TY - JOUR
T1 - Walking and type 2 diabetes risk using CANRISK scores among older adults
AU - Johnson, Steven T.
AU - Eurich, Dean T.
AU - Lytvyak, Ellina
AU - Mladenovic, Ana
AU - Taylor, Lorian M.
AU - Johnson, Jeffrey A.
AU - Vallance, Jeff K.
N1 - Funding Information:
The lead and corresponding author is the guarantor. This study was supported by an Establishment Grant from Alberta Innovates – Health Solutions. Dr. Jeff Vallance and Dr. Dean Eurich are both supported by the Canada Research Chairs (Tier II) program and Population Health Investigator Awards from Alberta Innovates – Health Solutions. Jeffrey Johnson is a Senior Health Scholar with Alberta Innovates – Health Solutions. Author contributions: S.T.J. and J.K.V. conceived the study. D.T.E. and E.L. analyzed the data. S.T.J. wrote the manuscript. All other authors meaningfully reviewed/edited the manuscript.
Publisher Copyright:
© 2017, Canadian Science Publishing. All rights reserved.
PY - 2016/10/6
Y1 - 2016/10/6
N2 - 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/m2, 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 (<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. Walking remains an important modifiable risk factor target for type 2 diabetes and achieving at least 7500 steps/day may be a reasonable target for older adults.
AB - 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/m2, 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 (<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. Walking remains an important modifiable risk factor target for type 2 diabetes and achieving at least 7500 steps/day may be a reasonable target for older adults.
KW - Diabetes
KW - Neighbourhood walkability
KW - Screening
KW - Walking
UR - http://www.scopus.com/inward/record.url?scp=85021852044&partnerID=8YFLogxK
U2 - 10.1139/apnm-2016-0267
DO - 10.1139/apnm-2016-0267
M3 - Journal Article
C2 - 27903089
AN - SCOPUS:85021852044
SN - 1715-5312
VL - 42
SP - 33
EP - 38
JO - Applied Physiology, Nutrition and Metabolism
JF - Applied Physiology, Nutrition and Metabolism
IS - 1
ER -
