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Study: Activity lowers death risk in diabetes patients

Monday August 6, 2012
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In a study, higher levels of physical activity were related to a lower risk of death in patients with diabetes.

Although other studies have suggested that higher physical activity levels were associated with reduced CVD and total mortality rates, conclusive high-level evidence has been lacking, according to background information in the study, which appeared Aug. 6 on the website of the Archives of Internal Medicine.

Diewertje Sluik, MSc, of the German Institute of Human NutritionPotsdam-Rehbrücke in Nuthetal, Germany, and colleagues sought to investigate whether physical activity (total, leisure time and walking) was associated with total and CVD mortality in a large group of patients with diabetes as part of a prospective cohort study and meta-analysis. The study included a group of 5,859 patients with diabetes at baseline as defined in the European Prospective Investigation Into Cancer and Nutrition study. The meta-analysis included 12 studies.

The researchers found that in both the prospective analysis and the meta-analysis, higher levels of total and leisure-time physical activity and walking were associated with a lower risk of total and CVD mortality among people with diabetes. In the prospective analysis, people who reported being moderately physically active had lower mortality risk compared with those who reported being physically inactive.

Leisure-time physical activity (including cycling, gardening and household work) was associated with lower total mortality risk, and walking was linked to lower CVD mortality risk, according to the study data.

"In conclusion, evidence from the present study and from previous studies summarized by meta-analyses supports the widely held view that PA is beneficially associated with lower mortality in people with diabetes," the authors wrote. "Also, because not many patients with diabetes adhere to this advice, future research should elucidate the determinants of physical inactivity and design successful strategies to promote active lifestyles."

To read the study abstract and access the study via subscription or purchase, visit http://bit.ly/PAF2ib.

Weight training and diabetes

Weight training was linked with a reduced risk of type 2 diabetes in a study of male health professionals, and those men who engaged in both weight training and aerobic exercise for at least 150 minutes a week had the greatest reduction in risk, according to another study on the Archives of Internal Medicine’s website.

Regular physical activity is a cornerstone in the prevention and management of type 2 diabetes mellitus (T2DM), but the role of weight training in the primary prevention of the disease has been largely unknown, researchers wrote in background information for the study.

Anders Grøntved, MPH, MSc, of the Harvard School of Public Health in Boston, and colleagues examined the association of weight training with the risk of T2DM in 32,002 men observed every two years for 18 years as part of the Health Professionals Follow-up Study. They evaluated whether the association with weight training was independent of aerobic exercise, and studied the combined association of weight training and aerobic exercise with disease risk.

The researchers, who documented 2,278 new cases of T2DM, suggested that engaging in weight training or aerobic exercise for at least 150 minutes per week was associated with a lower risk of T2DM of 34% and 52% compared with men doing no weight training or no aerobic exercise, respectively, according to the results.

“These results support that weight training serves as an important alternative for individuals who have difficulty adhering to aerobic exercise,” the researchers wrote, but the combination of weight training with aerobic exercise was associated with an even greater reduction in risk: 59%.

Men who adhered to the current recommendations on aerobic exercise (at least 150 minutes per week) and engaged in weight training of at least 150 minutes per week "had the greatest reduction in T2DM risk," the authors wrote.

However, the researchers noted their results may not be generalizable to women and other ethnic or racial groups of men because the study comprised only men who were working as health professionals and were mostly white.

They concluded that further research should examine the effect of duration, type and intensity of weight training on T2DM risk in greater detail.

To read the study abstract and access the study via subscription or purchase, visit http://bit.ly/Msqqam.


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