Table 1—

Physical activity (current and past) in relation to various degrees of diabetes complications

nTotal LTPA (MET h/week)Sedentary<1 session/weekLow intensityDuration <2 h/week<1 session/week in adolescenceCompetitive sportsDecreased last 10 years
Normal UAER 1,108 20.3 (10.5–35.0) 23.0 20.6 21.4 22.8 23.3 28.6 48.9 
Microalbuminuria 223 19.9 (9.4–39.7) 27.4 22.0 30.5* 25.5 22.2 29.1 50.0 
Macroalbuminuria 187 18.0 (7.9–31.7) 32.1* 30.6* 43.7* 28.8 16.8 33.0 60.4* 
Dialysis 21 14.5 (2.6–44.3) 38.9 47.6* 61.9* 37.5 25.0 9.5 66.7 
Renal transplantation (S-Cr >150 μmol/l) 17 8.3 (1.4–24.7)* 50.0* 37.5 64.7* 40.0 25.0 23.5 70.6 
Renal transplantation (S-Cr <150 μmol/l) 43 22.3 (14.7–55.5) 18.9 23.8 55.8* 11.1 16.3 32.6 58.1 
Renal function          
    Normal 1,026 19.3 (10.5–34.3) 23.5 21.5 21.5 23.8 21.4 30.6 50.7 
    Mildly impaired 521 18.9 (9.7–36.4) 25.5 21.0 29.5 23.5 24.5 23.8 49.1 
    Impaired 140 23.8 (9.5–35.1) 25.9 22.6 45.7 21.6 20.1 32.1 50.0 
    Severely impaired 37 18.3 (6.3–37.3) 30.3 43.2 56.8 28.1 8.3 24.3 81.1 
Retinopathy          
    No 880 19.7 (11.0–35.6) 21.7 19.2 18.6 22.6 22.5 31.2 48.3 
    Background 399 18.9 (9.5–34.3) 25.7 26.4 26.5 23.9 19.7 28.9 55.4 
    Proliferative 601 19.8 (8.5–35.6) 27.9 25.1 39.3 23.8 21.8 27.8 53.3 
CVD          
    No 1,769 19.7 (10.2–35.5) 24.0 22.2 24.1 23.4 22.2 29.3 50.1 
    Yes 158 18.0 (7.7–36.4) 28.6 23.6 56.4 25.0 17.4 31.2 65.6 
Diabetic nephropathy          
    Without CVD 192 19.5 (7.5–33.0) 32.3 31.1 40.5* 29.1 18.4 30.4 58.5 
    With CVD 74 17.5 (7.7–39.3) 27.6 30.1 68.1*§ 19.2 15.3 31.5 67.1 
nTotal LTPA (MET h/week)Sedentary<1 session/weekLow intensityDuration <2 h/week<1 session/week in adolescenceCompetitive sportsDecreased last 10 years
Normal UAER 1,108 20.3 (10.5–35.0) 23.0 20.6 21.4 22.8 23.3 28.6 48.9 
Microalbuminuria 223 19.9 (9.4–39.7) 27.4 22.0 30.5* 25.5 22.2 29.1 50.0 
Macroalbuminuria 187 18.0 (7.9–31.7) 32.1* 30.6* 43.7* 28.8 16.8 33.0 60.4* 
Dialysis 21 14.5 (2.6–44.3) 38.9 47.6* 61.9* 37.5 25.0 9.5 66.7 
Renal transplantation (S-Cr >150 μmol/l) 17 8.3 (1.4–24.7)* 50.0* 37.5 64.7* 40.0 25.0 23.5 70.6 
Renal transplantation (S-Cr <150 μmol/l) 43 22.3 (14.7–55.5) 18.9 23.8 55.8* 11.1 16.3 32.6 58.1 
Renal function          
    Normal 1,026 19.3 (10.5–34.3) 23.5 21.5 21.5 23.8 21.4 30.6 50.7 
    Mildly impaired 521 18.9 (9.7–36.4) 25.5 21.0 29.5 23.5 24.5 23.8 49.1 
    Impaired 140 23.8 (9.5–35.1) 25.9 22.6 45.7 21.6 20.1 32.1 50.0 
    Severely impaired 37 18.3 (6.3–37.3) 30.3 43.2 56.8 28.1 8.3 24.3 81.1 
Retinopathy          
    No 880 19.7 (11.0–35.6) 21.7 19.2 18.6 22.6 22.5 31.2 48.3 
    Background 399 18.9 (9.5–34.3) 25.7 26.4 26.5 23.9 19.7 28.9 55.4 
    Proliferative 601 19.8 (8.5–35.6) 27.9 25.1 39.3 23.8 21.8 27.8 53.3 
CVD          
    No 1,769 19.7 (10.2–35.5) 24.0 22.2 24.1 23.4 22.2 29.3 50.1 
    Yes 158 18.0 (7.7–36.4) 28.6 23.6 56.4 25.0 17.4 31.2 65.6 
Diabetic nephropathy          
    Without CVD 192 19.5 (7.5–33.0) 32.3 31.1 40.5* 29.1 18.4 30.4 58.5 
    With CVD 74 17.5 (7.7–39.3) 27.6 30.1 68.1*§ 19.2 15.3 31.5 67.1 

Data are medians (interquartile range) or percentages. Sedentary: total LTPA <10 MET h/week. Low-intensity LTPA: very light to light activities, grade 0–1 out of an intensity scale of 0–4. Micro- and macroalbuminuria: urinary albumin excretion rate (UAER) 30–299 and ≥300 mg/24 h (24-h collections) or 20–199 and ≥200 μg/min (overnight collections), respectively, in at least two of three consecutive urine collections. Normal renal function: Cockcroft-Gault–estimated creatinine clearance ≥90 ml/min per 1.73 m2; mildly impaired, 60–89 ml/min per 1.73 m2; impaired, 30–59 ml/min per 1.73 m2; and severely impaired, <30 ml/min per 1.73 m2. Cardiovascular disease: symptomatic coronary heart disease, myocardial infarction, coronary artery procedure (bypass surgery or angioplasty), stroke, limb amputation, or peripheral artery procedure. Diabetic nephropathy: macroalbuminuria, dialysis, or renal transplantation.

*

P < 0.05 vs. normal urinary albumin excretion rate.

P < 0.05 vs. normal renal function.

P < 0.01 vs. none.

§

P < 0.01 vs. without CVD. S-Cr, serum creatinine.

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