EASD 2020 — Type 2 diabetes: moderate exercise cuts mortality risk


  • Deepa Koli
  • Conference Reports
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Takeaway

  • Patients with type 2 diabetes who perform moderate amount of exercise have a 25% lower risk for all-cause mortality.
  • The risk further decreases to 32% with higher exercise level.

Why this matters

  • There are limited data on the effect of exercise capacity and all-cause mortality in people with diabetes.
  • Further evaluation of type and duration of exercise to promote health and prolong life expectancy.

Study design

  • Study of 4859 adult participants (age, 59.5 years) with type 2 diabetes from the National Health Interview Survey and the National Health Insurance research database in Taiwan.
  • Socioeconomic status and health behaviors were obtained by standardized face-to-face interviews in 2001, 2005, 2009, and 2013.
  • Patients were categorized into 3 groups based on the level of exercise capacity in kcal/week expenditure:
    • no exercise: 0;
    • moderate exercise: 0-800; and
    • high level: >800.
  • Funding: None disclosed.

Key results

  • 49.17% of the participants were male.
  • 996 deaths were reported.
  • Compared with participants with no exercise, those with higher exercise capacity had a significantly lower risk for all-cause mortality (Ptrend <.01>
  • Moderate exercise: adjusted HR (aHR), 0.75 (P<.0001>
  • High exercise levels: aHR, 0.68 (P<.0001>

Limitations

  • Observational design.
  • Survey-based data.