Chief of Pharmacy Operations 92nd Medical Group, US Air Force Spokane, Washington, United States
Key Takeaways of Your Research: Physical activity may be used alone or in combination with drug therapy to prevent type 2 diabetes mellitus (T2DM). According to a multicenter randomized control trial, physical activity combined with drug therapy is the most effective method of T2D prevention followed by physical activity alone and drug therapy alone. This project was conducted to assess the daily moderate intensity activity level required to decrease the incidence of T2D general population in the US. There is no statistically significant relationship between daily moderate intensity activity level in minutes and diagnosis of diabetes. Increase in one minute of daily moderate intensity activity resulted in 0.000291 decreased incidence of diabetes (P-value 0.077, t-stat 22.8, 95% CI -3.21e-06 – 0.0000613).
Background/Purpose: According to the ADA, the recommended exercise level to prevent T2DM is 150 minutes of moderate intensity activity per week. However, a recommendation does not exist for daily exercise level. Planning out weekly exercise schedules can be difficult to achieve. This project was conducted to assess the daily moderate intensity activity level required to decrease the incidence of T2D general population in the US. Research Hypothesis and/or Research Questions and Specific
Aims: This study examined the association between daily moderate intensity activity in minutes and diagnosis of diabetes. The intention of the research was to assess the daily moderate intensity activity level (in minutes) required to decrease the incidence of Type 2 Diabetes in the general population in the United States. Methods/Methodology: Between 2007-2008 data was obtained from 2,633 individuals (age 2 years and older) Participants provided information through Computer-Assisted Personal Interviewing (CAPI) at home or mobile examination centers. Independent variable “minutes of moderate intensity activity” (continuous) and dependent variable “doctor told you have diabetes” (categorical) were cross tabulated using bivariate regression method using StataCorp LLC’s Stata 16.1 to explain the relationship.
Results: Data analysis was performed using bivariate regression on 2,633 individuals with complete data (28.2% of total) to assess whether an increase in daily moderate intensity activity results in decreased incidence of diabetes. Findings suggest that there is no statistically significant relationship between moderate intensity activity level in minutes and diagnosis of diabetes. Increase in one minute of daily moderate intensity activity resulted in 0.000291 decreased incidence of diabetes (P-value 0.077, t-stat 22.8, 95% CI -3.21e-06 – 0.0000613). Conclusions (Impact on Diabetes Care and Education): Previously published studies have provided a suggestion of 150 minutes of moderate intensity activity per week. The suggestion is based on statically significant data. However, this study does not provide statistically significant data for daily exercise level needed for prevention of type 2 diabetes(T2D). Further research is needed to establish clinically meaningful recommendation for daily moderate intensity activity level for prevention of T2D. Source of Funding for this Research: Self-funded research