Association between household physical activity level and type 2 diabetes among urban males in northern China
Abstract
Objectives Physical activity contributes to preventing type 2 diabetes (T2D). Doing housework is an unstructured mild-intensity physical activity. We aimed to investigate the association between household physical activity level (HPAL) and T2D in urban Chinese men. Study design This is a cross-sectional study. Methods This study contained 13,862 male adults aged 35-78 (48.4 ± 7.1) years. According to the self-reported time (hours/day [h/d]) spent on housework, they were stratified into three levels: 0 h/d, >0-2 h/d, and >2 h/d. The association of HPAL with T2D was investigated by logistic regression analysis. Results The odds ratios (ORs) for T2D across increasing categories of HPAL were 1.00 (reference), 0.80 (95% confidence interval [CI] 0.72-0.89), and 0.60 (95% CI 0.51-0.70), respectively (P for trend <0.001), after adjusting for confounding factors. Further adjustment for waist circumference or body mass index (BMI) had a minimal impact on these ORs. The inverse association of HPAL with T2D was persistent in subgroup analyses based on age, hypertension, family history of diabetes, smoking, BMI, waist circumstance, and fasting plasma glucose level. Conclusion Our findings indicated that HPAL was inversely associated with the risk of T2D among urban males in northern China. This implied that household physical activity may contribute to long-term glucose control. Well-designed longitudinal studies are required to improve our understanding of this association.
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An observational study of 15,000 Chinese men found an inverse relationship between increased hours of household physical activity and incidence of type 2 diabetes.
“One observational study of 15,000 Chinese men found an inverse relationship between increased hours performing household PA and incidence of T2DM.”
From The Impact of Physical Activity in Patients With Type 2 Diabetes (2025) · cites this paper as [74]
Cites
International physical activity questionnaire: 12-country reliability and validity
CRAIG, C. L., MARSHALL, A. L., SJ??STR??M, M., BAUMAN, A. E., BOOTH, M. L., AINSWORTH, B. E., PRATT, M., EKELUND, U., YNGVE, A., SALLIS, J. F., et al. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000078924.61453.fb · Cited by 21,619 · see citing works
Diagnosis and Classification of Diabetes Mellitus
American Diabetes Association (2010) · Diabetes Care · doi:10.2337/dc11-s062 · Cited by 14,019 · see citing works
Diagnosis and classification of diabetes mellitus
American Diabetes Association (2014) · Diabetes Care · doi:10.2337/dc14-s081 · Cited by 5,974 · see citing works
Diet, lifestyle, and the risk of type 2 diabetes mellitus in women.
Hu, F. B., Manson, J. E., Stampfer, M. J., Colditz, G., Liu, S., Solomon, C. G., & Willett, W. C. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa010492 · Cited by 2,901 · see citing works
Prevalence and Control of Diabetes in Chinese Adults
Xu, Y. (2013) · JAMA · doi:10.1001/jama.2013.168118 · Cited by 2,710 · see citing works
Diabetes in Asia: Epidemiology, Risk Factors, and Pathophysiology
Chan, J. C. N., Malik, V., Jia, W., Kadowaki, T., Yajnik, C. S., Yoon, K.-H., & Hu, F. B. (2009) · JAMA · doi:10.1001/jama.2009.726 · Cited by 1,997 · see citing works
Breaking Up Prolonged Sitting Reduces Postprandial Glucose and Insulin Responses
Dunstan, D. W., Kingwell, B. A., Larsen, R., Healy, G. N., Cerin, E., Hamilton, M. T., Shaw, J. E., Bertovic, D. A., Zimmet, P. Z., Salmon, J., et al. (2012) · Diabetes Care · doi:10.2337/dc11-1931 · Cited by 1,203 · see citing works
Objectively Measured Sedentary Time, Physical Activity, and Metabolic Risk
Healy, G. N., Wijndaele, K., Dunstan, D. W., Shaw, J. E., Salmon, J., Zimmet, P. Z., & Owen, N. (2008) · Diabetes Care · doi:10.2337/dc07-1795 · Cited by 1,100 · see citing works
Aune, D., Norat, T., Leitzmann, M., Tonstad, S., & Vatten, L. J. (2015) · European Journal of Epidemiology · doi:10.1007/s10654-015-0056-z · Cited by 880 · see citing works
Physical Activity and Television Watching in Relation to Risk for Type 2 Diabetes Mellitus in Men
Hu, F. B., Leitzmann, M. F., Stampfer, M. J., Colditz, G. A., Willett, W. C., & Rimm, E. B. (2001) · Archives of Internal Medicine · doi:10.1001/archinte.161.12.1542 · Cited by 828 · see citing works
A Prospective Study of Exercise and Incidence of Diabetes Among US Male Physicians
Manson, J. E. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03490010065031 · Cited by 778 · see citing works
A prospective study of exercise and incidence of diabetes among US male physicians
Manson, J. E. (1992) · JAMA · doi:10.1001/jama.268.1.63 · Cited by 596 · see citing works
Fan, M., Lyu, J., & He, P. (2014) · PubMed · Cited by 423 · see citing works
Sullivan, P. W., Morrato, E. H., Ghushchyan, V. H., Wyatt, H. R., & Hill, J. O. (2005) · Diabetes Care · doi:10.2337/diacare.28.7.1599 · Cited by 400 · see citing works
Hu, G., Qiao, Q., Silventoinen, K., Eriksson, J. G., Jousilahti, P., Lindström, J., Valle, T. T., Nissinen, A. M., & Tuomilehto, J. O. (2003) · Diabetologia · doi:10.1007/s00125-003-1031-x · Cited by 380 · see citing works
Lynch, J. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.1996.00440110073010 · Cited by 354 · see citing works
Haftenberger, M., Lahmann, P. H., Panico, S., Gonzalez, C. A., Seidell, J. C., Boeing, H., Giurdanella, M., Krogh, V., Bueno-de-Mesquita, H. B., Peeters, P. H. M., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002396 · Cited by 276 · see citing works
Physical activity and incident diabetes mellitus in postmenopausal women
Folsom, A. R., Kushi, L. H., & Hong, C. P. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.1.134 · Cited by 155 · see citing works
Shi, L., Shu, X., Li, H., Cai, H., Liu, Q., Zheng, W., Xiang, Y., & Villegas, R. (2013) · PLoS ONE · doi:10.1371/journal.pone.0077919 · Cited by 143 · see citing works
Millett, C. J., Agrawal, S., Sullivan, R., Vaz, M. A. P., Kurpad, A. V., Bharathi, A. V., Prabhakaran, D., Reddy, K. S., Kinra, S., Smith, G. D., et al. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001459 · Cited by 112 · see citing works
Heianza, Y., Arase, Y., Kodama, S., Hsieh, S. D., Tsuji, H., Saito, K., Shimano, H., Hara, S., & Sone, H. (2013) · Diabetes Care · doi:10.2337/dc13-1048 · Cited by 108 · see citing works
Fransson, E. I., Alfredsson, L. S., de Faire, U. H., Knutsson, A., & Westerholm, P. J. M. (2003) · Scandinavian Journal of Public Health · doi:10.1080/14034940210165055 · Cited by 92 · see citing works
Accelerometer-determined moderate intensity lifestyle activity and cardiometabolic health
Camhi, S. M., Sisson, S. B., Johnson, W. D., Katzmarzyk, P. T., & Tudor-Locke, C. E. (2011) · Preventive Medicine · doi:10.1016/j.ypmed.2011.01.030 · Cited by 92 · see citing works
The InterAct Consortium (614230) (2012) · Diabetologia · doi:10.1007/s00125-012-2532-2 · Cited by 91 · see citing works
Effects of smoking and alcohol consumption on lipid profile in male adults in northwest rural China
Li, X., Zhao, Y., Huang, L. X., Xu, H., Liu, X. Y., Yang, J., Zhang, P. J., & Zhang, Y. (2018) · Public Health · doi:10.1016/j.puhe.2018.01.003 · Cited by 85 · see citing works
Self-citationFretts, A. M., Howard, B. V., McKnight, B., Duncan, G. E., Beresford, S. A. A., Calhoun, D., Kriska, A. M., Storti, K. L., & Siscovick, D. S. (2012) · Diabetes Care · doi:10.2337/dc11-2321 · Cited by 78 · see citing works
Physical activity and the incidence of type 2 diabetes in the Shanghai women's health study
Villegas, R., Shu, X.-O., Li, H., Yang, G., Matthews, C. E., Leitzmann, M., Li, Q., Cai, H., Gao, Y.-T., & Zheng, W. (2006) · International Journal of Epidemiology · doi:10.1093/ije/dyl209 · Cited by 72 · see citing works
Honda, T., Kuwahara, K., Nakagawa, T., Yamamoto, S., Hayashi, T., & Mizoue, T. (2015) · BMC Public Health · doi:10.1186/s12889-015-2362-5 · Cited by 59 · see citing works
Mario, F. M., Graff, S. K., & Spritzer, P. M. (2017) · Journal of Endocrinological Investigation · doi:10.1007/s40618-016-0570-1 · Cited by 47 · see citing works
Prevalence, Awareness, Treatment and Control of Diabetes Mellitus in a Chinese Population
Yue, J., Mao, X., Xu, K., Lü, L., Liu, S., Chen, F., & Wang, J. (2016) · PLoS ONE · doi:10.1371/journal.pone.0153791 · Cited by 44 · see citing works
Chen, L., Fox, K. R., Ku, P., Sun, W., & Chou, P. (2012) · Asia Pacific Journal of Public Health · doi:10.1177/1010539511404397 · Cited by 41 · see citing works
Housework Reduces All-Cause and Cancer Mortality in Chinese Men
Yu, R., Leung, J. C. S., & Woo, J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0061529 · Cited by 38 · see citing works
Huai, P., Han, H., Reilly, K. H., Guo, X., Zhang, J., & Xu, A. (2015) · Endocrine · doi:10.1007/s12020-015-0769-5 · Cited by 34 · see citing works
Teh, C. H., Chan, Y. Y., Lim, K. H., Kee, C. C., Lim, K. K., Yeo, P. S., Azahadi, O., Fadhli, Y., Tahir, A., Lee, H. L., et al. (2015) · BMC Public Health · doi:10.1186/s12889-015-2528-1 · Cited by 33 · see citing works
Physical Activity Level and Incident Type 2 Diabetes among Chinese Adults
Fan, S., Chen, J., Huang, J., Li, Y., Zhao, L., Liu, X., Li, J., Cao, J., Yu, L., Deng, Y., et al. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000471 · Cited by 33 · see citing works
Household physical activity and mortality in older adults: A national cohort study in Spain
Martínez‐Gómez, D., Guallar‐Castillón, P., León-Muñoz, L. M., & Rodríguez‐Artalejo, F. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.01.006 · Cited by 30 · see citing works
Huang, J., Li, R.-H., Huang, S.-L., Sia, H., Lee, S.-S., Wang, W., & Tang, F. (2017) · Scientific Reports · doi:10.1038/s41598-017-13872-5 · Cited by 29 · see citing works
Stephan, A., Strobl, R., Müller, M., Holle, R., Autenrieth, C. S., Thorand, B., Linkohr, B., Peters, A., & Grill, E. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.01.021 · Cited by 18 · see citing works
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Mengyu, F., Jun, L., & Pingping, H. (2014) · Zhonghua liuxingbingxue zazhi · Cited by 10 · see citing works
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- Authors
- Yang, J., Zhang, Y. L., Ye, J., Guo, Q., Sun, Y. N., & Zeng, Q.
- Affiliations
- University of Science and Technology of China (CN)
- Chinese Academy of Sciences (CN)
- Chinese PLA General Hospital (CN)
- Corresponding author
- Zeng, Q.
- Venue
- Public Health
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 163
- Pages
- 113-120
- ISSN
- 0033-3506 (ISSN-L)
- OpenAlex
- W2888610876
- Cited by
- 9
- References
- 38
- Citations by year
- 2024: 2 · 2023: 5 · 2022: 1 · 2020: 1
- FWCI
- 0.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Science and Technology Service Network Program of Chinese Academy of Sciences (KFJ-STS-ZDTP-033)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, household physical activity, housework, diabetes risk, waist circumference, body mass index, glycemic control, northern China
- MeSH terms
- Adult, Aged, China, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Household Work, Humans, Male, Middle Aged, Urban Population, Exercise, Self Report
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