Identifying a Potential Screening Tool for Prediabetes: The Association of Hemoglobin A1c and a Test of Physical Fitness

Military Medicine
Andrew TimboePaul Crawford

Abstract

The purpose of this study is to correlate HbA1c values with data points in the Air Force Physical Fitness Test (AFPT) in our active duty population. This study looks at 489 active duty U.S. Air Force members who performed the AFPT within 1 month of study participation at Nellis Air Force Base, Las Vegas, NV from July 2011 to August 2013. This cross-sectional study included a demographic survey, examination of AFPT results, and lab values, including Hemoglobin A1c and fasting lipid panel. A statistically significant association was detected between the prevalence of prediabetes or diabetes (HbA1c≥5.7%) and fitness level (16.98% in Unsatisfactory, 12.12% in Satisfactory, and 6.72% in Excellent; p = 0.0352). Prediabetes and diabetes were more prevalent among subjects who had an exemption for the AFPT (25.67% vs 7.23%; p < 0.0001). Among known risk factors, the prevalence of prediabetes and diabetes was higher with subjects that had an abdominal circumference >35 inches (19.78% vs 7.56%; p = 0.0004), a body mass index of ≥30 (20.0% vs 8.35%, p = 0.0026), and among individuals with a first degree relative with diabetes (15.70% vs. 8.15%; p = 0.0164). The prevalence of prediabetes and diabetes was lower in subjects with HDL ≥40 than ...Continue Reading

References

Feb 8, 2002·The New England Journal of Medicine·William C KnowlerUNKNOWN Diabetes Prevention Program Research Group
Mar 2, 2005·Annals of Internal Medicine·William H HermanUNKNOWN Diabetes Prevention Program Research Group
Feb 11, 2010·Journal of Diabetes Science and Technology·Lisa Lott
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Feb 2, 2017·Clinical Diabetes : a Publication of the American Diabetes Association·UNKNOWN American Diabetes Association

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Citations

Jun 2, 2020·Eating and Weight Disorders : EWD·Jennifer A HansonMichael Dretsch
Sep 7, 2020·Obesity Research & Clinical Practice·Robert LystrupPaul Crawford

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