Diabetology & Metabolic Syndrome (Sep 2024)

Association between weekend warrior physical activity pattern and all-cause mortality among adults living with type 2 diabetes: a prospective cohort study from NHANES 2007 to 2018

  • Jinli Mahe,
  • Ao Xu,
  • Li Liu,
  • Lei Hua,
  • Huiming Tu,
  • Yujia Huo,
  • Weiyuan Huang,
  • Xinru Liu,
  • Jian Wang,
  • Jinhao Tang,
  • Yang Zhao,
  • Zhining Liu,
  • Qiaojun Hong,
  • Rong Ye,
  • Panpan Hu,
  • Peng Jia,
  • Junjie Huang,
  • Xiangyi Kong,
  • Zongyuan Ge,
  • Aimin Xu,
  • Longfei Wu,
  • Chaopin Du,
  • Feng Shi,
  • Hanbin Cui,
  • Shengfeng Wang,
  • Zhihui Li,
  • Liang Wang,
  • Lei Zhang,
  • Lin Zhang

DOI
https://doi.org/10.1186/s13098-024-01455-0
Journal volume & issue
Vol. 16, no. 1
pp. 1 – 11

Abstract

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Abstract Background It is uncertain whether the weekend warrior pattern is associated with all-cause mortality among adults living with type 2 diabetes. This study explored how the ‘weekend warrior’ physical activity (PA) pattern was associated with all-cause mortality among adults living with type 2 diabetes. Methods This prospective cohort study investigated US adults living with type 2 diabetes in the National Health and Nutrition Examination Survey (NHANES). Mortality data was linked to the National Death Index. Based on self-reported leisure-time and occupational moderate-to-vigorous PA (MVPA), participants were categorized into 3 groups: physically inactive (< 150 min/week of MVPA), weekend warrior (≥ 150 min/week of MVPA in 1 or 2 sessions), and physically active (≥ 150 min/week of MVPA in 3 or more sessions). Results A total of 6067 participants living with type 2 diabetes [mean (SD) age, 61.4 (13.5) years; 48.0% females] were followed for a median of 6.1 years, during which 1206 deaths were recorded. Of leisure-time and occupational activity, compared with inactive individuals, hazard ratios (HRs) for all-cause mortality were 0.49 (95% CI 0.26–0.91) and 0.57 (95% CI 0.38–0.85) for weekend warrior individuals, and 0.55 (95% CI 0.45–0.67) and 0.64 (95% CI 0.53–0.76) for regularly active individuals, respectively. However, when compared leisure-time and occupational weekend warrior with regularly active participants, the HRs were 0.82 (95% CI 0.42–1.61) and 1.00 (95% CI 0.64–1.56) for all-cause mortality, respectively. Conclusions Weekend warrior PA pattern may have similar effects on lowering all-cause mortality as regularly active pattern among adults living with type 2 diabetes, regardless of leisure-time or occupational activity. Therefore, weekend warrior PA pattern may be sufficient to reduce all-cause mortality for adults living with type 2 diabetes.

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