{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:58:18Z","timestamp":1786121898049,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82170840"],"award-info":[{"award-number":["82170840"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82204115"],"award-info":[{"award-number":["82204115"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82570966"],"award-info":[{"award-number":["82570966"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003453","name":"Natural Science Foundation of Guangdong Province","doi-asserted-by":"publisher","award":["2025A1515010406"],"award-info":[{"award-number":["2025A1515010406"]}],"id":[{"id":"10.13039\/501100003453","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003453","name":"Natural Science Foundation of Guangdong Province","doi-asserted-by":"publisher","award":["2026A1515011994"],"award-info":[{"award-number":["2026A1515011994"]}],"id":[{"id":"10.13039\/501100003453","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the associations between accelerometer\u2010derived physical activity patterns\u2014specifically the \u201cweekend warrior\u201d (WW) pattern versus regularly distributed activity\u2014and the risk of incident microvascular complications among individuals with type 2 diabetes (T2D) and prediabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study utilized data from the UK Biobank, analysing 12\u2009923 adults with T2D and prediabetes who had accelerometer\u2010measured data. Participants were classified into three groups: active WW (\u2265\u2009150\u2009min\/week; \u2265\u200950% of moderate\u2010to\u2010vigorous physical activity [MVPA] accumulated on 1\u20132\u2009days), active regular (\u2265\u2009150\u2009min\/week but not meeting WW criteria), and inactive (&lt;\u2009150\u2009min\/week). Hazard ratio (HR) and 95% confidence interval (CI) for incident microvascular complications and their subtypes (diabetic kidney disease [DKD], neuropathy [DN], and retinopathy [DR]) were estimated using Cox proportional hazards models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over a median follow\u2010up of 7.88\u2009years, 1235 incident microvascular complications were documented. Compared with the inactive group, both active patterns were associated with similarly reduced risks of microvascular complications (WW: HR 0.71 [95% CI 0.61\u20130.82]; regularly active: HR 0.63 [95% CI 0.52\u20130.77]). These protective associations extended consistently to DKD, DN and DR, with no statistically significant differences between WW and regularly active groups (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Findings were robust across alternative MVPA thresholds, subgroup analyses, and sensitivity analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Concentrating recommended weekly MVPA within 1\u20132\u2009days offers similar microvascular protection as regularly distributed activity among individuals with T2D and prediabetes, supporting flexible approaches for this high\u2010risk population to achieve weekly activity goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70828","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T06:14:08Z","timestamp":1777356848000},"page":"6151-6161","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accelerometer\u2010Derived \u2018Weekend Warrior\u2019 Physical Activity Pattern and Microvascular Risk in Individuals With Type 2 Diabetes and Prediabetes"],"prefix":"10.1111","volume":"28","author":[{"given":"Hao\u2010Jie","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Epidemiology, School of Public Health Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Er\u2010La","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Kuang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing\u2010Yun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health Southern Medical 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