Sedentary rest and hard work increase the risk of diabetes

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A recent study published in the American Journal of Preventive Medicine reveals that moderate to vigorous leisure-time physical activity reduces the risk of type 2 diabetes, whereas occupational activity does not provide the same benefit.

by @freepik

The global incidence of type 2 diabetes has more than doubled in the past decade, posing a significant burden on healthcare systems. While the World Health Organization (WHO) highlights physical activity as a key preventive measure, current guidelines do not differentiate between occupational and leisure-time activity. This lack of distinction may lead to misconceptions about the protective effects of workplace activity. Researcher Anna Sage from the Centre for Clinical Research and Prevention states that

“our results showed that physical activity in leisure time has a protective effect against type 2 diabetes, regardless of the level of occupational activity. At the same time, physical activity at work does not show similar benefits, which may support the existence of a ‘physical activity health paradox’.”

The study analyzed data from 5,866 adults aged 30-60 years in the Danish Inter99 cohort, tracking diabetes cases via the Danish Diabetes Registry from 1996 to 2020. Participants underwent medical assessments and completed surveys about their physical activity levels at work and during leisure time.

Key findings of the study include:

  • Strenuous occupational activity may be linked to type 2 diabetes, but the association was not statistically significant.
  • Leisure-time physical activity consistently reduced diabetes risk, regardless of work-related activity levels.
  • A sedentary lifestyle outside of work, combined with physically demanding jobs, increased the likelihood of developing diabetes.
  • Engaging in exercise during free time provided a protective effect, even among individuals with physically active jobs.

Sage underscores the importance of revising physical activity guidelines, stating that

“the WHO does not make a clear distinction between physical activity at work and leisure time, which may give a false impression of the sufficiency of daily activity. However, our results and other studies show that it is recreational physical activity of moderate to vigorous intensity that reduces the risk of non-communicable diseases and mortality.”

These findings reinforce the need to prioritize structured leisure-time exercise for diabetes prevention. Additionally, they highlight the importance of updating public health recommendations to better reflect the role of different types of physical activity in reducing chronic disease risks.

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Igor Foliush
In 1998 he graduated from the Lviv Institute of Physical Education Department of physical rehabilitation From 1998 to 2000 he was an intern at the Istituto Di MedicinaDello Sport Di Roma From 2000 to 2007 he worked as a physiotherapist at the Hospital Santa Maria della Stella (Orvieto) In 2007 he returned to Ukraine From 2007 to 2013 worked as a physiotherapist at the private pediatric clinic "Vita Puer" In 2013, he completed his master's degree at the Melitopol Institute of Ecology and Social Technologies In 2014, he founded the "Dr Foliush Massage Centre" where he works to this day

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