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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Public Health 1/2015

Leisure-time, occupational, and commuting physical activity and risk of type 2 diabetes in Japanese workers: a cohort study

Zeitschrift:
BMC Public Health > Ausgabe 1/2015
Autoren:
Toru Honda, Keisuke Kuwahara, Tohru Nakagawa, Shuichiro Yamamoto, Takeshi Hayashi, Tetsuya Mizoue
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-015-2362-5) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests. T. Hayashi, T. Nakagawa, S. Yamamoto and T. Honda are occupational physicians in the participating company.

Authors’ contributions

THonda provided databases for the research, drafted the concept and design and revised the manuscript. KK helped to draft the concept and design, conducted data analysis, aided in the data interpretation, assisted with article revisions. TN, SY, and THayashi provided databases for the research, assisted with design, aided in the interpretation of data, and provided feedback and assisted with article revisions. TM helped to draft the concept and design, aided in the interpretation of data, and provided extensive feedback and assisted with article revisions. All authors read and approved the final manuscript.

Authors’ information

Honda T and Kuwahara K are co-first authors.

Abstract

Background

Physical activity has been suggested to reduce the risk of type 2 diabetes. However, evidence is limited regarding whether vigorous-intensity activity yields the same benefits in preventing type 2 diabetes compared with an equivalent dose of moderate-intensity activity as well as other type of physical activity. We examined the risk of type 2 diabetes associated with exercise intensity during leisure and occupational and commuting physical activity among Japanese individuals.

Methods

Participants included 26,628 workers (23,207 men and 3,421 women) aged 30 to 64 years without diabetes at baseline. There was 6 years of follow-up maximum. Leisure-time exercise, occupational physical activity, and duration of walking to and from work were self-reported. Diabetes was diagnosed by using HbA1c, fasting or random blood glucose, and self-report. We used Cox regression analysis to estimate the hazard ratio (HR) and the 95 % confidence interval (CI) of incident diabetes.

Results

During a mean follow-up of 5.2 years, 1,770 participants developed type 2 diabetes. Compared with individuals who engaged in no exercise, the HRs (95 % CIs) for <7.5, 7.5 to <15.0, and ≥15.0 MET-hours per week of exercise were 0.94 (0.81, 1.08), 1.07 (0.88, 1.30), and 0.90 (0.67, 1.21), respectively, among individuals who engaged in moderate-intensity exercise alone; 0.68 (0.44, 1.06), 0.86 (0.54, 1.34), and 0.89 (0.56, 1.41), respectively, among individuals who engaged in vigorous-intensity exercise alone; and 0.70 (0.44, 1.11), 0.57 (0.37, 0.90), and 0.76 (0.52, 1.11), respectively, among individuals who engaged in the two intensities, with adjustments for potential confounders and the total volume of exercise. Occupational physical activity and walking to and from work were not associated with diabetes.

Conclusions

The results suggest that vigorous-intensity exercise can reduce the risk of type 2 diabetes among Japanese workers.
Zusatzmaterial
Additional file 1: Table S1. Association between moderate-intensity and vigorous-intensity exercise during leisure and risk of type 2 diabetes. Table S2. Risk of type 2 diabetes associated with specific type of leisure-time exercise. (DOCX 47 kb)
12889_2015_2362_MOESM1_ESM.docx
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