PMID- 20386337 OWN - NLM STAT- MEDLINE DCOM- 20110203 LR - 20220318 IS - 1530-0315 (Electronic) IS - 0195-9131 (Print) IS - 0195-9131 (Linking) VI - 42 IP - 11 DP - 2010 Nov TI - Activity patterns of obese adults with type 2 diabetes in the look AHEAD study. PG - 1995-2005 LID - 10.1249/MSS.0b013e3181e054f0 [doi] AB - PURPOSE: This study describes baseline physical activity (PA) patterns of individuals with type 2 diabetes mellitus (T2DM) enrolled in the multicenter Look AHEAD Study using an objective measure of PA (accelerometry). METHODS: A total of 2240 participants (age = 59.0 +/- 6.8 yr and body mass index (BMI) = 36.5 +/- 6.0 kg.m-(2)) with T2DM provided data for this substudy. Participants were instructed to wear an accelerometer during waking hours for 7 d. Accelerometry data were analyzed to identify periods meeting the criteria of >/=3 MET.min-(1) for Q10 min(moderate- to vigorous-intensity PA (MVPA)) and >/=6 MET.min-(1) for >/=10 min (vigorous-intensity PA (VPA)). Self-reported PA was also assessed with a questionnaire. Accelerometry and self-reported PA data were compared across categories of BMI, sex, race, age, fitness, diabetes medication usage, and history of cardiovascular disease. RESULTS: Self-reported PA was lower at higher levels of BMI, was higher in males, was lowest for African-American/black, and was positively associated with fitness. Multivariate analyses for accelerometer-measured MVPA and VPA showed that more PA bouts per day, minutes per bout, METs per minute, and MET-minutes were associated with higher fitness. For MVPA, bouts per day were higher in men, and METs per minute were higher in women. For VPA, bouts per day was positively associated with increasing age and differed by race/ethnicity. METs per minute were significantly lower at higher levels of BMI and in women. Diabetes medication usage and history of cardiovascular disease were not associated with patterns of PA examined. CONCLUSIONS: Results provide information on factors that contribute to PA patterns in adults with T2DM when PA is assessed using both objective and subjective measures. These data may inform interventions to improve PA in adults with T2DM FAU - Jakicic, John M AU - Jakicic JM AD - Department of Health and Physical Activity, Physical Activity and Weight Management Research Center, University of Pittsburgh, Pittsburgh, PA 15260, USA. jjakicic@pitt.edu FAU - Gregg, Edward AU - Gregg E FAU - Knowler, William AU - Knowler W FAU - Kelley, David E AU - Kelley DE FAU - Lang, Wei AU - Lang W FAU - Miller, Gary D AU - Miller GD FAU - Pi-Sunyer, F Xavier AU - Pi-Sunyer FX FAU - Regensteiner, Judith G AU - Regensteiner JG FAU - Rejeski, W Jack AU - Rejeski WJ FAU - Ridisl, Paul AU - Ridisl P FAU - Walkup, Michael P AU - Walkup MP FAU - Wolf, Donna L AU - Wolf DL LA - eng SI - ClinicalTrials.gov/NCT00017953 GR - U01 DK057154/DK/NIDDK NIH HHS/United States GR - U01 DK056992/DK/NIDDK NIH HHS/United States GR - U01 DK057171/DK/NIDDK NIH HHS/United States GR - U01 DK057182/DK/NIDDK NIH HHS/United States GR - U01 DK057136/DK/NIDDK NIH HHS/United States GR - U01 DK057002/DK/NIDDK NIH HHS/United States GR - U01 DK057177/DK/NIDDK NIH HHS/United States GR - M01 RR001066/RR/NCRR NIH HHS/United States GR - U01 DK057078/DK/NIDDK NIH HHS/United States GR - U01 DK057008/DK/NIDDK NIH HHS/United States GR - U01 DK057149/DK/NIDDK NIH HHS/United States GR - UL1 TR000005/TR/NCATS NIH HHS/United States GR - U01 DK057151/DK/NIDDK NIH HHS/United States GR - P30 DK048520/DK/NIDDK NIH HHS/United States GR - U01 DK057135/DK/NIDDK NIH HHS/United States GR - P30 DK046204/DK/NIDDK NIH HHS/United States GR - M01 RR002719/RR/NCRR NIH HHS/United States GR - M01 RR000056/RR/NCRR NIH HHS/United States GR - U01 DK057219/DK/NIDDK NIH HHS/United States GR - R01 HL070257-01A1/HL/NHLBI NIH HHS/United States GR - R01 HL070257/HL/NHLBI NIH HHS/United States GR - U01 DK057131/DK/NIDDK NIH HHS/United States GR - M01 RR000051/RR/NCRR NIH HHS/United States GR - U01 DK056990/DK/NIDDK NIH HHS/United States GR - U01 DK057178/DK/NIDDK NIH HHS/United States GR - M01 RR001346/RR/NCRR NIH HHS/United States GR - P30 DK017047/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - Med Sci Sports Exerc JT - Medicine and science in sports and exercise JID - 8005433 SB - IM MH - Actigraphy MH - Aged MH - Body Mass Index MH - *Diabetes Mellitus, Type 2 MH - Female MH - Humans MH - Male MH - Middle Aged MH - Motor Activity/*physiology MH - *Obesity MH - Surveys and Questionnaires PMC - PMC2945405 MID - NIHMS213389 EDAT- 2010/04/14 06:00 MHDA- 2011/02/04 06:00 PMCR- 2011/11/01 CRDT- 2010/04/14 06:00 PHST- 2010/04/14 06:00 [entrez] PHST- 2010/04/14 06:00 [pubmed] PHST- 2011/02/04 06:00 [medline] PHST- 2011/11/01 00:00 [pmc-release] AID - 10.1249/MSS.0b013e3181e054f0 [doi] PST - ppublish SO - Med Sci Sports Exerc. 2010 Nov;42(11):1995-2005. doi: 10.1249/MSS.0b013e3181e054f0.