Evidence map›Paper›PMID 32099903›Full record

ArticleInnovation in aging2020

Associations Between Diagnosis with Type 2 Diabetes and Changes in Physical Activity among Middle-Aged and Older Adults in the United States.

Emily J Nicklett, Jieling Chen, Xiaoling Xiang, Leah R Abrams, Amanda J Sonnega, Kimson E Johnson, Jianjia Cheng, Shervin Assari

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Innovation in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Smokers with Multiple Chronic Disease Are More Likely to Quit Cigarette.Global journal of epidemiology and infectious disease · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Emily J NicklettSchool of Social Work, University of Michigan, Ann Arbor.ORCID 0000-0002-8515-8709
Jieling ChenDepartment of Social Work and Social Administration, The University of Hong Kong.
Xiaoling XiangSchool of Social Work, University of Michigan, Ann Arbor.
Leah R AbramsDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor.ORCID 0000-0002-8766-0903
Amanda J SonnegaSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor.
Kimson E JohnsonDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor.
Jianjia ChengSchool of Social Work, University of Michigan, Ann Arbor.
Shervin AssariDepartment of Family Medicine, Charles R. Drew University of Medicine and Science, University of California, Los Angeles.
University of Michigan · USUniversity of California, Los Angeles · USUniversity of Hong Kong · HK

Funding

Interdisciplinary Research Training on Health and AgingT32AG027708 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lindsay C Kobayashi, Briana Mezuk · 2008 to 2026
$2.7M
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPhysical activity (PA) is an effective strategy for diabetes self-management and is central to the diabetes regimen. Diagnostic events present an opportunity for health behavior change; however, many older adults with type 2 diabetes (T2D) do not engage in regular PA. The relationships between diagnosis events and subsequent changes in PA are not well understood. Drawing upon life-course theory, this is the first study to examine whether the diagnosis of T2D is followed by a change in PA, whether these changes are sustained, and the sociodemographic characteristics associated with these changes. RESEARCH DESIGN AND

methodsWe examined associations between T2D diagnosis and PA changes among 2,394 adults ages 51+ from the Health and Retirement Study (2004-2014). PA changes were measured using metabolic equivalents of task (METs) estimated values accounting for the vigor and frequency of self-reported PA. Using piecewise mixed models, we examined initial and sustained changes in METs over time and tested whether these changes were modified by race/ethnicity, educational level, gender, and age at diagnosis.

resultsAcross participants, a significant postdiagnosis increase was observed in self-reported PA following the diagnostic event (β: 0.54, 95% CI: 0.10, 0.97). The steepness of decline in PA participation over time did not change significantly following T2D diagnosis. Age at diagnosis and race/ethnicity significantly moderated these relationships: participants diagnosed at older ages were less likely to improve PA following diagnosis and non-Hispanic whites experienced relatively steeper rates of decline following diagnosis with T2D. DISCUSSION AND IMPLICATIONS: Modest diagnosis-related increases in PA were observed among participants overall. The usual rate of decline in PA appears unaffected by diagnosis overall. Age at diagnosis and race/ethnicity moderated these relationships. Key implications for future research and clinical practice are discussed.

Indexed as

Age at diagnosisChronic disease self-managementEvent-oriented modelLife-course perspectivePiecewise regressionRace/ethnicity

Identifiers

PMID32099903
PMCPMC7032072
OpenAlexW3007533880

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.