Differences in Free-Living Patterns of Sedentary Behaviour between Office Employees with Diabetes and Office Employees without Diabetes: A Principal Component Analysis for Clinical Practice

Int J Environ Res Public Health. 2022 Sep 27;19(19):12245. doi: 10.3390/ijerph191912245.

Abstract

Aims: To identify principal components of free-living patterns of sedentary behaviour in office employees with type 2 diabetes (T2D) compared to normal glucose metabolism (NGM) office employees, using principal component analysis (PCA).

Methods: 213 office employees (n = 81 with T2D; n = 132 with NGM) wore an activPAL inclinometer 24 h a day for 7 consecutive days. Comparions of sedentary behaviour patterns between adults with T2D and NGM determined the dimensions that best characterise the sedentary behaviour patterns of office employees with T2D at work, outside work and at weekends.

Results: The multivariate PCA technique identified two components that explained 60% of the variability present in the data of sedentary behaviour patterns in the population with diabetes. This was characterised by a fewer number of daily breaks and breaks in time intervals of less than 20 min both at work, outside work and at weekends. On average, adults with T2D took fewer 31 breaks/day than adults without diabetes.

Conclusion: Effective interventions from clinical practice to tackle prolonged sedentary behaviour in office employees with T2D should focus on increasing the number of daily sedentary breaks.

Keywords: activPAL; desk-BASED job; disease management; principal component analysis; sedentary behaviour; sitting time; type 2 diabetes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 2*
  • Glucose
  • Habits
  • Humans
  • Principal Component Analysis
  • Sedentary Behavior*
  • Workplace

Substances

  • Glucose

Grants and funding

The study was funded by Fondo de Investigación Sanitaria, Instituto de Salud Carlos III (PI17/01788), the Spanish Ministry of Science and Innovation (DEP2021-37169), grant Jose Luís Torres from redGDPS Foundation (redgdps/BJLTB/02/2022), the predoctoral research grant Isabel Fernández 2020 from the Spanish Society of Family and Community Medicine (semFYC) and another grant from the Càtedra Autonomous University of Barcelona (UAB)—Novartis for research in Family and Community Medicine. The funders had no role in the design, analysis, data interpretation or writing of the manuscript.