DOC News March 1, 2007
Volume 4 Number 3 p. 11
© 2007 American Diabetes Association
Obesity Contributes More to Diabetes Than Does Inactivity
Both physical inactivity and excess body weight are risk factors for type 2
diabetes. But which contributes more? Some studies point to body mass index
(BMI), while others place the blame on physical inactivity.
Now a large-scale, long-term study of participants in the Nurses' Health
Study adds an important piece of evidence. Researchers studied the incidence
of diabetes among 69,000 women with no history of diabetes or cardiovascular
disease. During 16 years of follow-up, 4,030 cases of diabetes were
identified.
Analysis of collected data showed that the risk of diabetes rose with
increased BMI and waist circumference and decreased levels of physical
activity. But multivariate analysis revealed that obesity has a much more
pronounced effect on diabetes risk than physical activity. Compared with a
healthy, active woman of normal weight, an obese and inactive woman is nearly
17 times more likely to develop diabetes, while a woman who is obese but
physically active is 10.74 times more likely to develop diabetes. A woman who
is lean but inactive is about twice as likely to develop diabetes as a woman
who is lean and active.
"The magnitude of risk contributed by obesity is much greater than
that imparted by lack of physical activity," the researchers
conclude.
Ana JS, Li TY, Manson JE, et al.: Adiposity compared to
physical inactivity and risk of type 2 diabetes in women. Diabetes
Care 30:5358, 2007[Abstract/Free Full Text]
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