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TaggedAPTARAEnd220 J. Tarp et al.
while there were no named light intensity activities in the critically revised the manuscript; MASL, KED, BdPC, MRL,
questionnaire given to the Chinese cohort. Light intensity RWT, UE, and DD conceived and designed the study, inter-
physical activities likely also contribute to lower mortality preted the results, and critically revised the manuscript. All
risk 5,10 but are not included in current quantitative PA recom- authors have read and approved the final version of the manu-
mendations. We included light do-it-yourself activities script, and agree with the order of presentation of the authors.TaggedAPTARAEnd
because this was 1 of 5 named leisure activity categories. The
median contribution, among those reporting any, was 2.1 TaggedAPTARAH1Competing interestsTaggedAPTARAEnd
MET-h/week. (b) Self-reported PA is imprecisely measured.
TaggedAPTARAPJT received funding from the Danish Diabetes Association
When PA is assessed by devices, the magnitude of associations
during the conduct of the study; DD received funding from the
with mortality outcomes tend to be much stronger, and the
Australian National Health and Medical Research Council and
maximal risk reduction is observed at lower absolute levels of
activity. 38,39 In addition, we accounted for non-leisure-time the New South Wales Government; MASL was funded by
the Spanish Ministry of Universities under application
PAs by adjustment based on categorical variables, which may
33.50.460A.752 and by the European Union NextGenera-
leave residual bias. Large observational studies with device-mea-
tionEU/PRTR through a Margarita Salas contract of the
sured total PA will provide more robust quantifications of the
University of Vigo; and BdPC is supported by the Government
doseresponse relationship and the minimal amount of PA
of Andalusia, Research Talent Recruitment Programme
needed to prevent major health outcomes in adults with type
40 (EMERGIA 2020/00158). The funding sources had no role in
2 diabetes. (c) There was no association between leisure-time
the design and conduct of the study; collection, management,
PA and mortality in the subsample of UK Biobank participants
analysis, and interpretation of the data; preparation, review, or
with repeated dietary recalls (n = 5857), which may indicate
approval of the manuscript; or decision to submit the manu-
residual confounding from diet quality or quantity. However, this
script for publication. The other authors declare that they have
subsample may also represent a highly selected and motivated
group, which can lead to bias in observational studies of no competing interests.TaggedAPTARAEnd
aetiology. 41 Finally, as an observational study, residual
confounding and other biases may also impact the observed TaggedAPTARAH1Data availability statementTaggedAPTARAEnd
TaggedAPTARAPThis manuscript was prepared based on data available to
doseresponse relationships.TaggedAPTARAEnd
Bona Fide researchers. Application for UK Biobank data can
be made here: https://www.ukbiobank.ac.uk/enable-your-
TaggedAPTARAH15. ConclusionTaggedAPTARAEnd
research/apply-for-access. Application for China Kadoorie
TaggedAPTARAPThe PA recommendations given by the WHO and the
Biobank data can be made here: https://www.ckbiobank.org/
American Diabetes Association are quantitatively identical to
general population guidelines. 10 Our study provides little data-access.TaggedAPTARAEnd
empirical support for such universal guidelines and messaging,
suggesting a tailored PA recommendation may be appropriate TaggedAPTARAH1Supplementary materialsTaggedAPTARAEnd
for adults with type 2 diabetes.TaggedAPTARAEnd TaggedAPTARAPSupplementary materials associated with this article can be
TaggedAPTARAPLeisure-time PA was inversely associated with all-cause
found in the online version at doi:10.1016/j.jshs.2023.10.004.TaggedAPTARAEnd
and cardiovascular mortality in British and Chinese adults, but
the magnitude of the associations was small and inconsistent
TaggedAPTARAH1ReferencesTaggedAPTARAEnd
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TaggedAPTARAListItem TaggedAPTARAListLabel6TaggedAPTARAEnd. Barker J, Smith Byrne K, Doherty A, et al. Physical activity of UK adults
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