Updated 06 February 2017

Fitness in youth may protect you from diabetes later in life

Youths with poor physical fitness are at higher risk for diabetes much later in life, even if they're not overweight or obese, a new study finds.


The research involved about 1.5 million Swedes who all underwent physical fitness tests when they were conscripted into the military at age 18. Their health outcomes were then tracked up to the age of 62.

Inactivity a risk factor

Poor aerobic fitness and low muscle strength at age 18 was linked to a tripling of risk for diabetes in adulthood, regardless of the person's body weight, reports a team led by Dr Casey Crump of the Icahn School of Medicine at Mount Sinai in New York City.

The study was funded by the U.S. National Institutes of Health and published in the journal Annals of Internal Medicine.

Read: A healthy body equals a healthy brain

Inactivity is a known risk factor for type 2 diabetes, but little was known about how physical fitness levels at a young age might affect diabetes risk later in life, Crump's team said.

They believe the findings support programmes to boost aerobic and muscle fitness in young people. The study also sends an important message to out-of-shape people who don't think they're at risk for diabetes because they are not obese, the researchers said.

Other experts agreed.

Exercise improves insulin sensitivity

"A healthy lifestyle at any age reduces the risk of chronic disease throughout the life cycle," said Dr Howard Selinger, chair of family medicine at Quinnipaic University's School of Medicine in Hamden, Connecticut.

Read: Exercise boosts teen health

"No pills, no tests just good physical exercise to condition the heart and lungs and musculature obviously improves physiologic function for years to come," Selinger said.

Dr Gerald Bernstein coordinates the Friedman Diabetes Programme at Lenox Hill Hospital in New York City. He called the study "important", because it echoes findings from other research showing that "exercise, especially aerobic, improves insulin sensitivity".

Insulin sensitivity involves the body's response to the hormone, and is a key factor in whether or not a person develops diabetes.

"The population data from the CDC show that approximately 52 percent of the U.S. population have either diabetes or prediabetes, both adding to cardiovascular risk," Bernstein noted.

"The implication [from this study] is that physical education programmes in all levels of early education should be fully implemented prior to age 18 with the hope that progression to prediabetes and diabetes is minimised in later life," he noted.

Read more:

Exercise boosts teens' school performance

Better diet and exercise can prevent diabetes in  both sexes

Do active teens enjoy a healthier, longer life?

Image: Teens at a tennis court from iStock


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Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.

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