Higher levels of self-reported sitting time is associated with higher risk of type 2 diabetes independent of physical activity in Chile

Díaz-Martínez, X. et al. (2018) Higher levels of self-reported sitting time is associated with higher risk of type 2 diabetes independent of physical activity in Chile. Journal of Public Health, 40(3), pp. 501-507. (doi: 10.1093/pubmed/fdx091) (PMID:28977545)

Abstract

Background: Sitting behaviours have increased markedly during the last two decades in Chile. However, their associations with health outcomes such as diabetes have not been reported. Therefore, the aim of this study was to investigate the independent association of self-reported sitting time with diabetes-related markers and diabetes prevalence in Chile. Methods: This cross-sectional study included participants (aged ≥18 years) from the Chilean National Health Survey 2009–10 (n = 4457). Fasting glucose and haemoglobin A1c (HbA1c) were measured by standardized protocols. The prevalence of type 2 diabetes (T2D) was determined using WHO criteria. Physical activity (PA) and time spent sitting were determined using the Global Physical Activity Questionnaire (GPAQ). Results: The odds ratio for T2D was 1.10 [95% CI: 1.04–1.16, P = 0.002] and 1.08 [1.02–1.14, P = 0.002] per 1 h increase in sitting time in men and women, respectively, independent of age, education, smoking, BMI and total PA. Overall, prevalence of T2D was 10.2 and 17.2% in individuals classified in the lowest and highest categories of sitting time, respectively. No significant associations were found between sitting time and glucose or HbA1c. Conclusions: Sitting time is positively associated with diabetes risk, independent of socio-demographic, obesity and PA levels, in the Chilean population.

• Item Type: Articles
• Additional Information: This study was funded by the Chilean Health Ministry as part of the second health surveillance in Chile.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Celis, Dr Carlos and Steell, Dr Lewis
• Authors: Díaz-Martínez, X., Steell, L., Martinez, M. A., Leiva, A. M., Salas-Bravo, C., Labraña, A. M., Duran, E., Cristi-Montero, C., Livingstone, K. M., Garrido-Méndez, A., Alvarez, C., Poblete-Valderrama, F., Luisa Zagalaz, M., Valdivia-Moral, P., Cuadra, L., Ulloa, N., Willis, N. D., and Celis-Morales, C. A.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: Journal of Public Health
• Publisher: Oxford University Press
• ISSN: 1741-3842
• ISSN (Online): 1741-3850
• Published Online: 28 July 2017
• Copyright Holders: Copyright © 2017 Oxford University Press on behalf of Faculty of Public Health
• First Published: First published in Journal of Public Health 40(3): 501-507
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher