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Table 3 The association of step cadence with incident diabetes, HCHS/SOL cohort (2008–2017)

From: Associations of steps per day and step intensity with the risk of diabetes: the Hispanic Community Health Study / Study of Latinos (HCHS/SOL)

Step metric - per day

diabetes based on self-reported diagnosis, medications, labs (3 criteria definition) n = 6634

diabetes based on medications and labs (2 criteria definition) n = 6633

adjusted IR per 10,000 p-years

HR (95% CI)

adjusted IR per 10,000 p-years

HR (95% CI)

Peak 30 cadence, step/min

 < 60

9.5 (2.1, 44.0)

ref

3.3 (0.5, 23.3)

ref

 60 - < 80

8.7 (1.9, 40.0)

0.90(0.70,1.15)

2.9 (0.4, 19.6)

0.86(0.64,1.16)

 80 - <  100

7.8 (1.7, 36.3)

0.79(0.62,1.02)

2.6 (0.4, 18.5)

0.75(0.55,1.02)

 > 100

5.6 (1.2, 26.3)

0.58(0.41,0.82)

1.8 (0.2, 12.9)

0.56(0.35,0.89)

p for trend

 

0.001

 

0.006

per 10 step/min increase

0.95(0.91,0.99)

 

0.93(0.88,0.98)

Minutes spent at different cadence

  > 40 steps/min, min per day

 

   < 33

9.2 (2.0, 42.9)

ref

3.0 (0.4, 20.6)

ref

  33 - < 55

9.3 (2.0, 43.4)

1.03(0.79,1.33)

2.9 (0.4, 19.8)

0.98(0.73,1.33)

  55 - < 87

8.5 (1.8, 40.4)

0.91(0.71,1.17)

2.8 (0.4, 18.8)

0.89(0.65,1.21)

   > 87

7.4 (1.5, 36.0)

0.78(0.57,1.07)

2.0 (0.3, 13.3)

0.61(0.43,0.86)

p for trend

 

0.092

 

0.007

per 10 min

 

0.98(0.96,1.00)

 

0.97(0.94,1.00)

  > 70 steps/min, min per day

 

   < 10

9.8 (2.1, 45.0)

ref

3.2 (0.5, 22.4)

ref

  10 - < 21

8.9 (2.0, 40.9)

0.92(0.71,1.18)

3.1 (0.5, 21.4)

0.99(0.73,1.34)

  21 - < 39

9.3 (2.0, 43.6)

0.96(0.75,1.23)

2.9 (0.4, 20.4)

0.88(0.66,1.17)

   > 39

6.7 (1.5, 30.7)

0.68(0.51,0.91)

2.1 (0.3, 14.6)

0.65(0.45,0.94)

p for trend

 

0.024

 

0.016

per 10 min

 

0.95(0.90,1.00)

 

0.93(0.87,0.99)

  > 100 steps/min, min per day

 

   < 2

9.8 (2.1, 44.9)

ref

3.5 (0.5, 24.2)

ref

  2 - < 7

9.3 (2.0, 43.3)

0.92(0.71,1.20)

3.0 (0.5, 20.4)

0.83(0.61,1.13)

  7 - < 17

8.8 (1.9, 40.4)

0.90(0.71,1.15)

3.2 (0.5, 21.9)

0.97(0.73,1.29)

   > 17

6.8 (1.5, 30.9)

0.69(0.53,0.89)

2.1 (0.3, 14.6)

0.64(0.47,0.89)

p for trend

 

0.006

 

0.018

per 10 min

 

0.93(0.86,1.00)

 

0.92(0.83,1.02)

Percent of steps at > 100 steps/min, %

 per 10%

 

0.94(0.87,1.01)

 

0.95(0.86,1.04)

  1. Models adjusted for age (continuous), quadratic term for age, sex (male, female), Latino background by HCHS/SOL field center (17 level categorical variable), education (< high school/no GED, high school/GED, > high school), married/partner status (yes, no), employment (yes, no), years in the US (born in US, < 10 years, > 10 years), self-rated general health (excellent/very good, good, fair/poor), mobility limitations (yes, no), cigarette pack years (continuous), alcoholic drinks per week (continuous), energy intake (continuous), AHEI-2010 (continuous) and accelerometer wear time (continuous, hours per day)
  2. Abbreviations: CI confidence interval, HR hazard ratio, IR incidence rate, p-years person-years