Diabetes Care 30:2838-2842, 2007 DOI: 10.2337/dc07-1189 © 2007 by the American Diabetes Association
Changes in Vigorous Physical Activity and Incident Diabetes in Male RunnersFrom the Life Sciences Division, Ernest Orlando Lawrence Berkeley National Laboratory, Berkeley, California Address correspondence and reprint requests to Paul T. Williams, PhD, Ernest Orlando Lawrence Berkeley National Laboratory, Life Sciences Division, 1 Cyclotron Rd., Berkeley, CA 94720. E-mail: ptwilliams{at}lbl.gov OBJECTIVE—We examined the relationship between changes in reported vigorous exercise and self-reported physician-diagnosed diabetes in 25,988 active men. RESEARCH DESIGN AND METHODS—The dose-response relationship between changes in reported vigorous exercise (running distance, change in kilometers per week) and self-reported physician-diagnosed diabetes was followed prospectively for 7.8 ± 1.8 years (means ± SD).
RESULTS—Logistic regression analyses showed that the log odds for diabetes declined significantly in relation to men's change in running distance (coefficient ± SE: –0.012 ± 0.004, P < 0.01), which remained significant when adjusted for BMI (–0.018 ± 0.003, P < 0.0001). The decline in the log odds for diabetes was related to the distance run at the end of follow-up when adjusted for baseline distance, with (–0.024 ± 0.005, P < 0.0001) or without (–0.027 ± 0.005, P < 0.0001) adjustment for BMI. Baseline distance was unrelated to diabetes incidence when adjusted for the distance at the end of follow-up. Compared with men who ran <8 km/week at the end of follow-up, incidence rates in those who ran CONCLUSIONS—Vigorous exercise significantly reduces diabetes incidence, due in part to the prevention of age-related weight gain and in part to other exercise effects.
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