Accelerometer-Assessed Sedentary and Physical Activity Behavior and Its Association With Vision Among U.S. Adults With Diabetes

in Journal of Physical Activity and Health
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To examine the association between accelerometer-assessed physical activity and visual acuity among a nationally representative sample of adults with evidence of diabetes.


Six hundred seventy adult participants with diabetes (age 20 to 85) from the 2003–2006 NHANES cycles constituted the analyzed sample. Participants wore an accelerometer for 7 days to quantify time spent in sedentary behavior, light-intensity physical activity and moderate-to-vigorous physical activity. Visual acuity was objectively assessed for each eye.


In multivariable models, every 1-hour increment in daily sedentary behavior was associated with 23% greater likelihood (OR = 1.23; 95% CI: 1.01–1.52) of having uncorrected refractive error as opposed to normal sight. Performing more than 5 minutes of daily moderate-to-vigorous physical activity was associated with a 82% lower likelihood of having vision impairment as opposed to normal sight (OR = 0.18; 95% CI: 0.06–0.50) while every 1-hour increment in daily light-intensity physical activity was, after adjustments, independently associated with a 38% lower likelihood of vision impairment (OR = 0.62; 95% CI: 0.42–0.92).


People with diabetes spending more time in sedentary behavior and less time performing light or moderate-to-vigorous physical activity are more likely to have poorer vision.

Loprinzi ( is with the Center for Health Behavior Research; Dept of Health, Exercise Science, and Recreation Management, School of Applied Sciences, The University of Mississippi, Oxford, MS. Pariser is in the Physical Therapy Program, Bellarmine University, Louisville, KY. Ramulu is with the Wilmer Eye Institute, John Hopkins School of Medicine, Baltimore, MD.