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dc.contributor.authorRush, Een_NZ
dc.contributor.authorCrook, Nen_NZ
dc.contributor.authorSimmons, Den_NZ
dc.date.accessioned2021-06-04T02:18:06Z
dc.date.available2021-06-04T02:18:06Z
dc.date.copyright2010en_NZ
dc.identifier.citationAnnals of Human Biology, 37(1), 117-127.
dc.identifier.urihttp://hdl.handle.net/10292/14243
dc.description.abstractAims: Programmes to prevent or delay chronic disease incorporate promotion of physical activity, particularly walking. The objective of this study was to test the associations of the ability to walk quickly with measures of adiposity and metabolic risk including dysglycaemia. Subjects and methods: Participants (3209), without known diabetes, in a lifestyle trial undertook a 4-minute walk test (4MWT) following measurements of fasting lipids, 75 g oral glucose tolerance test, anthropometry and blood pressure. Lower socio-economic status was defined by possession of a ‘community services card’ (CSC). Dysglycaemia (diabetes, impaired glucose tolerance and impaired fasting glucose) and metabolic syndrome (MS) were defined by WHO and ATPIII criteria, respectively. Results: Controlling for age, length of the walk-course and height, distance walked during the 4MWT decreased linearly (p < 0.001) with increasing waist, body mass index, %fat mass and MS risk. On average those with dysglycaemia walked 15.2 (95% CI 9.3, 20.8) m less than ‘normal’ participants independent of gender. In the best-fit regression model, distance walked was associated with reduced distances walked 1.3 (1.2, 1.5) m/year of age, 0.9 (0.8, 1.1) m/kg fat, 15.7 (11.2, 19.5) m with a CSC and 8.0 (5.8,10.2) m if currently smoking. Each additional MS factor was associated with a reduction of the distance walked by 6.6 (4.6, 8.6) m. Conclusion: Increasing numbers of MS components are associated with slower walking. The 4MWT is an easy assessment of functional limitation, which may have use in guiding intervention.
dc.publisherTaylor and Francis
dc.relation.urihttps://www.tandfonline.com/doi/full/10.3109/03014460903264251
dc.rightsCopyright © 2009 Taylor & Francis. Authors retain the right to place his/her pre-publication version of the work on a personal website or institutional repository as an electronic file for personal or professional use, but not for commercial sale or for any systematic external distribution by a third. This is an electronic version of an article published in (see Citation). [JOURNAL TITLE] is available online at: www.tandfonline.com with the open URL of your article (see Publisher’s Version).
dc.subjectWalk test; Diabetes; Obesity; Metabolic syndrome X; Māori
dc.titleRelationships Between a Walk Test, Body Size and Metabolic Risk Among a New Zealand Māori Communityen_NZ
dc.typeJournal Article
dc.rights.accessrightsOpenAccessen_NZ
dc.identifier.doi10.3109/03014460903264251
dc.identifier.roid12724en_NZ
aut.relation.issue1en_NZ
aut.relation.volume37en_NZ
pubs.elements-id14746
aut.relation.journalAnnals of Human Biologyen_NZ


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