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Media Briefings for China CDC Weekly, Vol 5, No. 45, 2023

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Comparative Study on Physical Activity in Diabetic and Non-Diabetic Individuals and Influential Factors — China, 2020–2021

   A recent study conducted in China has found that the majority of individuals with diabetes are not meeting the recommended levels of physical activity. The study, which compared physical activity levels in diabetic and non-diabetic individuals, revealed that low-level physical activity was more prevalent among those diagnosed with diabetes. Additionally, the study found that individuals with longer durations of diabetes were more likely to engage in lower levels of physical activity. The likelihood of engaging in low-level physical activity was also found to be higher among rural inhabitants, individuals with medium-tier education, employed individuals, and those with longer sleep durations. These findings highlight the need for strategies and interventions to promote greater physical activity among Chinese diabetic patients, taking population characteristics into account. The study utilized data from the China Kadoorie Biobank, one of the largest prospective cohort studies globally, providing reliable and extensive data for analysis.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.188

Impact of Daily Step Count on Diabetes Management and Complications Among Elderly Individuals — Jiangsu Province, China, 2020–2022

   A recent study conducted in Jiangsu Province, China, has found that increasing the daily step count can have a positive impact on the management of diabetes and reduce the risk of complications among elderly individuals. The research, conducted between 2020 and 2022, involved a cohort of 1,415 elderly individuals diagnosed with diabetes. The study utilized electronic smart wristbands to accurately measure daily step counts. The findings revealed a correlation between increased step counts and improved metabolic profiles, as well as a decrease in the incidence of cardiovascular complications. The study suggests that elevated daily step counts could serve as a powerful cardiovascular marker and potentially be used as a screening or intervention tool in community-oriented settings. Given the increasing prevalence of Type 2 diabetes among older adults, this research highlights the importance of physical activity in managing diabetes and promoting overall health in this population.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.189

Dose-Response Meta-Analysis on Risk of Diabetes in Relation to Red and Processed Meat Consumption — Asian Populations, 2006–2021

   A new dose-response meta-analysis of prospective cohort studies conducted in East Asian populations has found a direct correlation between the consumption of processed meat and an increased risk of diabetes. The study also identified a U-shaped association between the consumption of unprocessed red meat and the risk of diabetes. While previous research has shown a positive correlation between red and processed meat consumption and diabetes risk in Western populations, the results have remained inconclusive in Asian populations. This research adds to the evidence, advocating for the reduction of both processed and unprocessed red meat consumption as a viable strategy for mitigating the risk of diabetes among East Asian populations. The prevalence of diabetes has been rapidly increasing globally, particularly in countries like China where it currently stands at 12.4% in adults. Understanding the relationship between diet and diabetes risk is crucial for public health strategies aimed at prevention and management. These findings highlight the importance of considering regional differences in dietary habits when addressing diabetes risk.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.190

Risk Factors for Diabetes and Cardiovascular Complications in the Chinese Population

   A recent study conducted in China sheds light on the risk factors for diabetes and cardiovascular complications in the Chinese population. Unlike in Caucasians, where insulin resistance primarily drives the disease, the study suggests that beta cell dysfunction plays a more prominent role in East Asians, including the Chinese population. The study also revealed that obesity, which has been on the rise due to lifestyle changes and urbanization, contributes significantly to the development of diabetes in China. Furthermore, the study highlights the importance of age-related risk factors and gene-environment interactions in the progression of the disease. The impact of metabolic risk factors and socioeconomic factors on diabetes decreased slightly with age, while the risk associated with lifestyle factors, such as sleep patterns, increased significantly. The findings emphasize the need for targeted prevention and management strategies based on age groups. Additionally, the study suggests gene-environment interactions in relation to diabetes and obesity and recommends maintaining a healthy lifestyle to mitigate the risks even in individuals with a genetic predisposition. The interactions between healthy dietary patterns and genetic predisposition to obesity were also highlighted, presenting further avenues for research and intervention strategies.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.191

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