Page 100 - 《运动与健康科学》(英文)2024年第2期

TaggedAPTARAFigure Available online at www.sciencedirect.com

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Journal of Sport and Health Science 13 (2024) 222232

Original article
TaggedAPTARAH1Association of accelerometer-measured sleep duration and different

intensities of physical activity with incident type 2 diabetes in

a population-based cohort studyTaggedAPTARAEnd
e,f
TaggedAPTARAPXinyi Jin a,y , Yilin Chen b,c,y , Hongliang Feng a,d , Mingqing Zhou , Joey W.Y. Chan g,h ,
g
i
j,k
Yaping Liu , Alice Pik Shan Kong , Xiao Tan , Yun-Kwok Wing g,h ,
Yannis Yan Liang a,b, *, Jihui Zhang d,f,h,l, *TaggedAPTARAEnd
a
TaggedAPTARAP Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China
b
Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital
(Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China
c
School of Medicine, South China University of Technology, Guangzhou 510641, China
d
Center for Sleep and Circadian Medicine, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510180, China
e
The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510282, China
f
Guangdong Mental Health Center, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences),
Southern Medical University, Guangzhou 510120, China
g
Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong,
Hong Kong 999077, China
h
Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 999077, China
i
Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 999077, China
j
Department of Medical Sciences, Uppsala University, Uppsala 751 85, Sweden
k
Department of Big Data in Health Science, Zhejiang University School of Public Health, Hangzhou 310058, China
l
Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou 510260, China
TaggedAPTARAEnd Received 28 September 2022; revised 28 December 2022; accepted 12 February 2023
Available online 3 March 2023
2095-2546/Ó 2024 Published by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license.
(http://creativecommons.org/licenses/by-nc-nd/4.0/)
TaggedAPTARAPAbstract
Purpose: The aim of the current study was to investigate the association of accelerometer-measured sleep duration and different intensities of
physical activity (PA) with the risk of incident type 2 diabetes in a population-based prospective cohort study.
Methods: Altogether, 88,000 participants (mean age = 62.2 § 7.9 years, mean § SD) were included from the UK Biobank. Sleep duration (short:
<6 h/day; normal: 68 h/day; long: >8 h/day) and PA of different intensities were measured using a wrist-worn accelerometer over a 7-day
period between 2013 and 2015. PA was classified according to the median or World Health Organization-recommendation: total volume of PA
(high, low), moderate-to-vigorous PA (MVPA) (recommended, not recommended), and light-intensity PA (high, low). Incidence of type 2
diabetes was ascertained using hospital records or death registries.
Results: During a median follow-up of 7.0 years, 1615 incident type 2 diabetes cases were documented. Compared with normal sleep
duration, short (hazard ratio (HR) = 1.21, 95% confidence interval (95%CI): 1.031.41) but not long sleep duration (HR = 1.01, 95%CI:
0.891.15) was associated with excessive type 2 diabetes risk. This increased risk among short sleepers seems to be protected against
by PA. Compared with normal sleepers with high or recommended PA, short sleepers with low volume of PA (HR = 1.81, 95%CI:
1.462.25), not recommended (below the World Health Organization-recommended level of) MVPA (HR = 1.92, 95%CI: 1.552.36), or
low light-intensity PA (HR = 1.49, 95%CI: 1.131.90) had a higher risk of type 2 diabetes, while short sleepers with a high volume of
PA (HR = 1.14, 95%CI: 0.881.49), recommended MVPA (HR = 1.02, 95%CI: 0.711.48), or high light-intensity PA (HR = 1.14,
95%CI: 0.921.41) did not.

TaggedAPTARAEnd Peer review under responsibility of Shanghai University of Sport.
TaggedAPTARAEnd* Corresponding authors.
E-mail addresses: liangyan@link.cuhk.edu.hk (Y.Y. Liang), zhangjihui@gzhmu.edu.cn (J. Zhang).
y
TaggedAPTARAEnd These two authors contributed equally to this work.
https://doi.org/10.1016/j.jshs.2023.03.001
Cite this article: Jin X, Chen Y, Feng H, et al. Association of accelerometer-measured sleep duration and different intensities of physical activity with incident
type 2 diabetes in a population-based cohort study. J Sport Health Sci 2024;13:22232.