Honda et al. BMC Public Health (2015) 15:1004 DOI 10.1186/s12889-015-2362-5
RESEARCH ARTICLE
Open Access
Leisure-time, occupational, and commuting physical activity and risk of type 2 diabetes in Japanese workers: a cohort study Toru Honda1, Keisuke Kuwahara2,3*, Tohru Nakagawa1, Shuichiro Yamamoto1, Takeshi Hayashi1 and Tetsuya Mizoue2
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
RESEARCH ARTICLE
Open Access
Leisure-time, occupational, and commuting physical activity and risk of type 2 diabetes in Japanese workers: a cohort study Toru Honda1, Keisuke Kuwahara2,3*, Tohru Nakagawa1, Shuichiro Yamamoto1, Takeshi Hayashi1 and Tetsuya Mizoue2
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
