دورية أكاديمية
Physical activity trajectories and all-cause mortality in type 1 diabetes: A nationwide longitudinal study.
| العنوان: | Physical activity trajectories and all-cause mortality in type 1 diabetes: A nationwide longitudinal study. |
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| المؤلفون: | Mavridis A; Institute of Neuroscience and Physiology, Rehabilitation Medicine, University of Gothenburg, Sweden; School of Medicine, Aristotle University of Thessaloniki, Greece., Viktorisson A; Institute of Neuroscience and Physiology, Rehabilitation Medicine, University of Gothenburg, Sweden; Department of Rehabilitation Medicine, Neurocare, Sahlgrenska University Hospital, Gothenburg, Sweden. Electronic address: adam.viktorisson@gu.se., Reinholdsson M; Institute of Neuroscience and Physiology, Rehabilitation Medicine, University of Gothenburg, Sweden; Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden., Eliasson B; Department of Medicine, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden; National Diabetes Register, Center of Registries, Gothenburg, Sweden., Abzhandadze T; Institute of Neuroscience and Physiology, Rehabilitation Medicine, University of Gothenburg, Sweden; Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden., Sunnerhagen KS; Institute of Neuroscience and Physiology, Rehabilitation Medicine, University of Gothenburg, Sweden; Department of Rehabilitation Medicine, Neurocare, Sahlgrenska University Hospital, Gothenburg, Sweden. |
| المصدر: | Diabetes research and clinical practice [Diabetes Res Clin Pract] 2024 Jun; Vol. 212, pp. 111702. Date of Electronic Publication: 2024 May 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Scientific Publishers Country of Publication: Ireland NLM ID: 8508335 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-8227 (Electronic) Linking ISSN: 01688227 NLM ISO Abbreviation: Diabetes Res Clin Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1993- : Limerick : Elsevier Scientific Publishers Original Publication: Amsterdam : Elsevier Science Publishers B.V., c1985- |
| مواضيع طبية MeSH: | Diabetes Mellitus, Type 1*/mortality , Exercise*, Humans ; Female ; Male ; Longitudinal Studies ; Adult ; Sweden/epidemiology ; Middle Aged ; Young Adult |
| مستخلص: | Aims: To identify physical activity trajectories, explore the factors associated with them and assess their relationship with all-cause mortality. Methods: This was a population-based longitudinal cohort study, with data from all specialist care units for type 1 diabetes in Sweden. A total of 48.921 adult patients were included, each with at least 3 registrations of physical activity, and a maximum follow-up of 14 years. The main outcomes were the longitudinal physical activity trajectories and all-cause mortality. Results: Of 48.921 patients, 55.9% were males and mean (SD) age was 39.7(16.7). Four physical activity trajectories were identified: Steady Low (10.8%), Decreaser (12.7%), Increaser (20.7%) and Steady High (55.8%). Female sex, higher education, higher income, normal BMI, fewer comorbidities and foot free from diabetic disease were significantly associated with sustained high physical activity. Compared to the steady low group, the decreaser, increaser, and steady high physical activity groups exhibited lower adjusted risk of all-cause mortality (53-73% reduction). Conclusions: Consistently low physical activity is associated with higher all-cause mortality. This study underscores the importance of identifying patients at risk of low physical activity and tailoring personalized approaches to promote sustained physical activity in type 1 diabetes, ultimately improving outcomes. Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Exercise; Inactivity; Latent class analysis; Lifestyle; Risk reduction behavior; Sedentary behavior |
| تواريخ الأحداث: | Date Created: 20240509 Date Completed: 20240609 Latest Revision: 20240609 |
| رمز التحديث: | 20240610 |
| DOI: | 10.1016/j.diabres.2024.111702 |
| PMID: | 38723672 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1872-8227 |
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| DOI: | 10.1016/j.diabres.2024.111702 |