Changes in objectively-measured physical capability over 4-year, risk of diabetes, and glycemic control in older adults: The China Health and Retirement Longitudinal study
Aims: High physical capability reduces risk of diabetes, but the association of its changes with risk of diabetes and glycemic control is unclear in older adults. This study aimed to quantify their association. Methods: A total of 1,667 participants without diabetes and aged >= 60 years from the China Health and Retirement Longitudinal Study were included and followed over 4 years. Physical capability was objectively measured at baseline and 4-year later. Logistic regression models were used to assess the association of changes in physical capability with risk of diabetes. Results: During follow-up, 160 participants developed diabetes. None of the changes in physical capability expressed in continuous scales or in tertiles was associated with risk of diabetes in unadjusted or adjusted models (all P > 0.05), and no favorable joint effects were observed. Changes in physical capability were not associated with changes in fasting plasma glucose or hemoglobin A1c. Yet increases in walking speed or grip strength were related to reduced metabolic score for insulin resistance (both P < 0.03). Conclusions: Increases in objectively-measured physical capability were not associated with reduced risk of diabetes but may ameliorate insulin resistance in older adults. Studies with longer follow-up periods are required to confirm these findings. (C) 2021 Elsevier B.V. All rights reserved.
基金:
National Key R&D Program
of China (grant No. 2016YFC1305700) and the Nanjing
Special Fund for Health Science and Technology Development
(No. YKK18261).
第一作者机构:[1]Southeast Univ, Zhongda Hosp, Sch Med, Inst Diabet,Dept Gen Practice, Nanjing, Peoples R China[2]Jinan Univ, Dept Endocrinol, Shenzhen Peoples Hosp,Southern Univ Sci & Technol, Clin Med Coll 2,Affiliated Hosp 1, Shenzhen, Peoples R China
通讯作者:
通讯机构:[2]Jinan Univ, Dept Endocrinol, Shenzhen Peoples Hosp,Southern Univ Sci & Technol, Clin Med Coll 2,Affiliated Hosp 1, Shenzhen, Peoples R China[4]Southeast Univ, Zhongda Hosp, Sch Med, Inst Diabet,Dept Endocrinol, Nanjing, Peoples R China[*1]Department of Endocrinology, Zhongda Hospital, Institute of Diabetes, School of Medicine, Southeast University, Nanjing, China. Department of Endocrinology, Shenzhen People’s Hospital (The Second Clinical Medical College of Jinan University.The First Affiliated Hospital of Southern University of Science and Technology), Shenzhen, China.
推荐引用方式(GB/T 7714):
Qiu Shanhu,Cai Xue,Zheng Peilin,et al.Changes in objectively-measured physical capability over 4-year, risk of diabetes, and glycemic control in older adults: The China Health and Retirement Longitudinal study[J].DIABETES RESEARCH AND CLINICAL PRACTICE.2022,184:doi:10.1016/j.diabres.2021.109186.
APA:
Qiu, Shanhu,Cai, Xue,Zheng, Peilin,Yuan, Yang,Xu, Ying...&Wu, Tongzhi.(2022).Changes in objectively-measured physical capability over 4-year, risk of diabetes, and glycemic control in older adults: The China Health and Retirement Longitudinal study.DIABETES RESEARCH AND CLINICAL PRACTICE,184,
MLA:
Qiu, Shanhu,et al."Changes in objectively-measured physical capability over 4-year, risk of diabetes, and glycemic control in older adults: The China Health and Retirement Longitudinal study".DIABETES RESEARCH AND CLINICAL PRACTICE 184.(2022)