Association between weekend warrior physical activity pattern and all-cause mortality among adults living with type 2 diabetes: a prospective cohort study from NHANES 2007 to 2018

Jinli Mahe, Ao Xu, Li Liu, Lei Hua, Huiming Tu, Yujia Huo, Weiyuan Huang, Xinru Liu, Jian Wang, Jinhao Tang, Yang Zhao, Zhining Liu, Qiaojun Hong, Rong Ye, Panpan Hu, Peng Jia, Junjie Huang, Xiangyi Kong, Zongyuan Ge, Aimin XuLongfei Wu, Chaopin Du, Feng Shi, Hanbin Cui, Shengfeng Wang, Zhihui Li, Liang Wang, Lei Zhang, Lin Zhang

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Abstract

Background: It is uncertain whether the weekend warrior pattern is associated with all-cause mortality among adults living with type 2 diabetes. This study explored how the ‘weekend warrior’ physical activity (PA) pattern was associated with all-cause mortality among adults living with type 2 diabetes. Methods: This prospective cohort study investigated US adults living with type 2 diabetes in the National Health and Nutrition Examination Survey (NHANES). Mortality data was linked to the National Death Index. Based on self-reported leisure-time and occupational moderate-to-vigorous PA (MVPA), participants were categorized into 3 groups: physically inactive (< 150 min/week of MVPA), weekend warrior (≥ 150 min/week of MVPA in 1 or 2 sessions), and physically active (≥ 150 min/week of MVPA in 3 or more sessions). Results: A total of 6067 participants living with type 2 diabetes [mean (SD) age, 61.4 (13.5) years; 48.0% females] were followed for a median of 6.1 years, during which 1206 deaths were recorded. Of leisure-time and occupational activity, compared with inactive individuals, hazard ratios (HRs) for all-cause mortality were 0.49 (95% CI 0.26–0.91) and 0.57 (95% CI 0.38–0.85) for weekend warrior individuals, and 0.55 (95% CI 0.45–0.67) and 0.64 (95% CI 0.53–0.76) for regularly active individuals, respectively. However, when compared leisure-time and occupational weekend warrior with regularly active participants, the HRs were 0.82 (95% CI 0.42–1.61) and 1.00 (95% CI 0.64–1.56) for all-cause mortality, respectively. Conclusions: Weekend warrior PA pattern may have similar effects on lowering all-cause mortality as regularly active pattern among adults living with type 2 diabetes, regardless of leisure-time or occupational activity. Therefore, weekend warrior PA pattern may be sufficient to reduce all-cause mortality for adults living with type 2 diabetes.

Original languageEnglish
Article number226
Number of pages20
JournalDiabetology and Metabolic Syndrome
Volume16
Issue number1
DOIs
Publication statusPublished - Dec 2024

Keywords

  • All-cause mortality
  • Physical activity
  • Regularly active
  • Type 2 diabetes
  • Weekend warrior

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