Replacing of sedentary behavior with physical activity and the risk of mortality in people with prediabetes and diabetes: a prospective cohort study
Open accessAbstract
Background: Sedentary behavior is prevalent among people with diabetes and is associated with unfavorable cardiometabolic health. However, there is limited evidence regarding the impact of replacing sedentary time (ST) with physical activity on mortality in people with prediabetes and diabetes. We prospectively examined the association between accelerometer-measured ST and mortality among people with prediabetes and diabetes after adjusting for demographic characteristics, lifestyle factors, and moderate- to vigorous-intensity PA (MVPA). We further determined the effect of replacing ST with equal time of different types of physical activities on all-cause mortality. Methods: We included 1242 adults with prediabetes and 1037 with diabetes from the National Health and Nutrition Examination Survey. Restricted cubic splines were fitted to determine the dose–response association between ST and overall mortality. Isotemporal substitution modeling was used to explore the hazard ratio (HR) effects of ST replacement. Results: During a median follow-up of 14.1 years, 424 adults with prediabetes and 493 with diabetes died. Compared with the lowest tertile of ST, the multivariable-adjusted HRs for all-cause mortality in the highest tertile were 1.76 (95% confidence interval [CI] 1.19, 2.60) for participants with prediabetes and 1.76 (1.17, 2.65) for those with diabetes. Additionally, a linear association between ST and all-cause mortality was observed in adults with prediabetes and diabetes, with HRs for each 60 min/day increment in ST of 1.19 (1.10, 1.30) and 1.25 (1.12, 1.40), respectively. Isotemporal substitution results indicated that individuals with prediabetes whose ST was replaced by 30 min of light-intensity physical activity (LPA) and MVPA had 9% and 40% lower all-cause mortality, respectively. In people with diabetes, replacing sedentary behavior with an equivalent time of LPA and MVPA was also associated with mortality risk reduction (HR 0.89; 95% CI 0.84, 0.95 for LPA; HR 0.73; 95% CI 0.49, 1.11 for MVPA). Conclusions: Higher ST was associated in a dose–response manner with an increased risk of premature mortality among adults with prediabetes and diabetes. Statistically replacing ST with LPA was potentially beneficial for health in this high-risk population.
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Prior accelerometry-based studies specific to patients with type 2 diabetes were scant but all demonstrated significant risk reductions in mortality-related outcomes with higher volumes of physical activity.
“Prior accelerometry-based studies specific to T2D patients were scant but all demonstrated significant risk reductions in mortality-related outcomes with higher volumes of PA, such as a 29% lower risk of premature all-cause mortality for every 60-min increase in daily ambulatory movement in the NHANES and a 2.6% lower risk of a composite CVD outcome including all-cause mortality for every 100 MET-”
From Accelerometer-derived physical activity and mortality in individuals with type 2 diabetes (2024) · cites this paper as [18]
The Results (Isotemporal substitution analyses; page unavailable) report that replacing 30 minutes of sedentary time with light physical activity was associated with lower all-cause mortality among participants with diabetes. The same analysis did not show a statistically significant reduction for moderate-to-vigorous activity in that group. The paper does not establish that all prior accelerometry-based studies in type 2 diabetes found significant reductions, or report the cited 29% and 2.6% estimates. (LLM, conf=0.87)
Experimental — accuracy not yet measuredTwo studies from NHANES, a study from the Look AHEAD Trial, and a study from the Walking Away from Type 2 Diabetes trial all demonstrated significant risk reductions related to all-cause mortality with higher volumes of physical activity.
“Two studies derived from the NHANES, a study from the Look AHEAD Trial and a study from the Walking Away from Type 2 Diabetes trial all demonstrated significant risk reductions in related to all-cause mortality with higher volumes of PA17–20.”
From Accelerometer-derived physical activity and mortality in individuals with type 2 diabetes (2024) · cites this paper as [18]
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Cites
World Health Organization 2020 guidelines on physical activity and sedentary behaviour
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J.-P., Chastin, S., Chou, R., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-102955 · Cited by 11,657 · cited 2× · see citing works
“Therefore, recent national and global activity guidelines for adults have recommended limiting sedentary behavior in addition to physical activity [5, 10].”
BackgroundSun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., Stein, C., Basit, A., Chan, J. C. N., Mbanya, J. C., et al. (2022) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2021.109119 · Cited by 10,123 · see citing works
‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
Hills, A. P., Byrne, N. M., Lindstrom, R. C., & Hill, J. O. (2013) · Obesity Facts · doi:10.1159/000345030 · Cited by 9,526 · see citing works
Physical Activity in the United States Measured by Accelerometer
TROIANO, R. P., BERRIGAN, D., DODD, K. W., MÂSSE, L. C., TILERT, T., & MCDOWELL, M. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31815a51b3 · Cited by 7,638 · see citing works
Physical activity/exercise and diabetes: A position statement of the American Diabetes Association
Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., Horton, E. S., Castorino, K., & Tate, D. F. (2016) · Diabetes Care · doi:10.2337/dc16-1728 · Cited by 2,991 · see citing works
Dose‐response analyses using restricted cubic spline functions in public health research
Desquilbet, L., & Mariotti, F. (2010) · Statistics in Medicine · doi:10.1002/sim.3841 · Cited by 2,006 · see citing works
Ekelund, U., Tarp, J., Steene-Johannessen, J., Hansen, B. H., Jefferis, B., Fagerland, M. W., Whincup, P., Diaz, K. M., Hooker, S. P., Chernofsky, A., et al. (2019) · BMJ · doi:10.1136/bmj.l4570 · Cited by 1,769 · see citing works
KANALEY, J. A., COLBERG, S. R., CORCORAN, M. H., MALIN, S. K., RODRIGUEZ, N. R., CRESPO, C. J., KIRWAN, J. P., & ZIERATH, J. R. (2022) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002800 · Cited by 931 · see citing works
Sitting Time, Physical Activity, and Risk of Mortality in Adults
Stamatakis, E. A., Gale, J., Bauman, A. E., Ekelund, U., Hamer, M., & Ding, D. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.02.031 · Cited by 689 · see citing works
Trends in Sedentary Behavior Among the US Population, 2001-2016
Yang, L., Cao, C., Kantor, E. D., Nguyen, L. H., Zheng, X., Park, Y., Giovannucci, E. L., Matthews, C. E., Colditz, G. A., & Cao, Y. (2019) · JAMA · doi:10.1001/jama.2019.3636 · Cited by 602 · see citing works
Trends in Prevalence of Diabetes and Control of Risk Factors in Diabetes Among US Adults, 1999-2018
Wang, L., Li, X., Wang, Z., Bancks, M. P., Carnethon, M. R., Greenland, P., Feng, Y., Wang, H., & Zhong, V. W. (2021) · JAMA · doi:10.1001/jama.2021.9883 · Cited by 587 · see citing works
Global Prevalence of Prediabetes
Rooney, M. R., Fang, M., Ogurtsova, K., Özkan, B., Echouffo-Tcheugui, J. B., Boyko, E. J., Magliano, D. J., & Selvin, E. (2023) · Diabetes Care · doi:10.2337/dc22-2376 · Cited by 545 · see citing works
Isotemporal Substitution Paradigm for Physical Activity Epidemiology and Weight Change
Mekary, R. A., Willett, W. C., Hu, F. B., & Ding, E. L. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp163 · Cited by 542 · see citing works
The Burden of Cardiovascular Diseases Among US States, 1990-2016
Roth, G. A., Johnson, C. O., Abate, K. H., Abd-Allah, F., Ahmed, M. B., Alam, K., Alam, S., Alvis‐Guzmán, N., Ansari, H., Ärnlöv, J., et al. (2018) · JAMA Cardiology · doi:10.1001/jamacardio.2018.0385 · Cited by 391 · see citing works
Ekelund, U., Tarp, J., Fagerland, M. W., Johannessen, J. S., Hansen, B. H., Jefferis, B. J. M. H., Whincup, P. H., Diaz, K. M., Hooker, S. P., Howard, V. J., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-103270 · Cited by 367 · see citing works
Sit less and move more for cardiovascular health: emerging insights and opportunities
Dunstan, D. W., Dogra, S., Carter, S. E., & Owen, N. (2021) · Nature Reviews Cardiology · doi:10.1038/s41569-021-00547-y · Cited by 333 · see citing works
Matthews, C. E., Keadle, S. K., Troiano, R. P., Kahle, L., Koster, A., Brychta, R. J., Domelen, D. R. V., Caserotti, P., Chen, K. Y., Harris, T. B., et al. (2016) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.116.135129 · Cited by 304 · see citing works
Improving self-reports of active and sedentary behaviors in large epidemiologic studies
Matthews, C. E., Moore, S. C., George, S. M., Sampson, J., & Bowles, H. R. (2012) · Exercise and Sport Sciences Reviews · doi:10.1097/jes.0b013e31825b34a0 · Cited by 211 · see citing works
3. Prevention or Delay of Diabetes and Associated Comorbidities: Standards of Care in Diabetes—2023
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Gaglia, J. L., Hilliard, M. E., Isaacs, D. M., et al. (2022) · Diabetes Care · doi:10.2337/dc23-s003 · Cited by 210 · see citing works
Cao, Z., Xu, C., Zhang, P., & Wang, Y. (2022) · EClinicalMedicine · doi:10.1016/j.eclinm.2022.101424 · Cited by 195 · see citing works
Isotemporal Substitution Analysis for Physical Activity, Television Watching, and Risk of Depression
Mekary, R. A., Lucas, M., Pan, A., Okereke, O. I., Willett, W. C., Hu, F. B., & Ding, E. L. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kws590 · Cited by 165 · see citing works
Beddhu, S., Wei, G., Marcus, R. L., Chonchol, M., & Greene, T. (2015) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.08410814 · Cited by 146 · see citing works
Compliance with physical activity recommendations in US adults with diabetes
Zhao, G., Ford, E. S., Li, C., & Mokdad, A. H. (2008) · Diabetic Medicine · doi:10.1111/j.1464-5491.2007.02332.x · Cited by 141 · see citing works
Han, H., Wang, Y., Li, T., Feng, C., Kaliszewski, C., Su, Y., Wu, Y., Zhou, J., Wang, L., & Zong, G. (2022) · Diabetes Care · doi:10.2337/dc22-1127 · Cited by 136 · see citing works
Dempsey, P. C., Strain, T., Khaw, K., Wareham, N. J., Brage, S., & Wijndaele, K. (2020) · Circulation · doi:10.1161/circulationaha.119.043030 · Cited by 101 · see citing works
Diaz, K. M., Duran, A. T., Colabianchi, N., Judd, S. E., Howard, V. J., & Hooker, S. P. (2018) · American Journal of Epidemiology · doi:10.1093/aje/kwy271 · Cited by 83 · see citing works
Vandercappellen, E. J., Koster, A., Savelberg, H. H. C. M., Eussen, S. J. P. M., Dagnelie, P. C., Schaper, N. C., Schram, M. T., Kallen, C., van Greevenbroek, M. M. J., Wesselius, A., et al. (2022) · Diabetologia · doi:10.1007/s00125-022-05651-3 · Cited by 76 · see citing works
Mortality Risk Reductions for Replacing Sedentary Time With Physical Activities
Rees‐Punia, E., Evans, E. M., Schmidt, M. D., Gay, J. L., Matthews, C. E., Gapstur, S. M., & Patel, A. V. (2019) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2018.12.006 · Cited by 64 · see citing works
The Potential Impact of Displacing Sedentary Time in Adults with Type 2 Diabetes
Falconer, C., Page, A. S., Andrews, R. C., & Cooper, A. R. (2015) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000651 · Cited by 62 · see citing works
Li, X., Zhou, T., Ma, H., Liang, Z., Fonseca, V. A., & Qi, L. (2021) · Diabetes Care · doi:10.2337/dc21-0455 · Cited by 52 · see citing works
Balducci, S., Haxhi, J., Sacchetti, M., Orlando, G., Cardelli, P., Vitale, M., Mattia, L., Iacobini, C., Bollanti, L., Conti, F., et al. (2022) · Diabetes Care · doi:10.2337/dc21-1505 · Cited by 50 · see citing works
Level of physical activity and barriers to exercise in adults with type 2 diabetes
Martín, C. G., Pomares, M. L., Muratore, C., Ávila, P. J., Apoloni, S. B., Rodríguez, M., González, C. D., Diabetes Unit CEGYM. San Martin 569, C. 3. C., Private Office. Pte Kirchner 908. 3ro 10, C. 9., & Public Employees Insurance (OSEP) Mendoza, E. R. 3. (2021) · AIMS Public Health · doi:10.3934/publichealth.2021018 · Cited by 48 · see citing works
Physical activity, sedentary behavior and all-cause mortality among blacks and whites with diabetes
Glenn, K., Slaughter, J. C., Fowke, J. H., Buchowski, M. S., Matthews, C. E., Signorello, L. B., Blot, W. J., & Lipworth, L. P. (2015) · Annals of Epidemiology · doi:10.1016/j.annepidem.2015.04.006 · Cited by 41 · see citing works
Dempsey, P. C., Strain, T., WINKLER, E. A. H., Westgate, K. L., Rennie, K. L., Wareham, N. J., Brage, S., & Wijndaele, K. (2022) · Journal of the American Heart Association · doi:10.1161/jaha.121.023845 · Cited by 40 · see citing works
Rosen, P., Dohrn, I., & Hagströmer, M. (2019) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.13561 · Cited by 39 · see citing works
Swindell, N., Rees, P., Fogelholm, M., Drummen, M., Macdonald, I., Martinez, J., Navas-Carretero, S., Handjieva-Darlenska, T., Boyadjieva, N., Bogdanov, G., et al. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-00936-5 · Cited by 39 · see citing works
Sedentary Behavior and Diabetes Risk Among Women Over the Age of 65 Years: The OPACH Study
Bellettiere, J., LaMonte, M. J., Healy, G. N., Liles, S., Evenson, K. R., Di, C., Kerr, J., Lee, I.-M. M., Rillamas‐Sun, E., Büchner, D. M., et al. (2020) · Diabetes Care · doi:10.2337/dc20-0709 · Cited by 36 · see citing works
Koyama, T., Ozaki, E., Kuriyama, N., Tomida, S., Yoshida, T., Uehara, R., Tanaka, K., Hara, M., Hishida, A., Okada, R., et al. (2021) · Journal of the American Heart Association · doi:10.1161/jaha.120.018293 · Cited by 29 · see citing works
Dempsey, P. C., Strain, T., WINKLER, E. A. H., Westgate, K. L., Rennie, K. L., Wareham, N. J., Brage, S., & Wijndaele, K. (2022) · Figshare · doi:10.17863/cam.85085 · Cited by 28 · see citing works
Zhu, P., Lao, G., Chen, C., Luo, L., Gu, J., & Ran, J. (2022) · Cardiovascular Diabetology · doi:10.1186/s12933-022-01698-z · Cited by 26 · see citing works
Self-citationProspectively Reallocating Sedentary Time: Associations with Cardiometabolic Health
Yates, T. E., Edwardson, C. L., Henson, J. J., Zaccardi, F., Khunti, K. K., & Davies, M. J. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002204 · Cited by 24 · see citing works
Loprinzi, P. D., & Sng, E. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.01.023 · Cited by 21 · see citing works
Physical Activity, Sitting Time and Mortality in Older Adults with Diabetes
Martínez‐Gómez, D., Guallar‐Castillón, P., Mota, J. A. P. S., López‐García, E., & Rodríguez‐Artalejo, F. (2015) · International Journal of Sports Medicine · doi:10.1055/s-0035-1555860 · Cited by 20 · see citing works
Kim, Y., Canada, J. M., Kenyon, J. D., Billingsley, H., Arena, R. A., Lavie, C. J., & Carbone, S. (2022) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2022.05.009 · Cited by 18 · see citing works
Association of sedentary time and carotid atherosclerotic plaques in patients with type 2 diabetes
Ke, J., Li, K., Ke, T., Zhong, X., Zheng, Q., Wang, Y., Li, L., Dai, Y., Dong, Q., Ji, B., et al. (2022) · Journal of Diabetes · doi:10.1111/1753-0407.13242 · Cited by 17 · see citing works
Why proper understanding of confidence intervals and statistical significance is important
Hemming, K., & Taljaard, M. (2021) · The Medical Journal of Australia · doi:10.5694/mja2.50926 · Cited by 16 · see citing works
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D. M., Johnson, E. L., et al. (2023) · Diabetes Care · doi:10.2337/dc23-ad08a · Cited by 16 · see citing works
Booker, R., Holmes, M. E., Newton, R. L., Norris, K. C., Thorpe, R. J., & Carnethon, M. R. (2022) · Annals of Epidemiology · doi:10.1016/j.annepidem.2022.09.009 · Cited by 8 · see citing works
Booker, R., Holmes, M. E., Newton, R. L., Norris, K. C., Thorpe, R. J., & Carnethon, M. R. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4180432 · Cited by 1 · see citing works
Swain, C. T., Bassett, J. K., Hodge, A. M., Dunstan, D. W., Owen, N. G., Yang, Y., Jayasekara, H., Hébert, J. R., Shivappa, N., MacInnis, R. J., et al. (2022) · Scholar Commons (University of South Carolina) · doi:10.1186/s12966-022-01273-5
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Cao, Z., Min, J., Chen, H., Hou, Y., Yang, H., Si, K., & Xu, C. (2024) · Nature Communications · doi:10.1038/s41467-024-49542-0 · Cited by 37 · see citing works
Dai, W., & Albrecht, S. S. (2024) · Diabetes Care · doi:10.2337/dc24-0673 · Cited by 25 · see citing works
Mahe, J., Xu, A., Liu, L., Hua, L., Tu, H., Huo, Y., Huang, W., Liu, X., Wang, J., Tang, J., et al. (2024) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-024-01455-0 · Cited by 20 · see citing works
Liu, Y., Yang, Y., Wu, H., Yang, H., Chen, L., Sun, F., & Xia, Y. (2024) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2024.104786 · Cited by 13 · see citing works
Yang, W., Wu, Y., Chen, Y., Chen, S., Gao, X., Wu, S., & Sun, L. (2024) · Nutrition Journal · doi:10.1186/s12937-024-01013-4 · Cited by 14 · see citing works
Seppälä, M., Lukander, H., Wadén, J., Eriksson, M. I., Harjutsalo, V., Groop, P., Thorn, L. M., & FinnDiane Study Group (2024) · Cardiovascular Diabetology · doi:10.1186/s12933-024-02486-7 · Cited by 10 · see citing works
The Multifaceted Role of the Polyphenol Curcumin: A Focus on Type 2 Diabetes Mellitus
Campagna, R., Cecati, M., & Vignini, A. (2024) · Current Diabetes Reviews · doi:10.2174/0115733998313402240726080637 · Cited by 7 · see citing works
Liberty, I. A., Kurniawan, F., Wijaya, C. N., Soewondo, P., & Tahapary, D. L. (2024) · Diabetology · doi:10.3390/diabetology5060039 · Cited by 4 · see citing works
Liu, C., Xiang, G., Liang, D., Zhao, X., Xiao, K., & Xie, L. (2025) · Scientific Reports · doi:10.1038/s41598-025-88132-y · Cited by 4 · see citing works
Liu, J., Ai, C., Li, Z., Huang, X., Shen, M., Zheng, C., Liao, W., Bin, J., Li, J., Lin, H., et al. (2024) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgae323 · Cited by 3 · see citing works
Wu, C., Liu, Y., Hong, F., & Korivi, M. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e36285 · Cited by 4 · see citing works
Guo, Z., Ji, W., Yan, M., Zou, X., Chen, T., Bai, F., Wu, Y., Guo, Z., & Song, L. (2025) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2025.1528661 · Cited by 3 · see citing works
Lin, Z., Chen, J., Cai, Y., Wang, Z., Xu, J., Shi, Y., Li, J., Xu, P., Shen, J., Chen, G., et al. (2025) · BMC Public Health · doi:10.1186/s12889-025-24662-4 · Cited by 3 · see citing works
Hasan, H. M., Alkass, S. Y., & Persike, D. S. (2024) · Cureus · doi:10.7759/cureus.56661 · Cited by 3 · see citing works
SUGIMOTO, T., ANDO, T., Saji, N., Omura, T., Uchida, K., Yokoyama, Y., Onoyama, A., Shinozaki, M., & SAKURAI, T. (2026) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003994 · Cited by 1 · see citing works
Guo, H.-P., Liu, J.-S., Liu, M., Li, Y., Sun, C., Guo, S., Bai, H.-T., & Pan, X.-H. (2024) · Research Square · doi:10.21203/rs.3.rs-4729290/v1
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Nasu, N., Yokoyama, A., Suzuki, H., Kataoka, H., Bando, M., Watanabe, Y., & Miyatake, N. (2026) · Cureus · doi:10.7759/cureus.118697
- Authors
- Zhu, P., Lao, G., Li, H., Tan, R., Gu, J., & Ran, J.
- Affiliations
- Jinan University (CN)
- Sun Yat-sen University (CN)
- Corresponding author
- Ran, Jianmin
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2023-07-06
- Volume
- 20
- Issue
- 1
- Pages
- 81-81
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC10324235
- OpenAlex
- W4383369037
- Cited by
- 23
- References
- 50
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 13
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (81200613)
- Guangzhou Municipal Science and Technology Project (SL2022A03J01360)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- sedentary behavior, physical activity, prediabetes, diabetes mellitus, all-cause mortality, isotemporal substitution, light physical activity, moderate-to-vigorous physical activity, dose-response relationship, accelerometer-measured sedentary time, cardiometabolic health, mortality risk reduction, restricted cubic splines
- MeSH terms
- Humans, Nutrition Surveys, Prediabetic State, Prospective Studies, Exercise, Sedentary Behavior, Accelerometry
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