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:10.1186/s13098-024-01455-0

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^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

13 Citations (Scopus)

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.

Original language	English
Article number	226
Journal	Diabetology and Metabolic Syndrome
Volume	16
Issue number	1
DOIs	https://doi.org/10.1186/s13098-024-01455-0
Publication status	Published - Dec 2024
Externally published	Yes

Keywords

All-cause mortality
Physical activity
Regularly active
Type 2 diabetes
Weekend warrior

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10.1186/s13098-024-01455-0

Cite this

Mahe, J., Xu, A., Liu, L., Hua, L., Tu, H., Huo, Y., Huang, W., Liu, X., Wang, J., Tang, J., Zhao, Y., Liu, Z., Hong, Q., Ye, R., Hu, P., Jia, P., Huang, J., Kong, X., Ge, Z., ... Zhang, L. (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. Diabetology and Metabolic Syndrome, 16(1), Article 226. https://doi.org/10.1186/s13098-024-01455-0

@article{e58d95a665e149c5b7b387317323b539,

title = "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",

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 {\textquoteleft}weekend warrior{\textquoteright} 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.",

keywords = "All-cause mortality, Physical activity, Regularly active, Type 2 diabetes, Weekend warrior",

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

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

month = dec,

doi = "10.1186/s13098-024-01455-0",

language = "English",

volume = "16",

journal = "Diabetology and Metabolic Syndrome",

issn = "1758-5996",

publisher = "BioMed Central Ltd.",

number = "1",

}

Mahe, J, Xu, A, Liu, L, Hua, L, Tu, H, Huo, Y, Huang, W, Liu, X, Wang, J, Tang, J, Zhao, Y, Liu, Z, Hong, Q, Ye, R, Hu, P, Jia, P, Huang, J, Kong, X, Ge, Z, Xu, A, Wu, L, Du, C, Shi, F, Cui, H, Wang, S, Li, Z, Wang, L, Zhang, L & Zhang, L 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', Diabetology and Metabolic Syndrome, vol. 16, no. 1, 226. https://doi.org/10.1186/s13098-024-01455-0

TY - JOUR

T1 - Association between weekend warrior physical activity pattern and all-cause mortality among adults living with type 2 diabetes

T2 - a prospective cohort study from NHANES 2007 to 2018

AU - Mahe, Jinli

AU - Xu, Ao

AU - Liu, Li

AU - Hua, Lei

AU - Tu, Huiming

AU - Huo, Yujia

AU - Huang, Weiyuan

AU - Liu, Xinru

AU - Wang, Jian

AU - Tang, Jinhao

AU - Zhao, Yang

AU - Liu, Zhining

AU - Hong, Qiaojun

AU - Ye, Rong

AU - Hu, Panpan

AU - Jia, Peng

AU - Huang, Junjie

AU - Kong, Xiangyi

AU - Ge, Zongyuan

AU - Xu, Aimin

AU - Wu, Longfei

AU - Du, Chaopin

AU - Shi, Feng

AU - Cui, Hanbin

AU - Wang, Shengfeng

AU - Li, Zhihui

AU - Wang, Liang

AU - Zhang, Lei

AU - Zhang, Lin

PY - 2024/12

Y1 - 2024/12

N2 - 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.

AB - 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.

KW - All-cause mortality

KW - Physical activity

KW - Regularly active

KW - Type 2 diabetes

KW - Weekend warrior

UR - https://www.scopus.com/pages/publications/85203548503

U2 - 10.1186/s13098-024-01455-0

DO - 10.1186/s13098-024-01455-0

M3 - Article

AN - SCOPUS:85203548503

SN - 1758-5996

VL - 16

JO - Diabetology and Metabolic Syndrome

JF - Diabetology and Metabolic Syndrome

IS - 1

M1 - 226

ER -

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

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