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Frequent physical activity is associated with reduced risk of severe diabetic retinopathy in type 1 diabetes

Valma Harjutsalo; Per-Henrik Groop; Lena M. Thorn; Markku Saraheimo; Nina Elonen; Johan Wadén; Heikki O. Tikkanen; Kustaa Hietala; Paula Summanen; the FinnDiane Study Group; Carol Forsblom; Heidi Tikkanen-Dolenc

Frequent physical activity is associated with reduced risk of severe diabetic retinopathy in type 1 diabetes

Valma Harjutsalo
Per-Henrik Groop
Lena M. Thorn
Markku Saraheimo
Nina Elonen
Johan Wadén
Heikki O. Tikkanen
Kustaa Hietala
Paula Summanen
the FinnDiane Study Group
Carol Forsblom
Heidi Tikkanen-Dolenc
Katso/Avaa
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SPRINGER
doi:10.1007/s00592-019-01454-y
URI
https://link.springer.com/article/10.1007/s00592-019-01454-y
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Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021042826342
Tiivistelmä

Aims

The aim of this study was to investigate whether leisure-time physical activity (LTPA) is associated with the development of severe diabetic retinopathy in individuals with type 1 diabetes.

Methods

Prospective observational analysis as part of the Finnish diabetic nephropathy (FinnDiane) Study with a mean follow-up time of 10.7 years was performed. A total of 1612 individuals with type 1 diabetes were recruited, and LTPA was assessed at baseline using a validated self-report questionnaire. Severe diabetic retinopathy was defined as the initiation of laser treatment due to severe nonproliferative, proliferative retinopathy or diabetic maculopathy (identified from the Care Register for Health Care).

Results

A total of 261 patients received laser treatment during the follow-up. Higher frequency of LTPA was associated with a lower incidence of severe diabetic retinopathy (p = 0.024), a finding that remained significant after adjustment for gender, duration, age at onset of diabetes, kidney function, BMI, triglycerides and systolic blood pressure. However, when HbA1c and smoking were added to the Cox regression model the association was no more significant.

Conclusions

Frequent LTPA is associated with a lower incidence of severe diabetic retinopathy during the follow-up. The total amount or the other components of LTPA (intensity or duration of a single session) were not associated with severe diabetic retinopathy.

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  • Rinnakkaistallenteet [19207]

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