PMID- 24861892 OWN - NLM STAT- MEDLINE DCOM- 20150825 LR - 20141110 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 16 IP - 12 DP - 2014 Dec TI - Change in levels of physical activity after diagnosis of type 2 diabetes: an observational analysis from the NAVIGATOR study. PG - 1265-8 LID - 10.1111/dom.12320 [doi] AB - Increased physical activity is known to be beneficial in people with type 2 diabetes mellitus (T2DM), but it is not known whether individuals change their activity levels after T2DM diagnosis. The present Nateglinide and Valsartan in Impaired Glucose Tolerance Outcomes Research (NAVIGATOR) trial, conducted in participants with impaired glucose tolerance at high cardiovascular risk, assessed ambulatory activity annually using research-grade pedometers. Oral glucose tolerance tests were performed annually and repeated to confirm T2DM diagnosis. This observational analysis used general linear models to compare step counts before and after T2DM diagnosis in the 2816 participants with the requisite data. Participants were relatively inactive at baseline, taking a median (interquartile range) of 5488 (3258-8361) steps/day, which decreased after T2DM diagnosis by a mean (s.e.) of 258 (64) steps/day (p < 0.0001); however, after adjusting for background trend for activity, step count after T2DM diagnosis was unchanged [mean (s.e.) of 103 (87) fewer steps/day; p = 0.23]. Awareness of T2DM diagnosis had no impact on the trajectory of activity established before the diagnosis. CI - (c) 2014 John Wiley & Sons Ltd. FAU - Preiss, D AU - Preiss D AD - BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK. FAU - Haffner, S M AU - Haffner SM FAU - Thomas, L E AU - Thomas LE FAU - Sun, J-L AU - Sun JL FAU - Sattar, N AU - Sattar N FAU - Yates, T AU - Yates T FAU - J Davies, M AU - J Davies M FAU - McMurray, J J AU - McMurray JJ FAU - Holman, R R AU - Holman RR FAU - Califf, R M AU - Califf RM FAU - Kraus, W E AU - Kraus WE LA - eng SI - ClinicalTrials.gov/NCT00097786 PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140619 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) SB - IM MH - *Actigraphy/instrumentation MH - Blood Glucose/metabolism MH - Blood Pressure MH - Cardiovascular Diseases/*prevention & control MH - Diabetes Mellitus, Type 2/diagnosis/*psychology/therapy MH - Diabetic Angiopathies/*prevention & control MH - Disease Progression MH - Exercise MH - Female MH - Glucose Tolerance Test MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Monitoring, Ambulatory/instrumentation MH - *Motor Activity MH - Patient Compliance MH - Patient Education as Topic MH - Risk Factors MH - *Risk Reduction Behavior MH - *Walking OTO - NOTNLM OT - observational study EDAT- 2014/05/28 06:00 MHDA- 2015/08/26 06:00 CRDT- 2014/05/28 06:00 PHST- 2013/12/19 00:00 [received] PHST- 2014/04/18 00:00 [revised] PHST- 2014/05/20 00:00 [accepted] PHST- 2014/05/28 06:00 [entrez] PHST- 2014/05/28 06:00 [pubmed] PHST- 2015/08/26 06:00 [medline] AID - 10.1111/dom.12320 [doi] PST - ppublish SO - Diabetes Obes Metab. 2014 Dec;16(12):1265-8. doi: 10.1111/dom.12320. Epub 2014 Jun 19.