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Activity and Sedentary Time 10 Years After a Successful Lifestyle Intervention : The Diabetes Prevention Program

Rockette-Wagner, Bonny; Storti, Kristi L.; Dabelea, Dana; Edelstein, Sharon; Florez, Hermes; Franks, Paul W. LU ; Montez, Maria G.; Pomeroy, Jeremy and Kriska, Andrea M. (2017) In American Journal of Preventive Medicine 52(3). p.292-299
Abstract

Introduction: This study aims to determine if evidence exists for a lasting effect of the Diabetes Prevention Program (DPP) lifestyle intervention on activity levels by comparing objectively collected activity data between the DPP Outcome Study (DPPOS) cohort and adults from the National Health and Nutrition Examination Survey (NHANES; 2003-2006). Methods: Average minutes/day of light and moderate to vigorous physical activity (MVPA) and sedentary behavior from ActiGraph accelerometers (collected 2010-2012) were examined (2013-2014) for comparable DPPOS and NHANES subgroups by age, sex, and diabetes status. Longitudinal questionnaire data on leisure activity, collected yearly from DPP baseline to the time of accelerometer measurement... (More)

Introduction: This study aims to determine if evidence exists for a lasting effect of the Diabetes Prevention Program (DPP) lifestyle intervention on activity levels by comparing objectively collected activity data between the DPP Outcome Study (DPPOS) cohort and adults from the National Health and Nutrition Examination Survey (NHANES; 2003-2006). Methods: Average minutes/day of light and moderate to vigorous physical activity (MVPA) and sedentary behavior from ActiGraph accelerometers (collected 2010-2012) were examined (2013-2014) for comparable DPPOS and NHANES subgroups by age, sex, and diabetes status. Longitudinal questionnaire data on leisure activity, collected yearly from DPP baseline to the time of accelerometer measurement (1996-2010; 11.9-year mean follow-up), were also examined to provide support for a long-term intervention effect. Results: Average minutes/day of accelerometer-derived MVPA was higher in all DPPOS subgroups versus NHANES subgroups of similar age/sex/diabetes status; with values as much as twice as high in some DPPOS subgroups. Longitudinal questionnaire data from DPP/DPPOS showed a maintained increase of 1.24 MET hours/week (p=0.026) of leisure activity in DPPOS participants from all original study arms between DPP baseline and accelerometer recording. There were no consistent differences between comparable DPPOS and NHANES subgroups for accelerometer-derived sedentary or light-intensity activity minutes/day. Conclusions: More than 10 years after the start of DPP, DPPOS participants performed more accelerometer-measured MVPA than similar adults from NHANES. Longitudinal questionnaire data support the accelerometer-based findings by suggesting that leisure activity levels at the time of accelerometer recording remained higher than DPP baseline levels.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
American Journal of Preventive Medicine
volume
52
issue
3
pages
292 - 299
publisher
Elsevier
external identifiers
  • scopus:85007003553
  • wos:000400434200009
ISSN
0749-3797
DOI
10.1016/j.amepre.2016.10.007
language
English
LU publication?
yes
id
54ef8007-4784-43da-be8a-2f35409e6608
date added to LUP
2017-01-19 14:26:15
date last changed
2018-05-20 04:30:39
@article{54ef8007-4784-43da-be8a-2f35409e6608,
  abstract     = {<p>Introduction: This study aims to determine if evidence exists for a lasting effect of the Diabetes Prevention Program (DPP) lifestyle intervention on activity levels by comparing objectively collected activity data between the DPP Outcome Study (DPPOS) cohort and adults from the National Health and Nutrition Examination Survey (NHANES; 2003-2006). Methods: Average minutes/day of light and moderate to vigorous physical activity (MVPA) and sedentary behavior from ActiGraph accelerometers (collected 2010-2012) were examined (2013-2014) for comparable DPPOS and NHANES subgroups by age, sex, and diabetes status. Longitudinal questionnaire data on leisure activity, collected yearly from DPP baseline to the time of accelerometer measurement (1996-2010; 11.9-year mean follow-up), were also examined to provide support for a long-term intervention effect. Results: Average minutes/day of accelerometer-derived MVPA was higher in all DPPOS subgroups versus NHANES subgroups of similar age/sex/diabetes status; with values as much as twice as high in some DPPOS subgroups. Longitudinal questionnaire data from DPP/DPPOS showed a maintained increase of 1.24 MET hours/week (p=0.026) of leisure activity in DPPOS participants from all original study arms between DPP baseline and accelerometer recording. There were no consistent differences between comparable DPPOS and NHANES subgroups for accelerometer-derived sedentary or light-intensity activity minutes/day. Conclusions: More than 10 years after the start of DPP, DPPOS participants performed more accelerometer-measured MVPA than similar adults from NHANES. Longitudinal questionnaire data support the accelerometer-based findings by suggesting that leisure activity levels at the time of accelerometer recording remained higher than DPP baseline levels.</p>},
  author       = {Rockette-Wagner, Bonny and Storti, Kristi L. and Dabelea, Dana and Edelstein, Sharon and Florez, Hermes and Franks, Paul W. and Montez, Maria G. and Pomeroy, Jeremy and Kriska, Andrea M.},
  issn         = {0749-3797},
  language     = {eng},
  number       = {3},
  pages        = {292--299},
  publisher    = {Elsevier},
  series       = {American Journal of Preventive Medicine},
  title        = {Activity and Sedentary Time 10 Years After a Successful Lifestyle Intervention : The Diabetes Prevention Program},
  url          = {http://dx.doi.org/10.1016/j.amepre.2016.10.007},
  volume       = {52},
  year         = {2017},
}