Physical activity and the incidence of type 2 diabetes in the Shanghai women's health study
Abstract
BACKGROUND: Leisure-time physical activity (LPA) has been associated with a reduced risk of type 2 diabetes. However, the potential effect of other types of physical activity on type 2 diabetes is still uncertain. The aim of this study was to examine the effect of occupational, commuting, daily living, and LPA on the incidence of type 2 diabetes in a cohort of middle-aged women. METHODS: We prospectively followed 70,658 women who had no prior history of diabetes at study recruitment for 4.6 years. Participants completed in-person interviews at baseline that collected information on diabetes risk factors including physical activity habits. Anthropometric measurements were taken by trained interviewers. Multivariate-adjusted hazard ratios were estimated by levels of occupational, commuting, daily living, and LPA. RESULTS: We documented 1973 incident cases of diabetes during 326,625 person-years of follow-up. LPA and daily living physical activity (DPA) were associated with a moderately reduced risk of type 2 diabetes. The relative risk for type 2 diabetes associated with LPA and DPA categories were 1.00, 0.89, 1.05, and 0.83, (P trend = 0.12) and 1.00, 0.98, 0.95, and 0.88, (P trend = 0.06) respectively. LPA was associated with lower risk of type 2 diabetes in employed participants (P trend = 0.09) while DPA was mainly associated with a reduction in risk in non-employed participants (P trend <0.01). While occupational physical activity was not associated with type 2 diabetes risk in this population, commuting to work was associated with a reduction in risk. A combination of DPA and LPA was associated with a reduced risk of type 2 diabetes. CONCLUSIONS: This study suggests that physical activity, either from leisure-time exercise or daily activity reduces the risk of type 2 diabetes in women, supporting the current health promotion efforts encouraging both exercise and non-exercise activity levels.
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Other observational studies show no specific correlation between hours of household tasks and diabetes risk, but increased daily METs are inversely related to incidence of type 2 diabetes.
“Other observational studies show no specific correlation between hours performing household tasks and risks of diabetes, but that increased daily METs, which household activities contribute to, are inversely related with incidence of T2DM.”
From The Impact of Physical Activity in Patients With Type 2 Diabetes (2025) · cites this paper as [75]
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- Authors
- Villegas, R., Shu, X.-O., Li, H., Yang, G., Matthews, C. E., Leitzmann, M., Li, Q., Cai, H., Gao, Y.-T., & Zheng, W.
- Affiliations
- Vanderbilt University (US)
- Shanghai Cancer Institute (CN)
- National Cancer Institute (US)
- Corresponding author
- Villegas, R.
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-11-07
- Volume
- 35
- Issue
- 6
- Pages
- 1553-1562
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2000254390
- Cited by
- 72
- References
- 42
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 7 · 2017: 7 · 2016: 7 · 2015: 2 · 2014: 5 · 2013: 8 · 2012: 3
- FWCI
- 1.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service
- National Cancer Institute (R01 CA70867, R01CA070867)
- 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, physical activity, leisure-time physical activity, occupational physical activity, commuting physical activity, diabetes incidence, middle-aged women, Shanghai Women's Health Study
- MeSH terms
- Activities of Daily Living, Adult, Aged, China, Diabetes Mellitus, Type 2, Diet, Employment, Physical Exertion, Female, Humans, Leisure Activities, Middle Aged, Prospective Studies, Risk Factors, Exercise, Body Mass Index, Incidence, Waist-Hip Ratio
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