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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
Main Authors: Johnson, Steven T, Eurich, Dean T, Lytvyak, Ellina, Mladenovic, Ana, Taylor, Lorian M, Johnson, Jeffrey A, Vallance, Jeff K
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container_title Applied physiology, nutrition, and metabolism
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creator Johnson, Steven T
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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 (
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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 (&lt;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. 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source NRC Research Press; SPORTDiscus
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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