Twenty-four-hour movement guidelines during middle adolescence and their association with glucose outcomes and type 2 diabetes mellitus in adulthood

Journal of Sport and Health Science

Available online 6 August 2022

Journal of Sport and Health ScienceHighlights■

Adolescents who met physical activity and screen time guidelines had a lower risk of type 2 diabetes in adulthood compared with those who did not meet any of these guidelines.

Adolescents who met all 3 guidelines (i.e., physical activity, screen time, and sleep) had a lower risk of type 2 diabetes at follow-up compared with those who did not meet any of these guidelines.

For each increase in meeting one of the 24-h recommendations, the risk of type 2 diabetes decreased by 15%–18% in adulthood.

AbstractBackground

The aim of the present study was to determine the association between adherence to the 24-h movement guidelines during middle adolescence and glucose outcomes (glycated hemoglobin and fasting glucose) and type 2 diabetes mellitus (T2DM) in adulthood, 14 and 22 years later.

Methods

We analyzed data from apparently healthy adolescents aged 12–18 years who participated in Waves I and II (1994–1996, n = 14,738), Wave IV (2008–2009, n = 8913), and Wave V (2016–2018, n = 3457) of the National Longitudinal Study of Adolescent to Adult Health (Add Health) in the United States. Physical activity, screen time, and sleep duration were measured using questionnaires, and the 24-h guidelines were defined as: 5 or more times moderate-to-vigorous physical activity per week, ≤2 h per day of screen time, and sleeping 8–10 h per day and or night. Capillary and venous whole blood was collected and analyzed to determine glycated hemoglobin and fasting glucose for Waves IV and V, respectively.

Results

Only 2.1% of the adolescents met all the 3 guidelines, and 37.8% met none of them. In both waves IV and V, adolescents who met physical activity and screen time guidelines had lower odds of T2DM in adulthood than those who did not meet any of these guidelines (Wave IV; prevalence ratio (PR) = 0.57, 95%CI: 0.21–0.89; Wave V: PR = 0.43, 95%CI: 0.32–0.74). Only for Wave V did adolescents who met all three guidelines have lower odds of T2DM at follow-up compared with those who did not meet any of these guidelines (PR = 0.47, 95%CI: 0.24–0.91). Also, for each increase in meeting one of the 24-h recommendations, the odds of T2DM decreased by 18% (PR = 0.82, 95%CI: 0.61–0.99) and 15% (PR = 0.85, 95%CI: 0.65–0.98) in adulthood for Waves IV and V, respectively.

Conclusion

Promoting all 24-h movement guidelines in adolescence, especially physical activity and screen time, is important for lowering the potential risk of T2DM in adulthood.

Keywords

Glucose metabolism

Glycated hemoglobin

Physical activity

Screen time

Sleep duration

© 2022 Published by Elsevier B.V. on behalf of Shanghai University of Sport.

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