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Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes

Adults with type 2 diabetes mellitus tend to exhibit an increased level of central adiposity, augmenting their risk of further non-communicable diseases (NCDs). Importantly, consistent evidence demonstrates a significant, negative association between cardiorespiratory fitness (CRF) and waist circumf...

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Autores principales: Ortaglia, Andrew, McDonald, Samantha M., Supino, Christina, Wirth, Michael D., Sui, Xuemei, Bottai, Matteo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155224/
https://www.ncbi.nlm.nih.gov/pubmed/32309113
http://dx.doi.org/10.1016/j.pmedr.2020.101083
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author Ortaglia, Andrew
McDonald, Samantha M.
Supino, Christina
Wirth, Michael D.
Sui, Xuemei
Bottai, Matteo
author_facet Ortaglia, Andrew
McDonald, Samantha M.
Supino, Christina
Wirth, Michael D.
Sui, Xuemei
Bottai, Matteo
author_sort Ortaglia, Andrew
collection PubMed
description Adults with type 2 diabetes mellitus tend to exhibit an increased level of central adiposity, augmenting their risk of further non-communicable diseases (NCDs). Importantly, consistent evidence demonstrates a significant, negative association between cardiorespiratory fitness (CRF) and waist circumference (WC). However, no previous studies have investigated differences in these CRF-related reductions in WC between adults with and without diabetes. This study used data from the Aerobic Center for Longitudinal Studies, conducted between 1970 and 2006 among predominately Non-Hispanic White, middle-to-upper class adults in Texas. Quantile regression models were used to estimate CRF-related differences in WC between persons with and without diabetes. Age, height, smoking status and birth cohort served as covariates. The analytic sample included 45901 adults. Significantly larger reductions in WC were observed among adults with diabetes as compared to without diabetes across all WC percentiles. Among males, high CRF levels were associated with significant reductions, as compared to their low-fit counterparts, in WC as large as 21.9 cm for adults without diabetes and as large as 27 cm for adults with diabetes. Among females, high CRF levels were associated with significant reductions, as compared to their low-fit counterparts, in WC as large as 22.3 and 30.0 cm for adults without and with diabetes, respectively. This study demonstrated that higher CRF is associated with significant reductions in WC, with greater magnitudes found among adults with diabetes, especially among the most centrally obese, highlighting the necessity of exercise prescription in this clinical population potentially leading to lower risks of future NCDs.
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spelling pubmed-71552242020-04-17 Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes Ortaglia, Andrew McDonald, Samantha M. Supino, Christina Wirth, Michael D. Sui, Xuemei Bottai, Matteo Prev Med Rep Regular Article Adults with type 2 diabetes mellitus tend to exhibit an increased level of central adiposity, augmenting their risk of further non-communicable diseases (NCDs). Importantly, consistent evidence demonstrates a significant, negative association between cardiorespiratory fitness (CRF) and waist circumference (WC). However, no previous studies have investigated differences in these CRF-related reductions in WC between adults with and without diabetes. This study used data from the Aerobic Center for Longitudinal Studies, conducted between 1970 and 2006 among predominately Non-Hispanic White, middle-to-upper class adults in Texas. Quantile regression models were used to estimate CRF-related differences in WC between persons with and without diabetes. Age, height, smoking status and birth cohort served as covariates. The analytic sample included 45901 adults. Significantly larger reductions in WC were observed among adults with diabetes as compared to without diabetes across all WC percentiles. Among males, high CRF levels were associated with significant reductions, as compared to their low-fit counterparts, in WC as large as 21.9 cm for adults without diabetes and as large as 27 cm for adults with diabetes. Among females, high CRF levels were associated with significant reductions, as compared to their low-fit counterparts, in WC as large as 22.3 and 30.0 cm for adults without and with diabetes, respectively. This study demonstrated that higher CRF is associated with significant reductions in WC, with greater magnitudes found among adults with diabetes, especially among the most centrally obese, highlighting the necessity of exercise prescription in this clinical population potentially leading to lower risks of future NCDs. 2020-04-01 /pmc/articles/PMC7155224/ /pubmed/32309113 http://dx.doi.org/10.1016/j.pmedr.2020.101083 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Ortaglia, Andrew
McDonald, Samantha M.
Supino, Christina
Wirth, Michael D.
Sui, Xuemei
Bottai, Matteo
Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes
title Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes
title_full Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes
title_fullStr Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes
title_full_unstemmed Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes
title_short Differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes
title_sort differential relationships between waist circumference and cardiorespiratory fitness among people with and without type 2 diabetes
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155224/
https://www.ncbi.nlm.nih.gov/pubmed/32309113
http://dx.doi.org/10.1016/j.pmedr.2020.101083
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