Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada

Objective. To examine the American-Canadian difference in physical activity and its association with diabetes prevalence. Methods. We used cross-sectional data from nationally representative samples of adults (8688 persons aged 18 years) participating in the 2004 Joint Canada/U.S. Survey of Health....

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Main Authors:	Zhang, X. P., Geiss, L. S., Caspersen, C. J., Cheng, Y. J., Engelgau, M. M., Johnson, J. A., Plotnikoff, R. C., Gregg, E. W.
Format:	Journal Article
Language:	EN
Published:	2012
Online Access:	http://hdl.handle.net/10986/5395

id	okr-10986-5395
recordtype	oai_dc
spelling	okr-10986-53952021-04-23T14:02:22Z Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada Zhang, X. P. Geiss, L. S. Caspersen, C. J. Cheng, Y. J. Engelgau, M. M. Johnson, J. A. Plotnikoff, R. C. Gregg, E. W. Objective. To examine the American-Canadian difference in physical activity and its association with diabetes prevalence. Methods. We used cross-sectional data from nationally representative samples of adults (8688 persons aged 18 years) participating in the 2004 Joint Canada/U.S. Survey of Health. Using data on up to 22 activities in the past 3 months, we defined 3 physical activity groups (in metabolic equivalents-hours/day) as low (= 3.0). We employed logistic regression models in our analyses. Results. Self-reported diabetes prevalence was 7.6% in the U.S. and 5.4% in Canada. The prevalence of low physical activity was considerably higher in the U.S. (70.9%) than in Canada (52.3%), while levels of moderate and high physical activity were higher in Canada (24.6% and 23.1%, respectively) than in the U.S. (14.3% and 14.8%, respectively). Using nationality (Canada as reference) to predict diabetes status, the adjusted odds ratio was 1.48 (95%CI, 1.22-1.79), and became 1.38 (95%CI, 1.15-1.66) when additionally adjusting for physical activity level. We estimate that 20.8% of the U.S.-Canada difference in diabetes prevalence is associated with physical activity. Conclusions. The difference in the prevalence of diabetes between U.S. and Canadian adults may be partially explained by differences in physical activity between the two countries. Published by Elsevier Inc. 2012-03-30T07:32:37Z 2012-03-30T07:32:37Z 2010 Journal Article Preventive Medicine 0091-7435 http://hdl.handle.net/10986/5395 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article United States Canada
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	EN
geographic_facet	United States Canada
relation	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description	Objective. To examine the American-Canadian difference in physical activity and its association with diabetes prevalence. Methods. We used cross-sectional data from nationally representative samples of adults (8688 persons aged 18 years) participating in the 2004 Joint Canada/U.S. Survey of Health. Using data on up to 22 activities in the past 3 months, we defined 3 physical activity groups (in metabolic equivalents-hours/day) as low (= 3.0). We employed logistic regression models in our analyses. Results. Self-reported diabetes prevalence was 7.6% in the U.S. and 5.4% in Canada. The prevalence of low physical activity was considerably higher in the U.S. (70.9%) than in Canada (52.3%), while levels of moderate and high physical activity were higher in Canada (24.6% and 23.1%, respectively) than in the U.S. (14.3% and 14.8%, respectively). Using nationality (Canada as reference) to predict diabetes status, the adjusted odds ratio was 1.48 (95%CI, 1.22-1.79), and became 1.38 (95%CI, 1.15-1.66) when additionally adjusting for physical activity level. We estimate that 20.8% of the U.S.-Canada difference in diabetes prevalence is associated with physical activity. Conclusions. The difference in the prevalence of diabetes between U.S. and Canadian adults may be partially explained by differences in physical activity between the two countries. Published by Elsevier Inc.
format	Journal Article
author	Zhang, X. P. Geiss, L. S. Caspersen, C. J. Cheng, Y. J. Engelgau, M. M. Johnson, J. A. Plotnikoff, R. C. Gregg, E. W.
spellingShingle	Zhang, X. P. Geiss, L. S. Caspersen, C. J. Cheng, Y. J. Engelgau, M. M. Johnson, J. A. Plotnikoff, R. C. Gregg, E. W. Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada
author_facet	Zhang, X. P. Geiss, L. S. Caspersen, C. J. Cheng, Y. J. Engelgau, M. M. Johnson, J. A. Plotnikoff, R. C. Gregg, E. W.
author_sort	Zhang, X. P.
title	Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada
title_short	Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada
title_full	Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada
title_fullStr	Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada
title_full_unstemmed	Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada
title_sort	physical activity levels and differences in the prevalence of diabetes between the united states and canada
publishDate	2012
url	http://hdl.handle.net/10986/5395
_version_	1764394898569560064

Physical Activity Levels and Differences in the Prevalence of Diabetes Between the United States and Canada

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