Introduction and Objective: Prediabetes (PreD) and type 2 diabetes (T2D) are increasingly common in young adulthood, a period of declining physical activity (PA). We investigated associations between individual- and community-level social determinants of health (SDOH) and PA in young adults with and without PreD or T2D.Methods: We conducted a cross-sectional study using survey and Fitbit data from 18-35y young adults in NIH’s All of Us Research Program (data collected 2018-2022). Daily steps surrounding SDOH survey (±14d) were averaged (SDOH by domain in Table). Linear regression adjusting for age, sex, race and PreD/T2D assessed the relationship between steps and SDOH in separate models.Results: The cohort (n=862; age 29.6±3.9y; 78% F; 79% White, 2% Black, 4% Hispanic, 5% Asian, 9% Other; 7% PreD/T2D) averaged 7505±3343 steps/day. Young adults with PreD/T2D had roughly 1000 fewer steps/day. Favorable SDOH that were associated with higher step count included employment, low healthcare discrimination, and greater neighborhood social cohesion (Table). Income, education, insurance, social support, loneliness, and neighborhood disorder were not associated with step count.Conclusion: SDOH varied in their association with PA, which was lower in the setting of PreD/T2D. SDOH-based interventions to increase PA in young adults, particularly those with PreD/T2D, should be investigated.
M. Jankowski: None. C. Harrison: None. S. Apte: None. J. Mitchell: None. X. Qin: None. M. Vajravelu: None.
The Pittsburgh Foundation
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