canada. To achieve our study objective, adults without type 2 diabetes (N = 689) aged 55 years and older provided demographic data and CANRISK scores through computer-assisted telephone interviews between September and November 2012. Respondents also wore a step pedometer over 3 consecutive days to estimate average daily steps. Logistic regression was used to assess the association between achieving 7500 steps/day and risk of diabetes (low vs. moderate and high). Overall, 41% were male, average age was 63.4 (SD 5.5) years, body mass index was 26.7 (SD 5.0) kg/m
2
, and participants averaged 5671 (SD 3529) steps/day. All respondents indicated they were capable of walking for at least 10 min unassisted. CANRISK scores ranged from 13–60, with 18% in the low-risk category ( |
doi_str_mv | 10.1139/apnm-2016-0267 |
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2
, and participants averaged 5671 (SD 3529) steps/day. All respondents indicated they were capable of walking for at least 10 min unassisted. CANRISK scores ranged from 13–60, with 18% in the low-risk category (<21). After adjustment, those not achieving 7500 steps/day (n = 507) were more than twice as likely to belong to the higher risk categories for type 2 diabetes compared with those walking ≥7500 steps/day (n = 182) (73.6% vs. 26.4%; odds ratio: 2.37; 95% confidence interval: 1.58 – 3.57). Among older adults without diabetes, daily steps were strongly and inversely associated with diabetes risk using the CANRISK score. Walking remains an important modifiable risk factor target for type 2 diabetes and achieving at least 7500 steps/day may be a reasonable target for older adults.</description><identifier>ISSN: 1715-5312</identifier><identifier>EISSN: 1715-5320</identifier><identifier>DOI: 10.1139/apnm-2016-0267</identifier><identifier>PMID: 27903089</identifier><language>eng</language><publisher>Canada: NRC Research Press</publisher><subject>Actigraphy ; Aged ; Aging ; Alberta - epidemiology ; Body Mass Index ; Diabetes ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - etiology ; Diabetes Mellitus, Type 2 - prevention & control ; diabète ; dépistage ; Exercise ; Follow-Up Studies ; Health Promotion ; Health Surveys ; Healthy Lifestyle ; Humans ; Logistic Models ; Male ; marcher ; Middle Aged ; neighbourhood walkability ; Older people ; Overweight - physiopathology ; Overweight - therapy ; Patient Compliance ; potentiel piétonnier du quartier ; Residence Characteristics - classification ; Risk Factors ; screening ; Self Report ; Waist Circumference ; Walking</subject><ispartof>Applied physiology, nutrition, and metabolism, 2017-01, Vol.42 (1), p.33-38</ispartof><rights>Copyright Canadian Science Publishing NRC Research Press Jan 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-a601a7cf5feaf039039ed0742a53aeda849c1dca26efebc4ead2b90cbee4e2693</citedby><cites>FETCH-LOGICAL-c398t-a601a7cf5feaf039039ed0742a53aeda849c1dca26efebc4ead2b90cbee4e2693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://cdnsciencepub.com/doi/pdf/10.1139/apnm-2016-0267$$EPDF$$P50$$Gnrcresearch$$H</linktopdf><linktohtml>$$Uhttps://cdnsciencepub.com/doi/full/10.1139/apnm-2016-0267$$EHTML$$P50$$Gnrcresearch$$H</linktohtml><link.rule.ids>314,780,784,2931,27923,27924,64427,65105</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27903089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Steven T</creatorcontrib><creatorcontrib>Eurich, Dean T</creatorcontrib><creatorcontrib>Lytvyak, Ellina</creatorcontrib><creatorcontrib>Mladenovic, Ana</creatorcontrib><creatorcontrib>Taylor, Lorian M</creatorcontrib><creatorcontrib>Johnson, Jeffrey A</creatorcontrib><creatorcontrib>Vallance, Jeff K</creatorcontrib><title>Walking and type 2 diabetes risk using CANRISK scores among older adults</title><title>Applied physiology, nutrition, and metabolism</title><addtitle>Appl Physiol Nutr Metab</addtitle><description>The objective of this study was to determine the association between pedometer-assessed steps and type 2 diabetes risk using the Public Health Agency of Canada-developed 16-item Canadian Diabetes Risk Questionnaire (CANRISK) among a large population-based sample of older adults across Alberta, Canada. To achieve our study objective, adults without type 2 diabetes (N = 689) aged 55 years and older provided demographic data and CANRISK scores through computer-assisted telephone interviews between September and November 2012. Respondents also wore a step pedometer over 3 consecutive days to estimate average daily steps. Logistic regression was used to assess the association between achieving 7500 steps/day and risk of diabetes (low vs. moderate and high). Overall, 41% were male, average age was 63.4 (SD 5.5) years, body mass index was 26.7 (SD 5.0) kg/m
2
, and participants averaged 5671 (SD 3529) steps/day. All respondents indicated they were capable of walking for at least 10 min unassisted. CANRISK scores ranged from 13–60, with 18% in the low-risk category (<21). After adjustment, those not achieving 7500 steps/day (n = 507) were more than twice as likely to belong to the higher risk categories for type 2 diabetes compared with those walking ≥7500 steps/day (n = 182) (73.6% vs. 26.4%; odds ratio: 2.37; 95% confidence interval: 1.58 – 3.57). Among older adults without diabetes, daily steps were strongly and inversely associated with diabetes risk using the CANRISK score. Walking remains an important modifiable risk factor target for type 2 diabetes and achieving at least 7500 steps/day may be a reasonable target for older adults.</description><subject>Actigraphy</subject><subject>Aged</subject><subject>Aging</subject><subject>Alberta - epidemiology</subject><subject>Body Mass Index</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - etiology</subject><subject>Diabetes Mellitus, Type 2 - prevention & control</subject><subject>diabète</subject><subject>dépistage</subject><subject>Exercise</subject><subject>Follow-Up Studies</subject><subject>Health Promotion</subject><subject>Health Surveys</subject><subject>Healthy Lifestyle</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>marcher</subject><subject>Middle Aged</subject><subject>neighbourhood walkability</subject><subject>Older people</subject><subject>Overweight - physiopathology</subject><subject>Overweight - therapy</subject><subject>Patient Compliance</subject><subject>potentiel piétonnier du quartier</subject><subject>Residence Characteristics - classification</subject><subject>Risk Factors</subject><subject>screening</subject><subject>Self Report</subject><subject>Waist Circumference</subject><subject>Walking</subject><issn>1715-5312</issn><issn>1715-5320</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkctPwzAMxiMEgmlw5YgqceFSSJw-0uM0AUNMIPEQx8pNXCj0MZL2sP-eVBscuMDJlv3zJ9sfY8eCnwshswtctU0IXCQhhyTdYRORijiMJfDdn1zAATtyrio45wqUSmGfHUCacclVNmGLF6w_qvY1wNYE_XpFAQSmwoJ6coGt3EcwuLE9n9093DzeBk531new6Xyxqw3ZAM1Q9-6Q7ZVYOzraxil7vrp8mi_C5f31zXy2DLXMVB9iwgWmuoxLwpJLv0ZGhqcRYCyRDKoo08JohIRKKnREaKDIuC6IIoIkk1N2ttFd2e5zINfnTeU01TW21A0uFypREgBk_A80iiFOQEmPnv5C37vBtv4QT8WpjJJUgqfON5S2nXOWynxlqwbtOhc8Hx3JR0fy0ZF8dMQPnGxlh6Ih84N__98DYgO0Vvu_Elr99pfoF2BMlgQ</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Johnson, Steven T</creator><creator>Eurich, Dean T</creator><creator>Lytvyak, Ellina</creator><creator>Mladenovic, Ana</creator><creator>Taylor, Lorian M</creator><creator>Johnson, Jeffrey A</creator><creator>Vallance, Jeff K</creator><general>NRC Research Press</general><general>Canadian Science Publishing NRC Research Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20170101</creationdate><title>Walking and type 2 diabetes risk using CANRISK scores among older adults</title><author>Johnson, Steven T ; Eurich, Dean T ; Lytvyak, Ellina ; Mladenovic, Ana ; Taylor, Lorian M ; Johnson, Jeffrey A ; Vallance, Jeff K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-a601a7cf5feaf039039ed0742a53aeda849c1dca26efebc4ead2b90cbee4e2693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Actigraphy</topic><topic>Aged</topic><topic>Aging</topic><topic>Alberta - epidemiology</topic><topic>Body Mass Index</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - etiology</topic><topic>Diabetes Mellitus, Type 2 - prevention & control</topic><topic>diabète</topic><topic>dépistage</topic><topic>Exercise</topic><topic>Follow-Up Studies</topic><topic>Health Promotion</topic><topic>Health Surveys</topic><topic>Healthy Lifestyle</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>marcher</topic><topic>Middle Aged</topic><topic>neighbourhood walkability</topic><topic>Older people</topic><topic>Overweight - physiopathology</topic><topic>Overweight - therapy</topic><topic>Patient Compliance</topic><topic>potentiel piétonnier du quartier</topic><topic>Residence Characteristics - classification</topic><topic>Risk Factors</topic><topic>screening</topic><topic>Self Report</topic><topic>Waist Circumference</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnson, Steven T</creatorcontrib><creatorcontrib>Eurich, Dean T</creatorcontrib><creatorcontrib>Lytvyak, Ellina</creatorcontrib><creatorcontrib>Mladenovic, Ana</creatorcontrib><creatorcontrib>Taylor, Lorian M</creatorcontrib><creatorcontrib>Johnson, Jeffrey A</creatorcontrib><creatorcontrib>Vallance, Jeff K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Applied physiology, nutrition, and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Steven T</au><au>Eurich, Dean T</au><au>Lytvyak, Ellina</au><au>Mladenovic, Ana</au><au>Taylor, Lorian M</au><au>Johnson, Jeffrey A</au><au>Vallance, Jeff K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Walking and type 2 diabetes risk using CANRISK scores among older adults</atitle><jtitle>Applied physiology, nutrition, and metabolism</jtitle><addtitle>Appl Physiol Nutr Metab</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>42</volume><issue>1</issue><spage>33</spage><epage>38</epage><pages>33-38</pages><issn>1715-5312</issn><eissn>1715-5320</eissn><abstract>The objective of this study was to determine the association between pedometer-assessed steps and type 2 diabetes risk using the Public Health Agency of Canada-developed 16-item Canadian Diabetes Risk Questionnaire (CANRISK) among a large population-based sample of older adults across Alberta, Canada. To achieve our study objective, adults without type 2 diabetes (N = 689) aged 55 years and older provided demographic data and CANRISK scores through computer-assisted telephone interviews between September and November 2012. Respondents also wore a step pedometer over 3 consecutive days to estimate average daily steps. Logistic regression was used to assess the association between achieving 7500 steps/day and risk of diabetes (low vs. moderate and high). Overall, 41% were male, average age was 63.4 (SD 5.5) years, body mass index was 26.7 (SD 5.0) kg/m
2
, and participants averaged 5671 (SD 3529) steps/day. All respondents indicated they were capable of walking for at least 10 min unassisted. CANRISK scores ranged from 13–60, with 18% in the low-risk category (<21). After adjustment, those not achieving 7500 steps/day (n = 507) were more than twice as likely to belong to the higher risk categories for type 2 diabetes compared with those walking ≥7500 steps/day (n = 182) (73.6% vs. 26.4%; odds ratio: 2.37; 95% confidence interval: 1.58 – 3.57). Among older adults without diabetes, daily steps were strongly and inversely associated with diabetes risk using the CANRISK score. Walking remains an important modifiable risk factor target for type 2 diabetes and achieving at least 7500 steps/day may be a reasonable target for older adults.</abstract><cop>Canada</cop><pub>NRC Research Press</pub><pmid>27903089</pmid><doi>10.1139/apnm-2016-0267</doi><tpages>6</tpages></addata></record> |
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subjects | Actigraphy Aged Aging Alberta - epidemiology Body Mass Index Diabetes Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - etiology Diabetes Mellitus, Type 2 - prevention & control diabète dépistage Exercise Follow-Up Studies Health Promotion Health Surveys Healthy Lifestyle Humans Logistic Models Male marcher Middle Aged neighbourhood walkability Older people Overweight - physiopathology Overweight - therapy Patient Compliance potentiel piétonnier du quartier Residence Characteristics - classification Risk Factors screening Self Report Waist Circumference Walking |
title | Walking and type 2 diabetes risk using CANRISK scores among older adults |
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