Cardiometabolic & kidneyCohort study

Association of muscle-strengthening and aerobic physical activity with all-cause, cardiovascular disease, and cancer mortality in US adults with diabetes

Eur J Prev CardiolPublished

  • Prospective cohort study

Authors' conclusion

For adults with diabetes, performing MSA ≤ 3 times/week may be associated with lower all-cause, CVD, and cancer mortality risk, independent of MVPA. Jointly performing MSA ≤ 2 times/week and MVPA ≥ 150 min/week may confer the lowest all-cause and CVD mortality risk.

Study context

Population
US adults with DM free of cardiovascular disease (CVD) and cancer, National Health Interview Survey 1997–2018
Participants
29,609 adults
Exposure
Muscle-strengthening activity (MSA) frequency vs no MSA
Outcome
All-cause, CVD and cancer mortality
Follow-up
By 2019

Main finding

As reported in the abstract

All-cause mortality
Each group vs no MSAaHR
MSA < 1 time/week
0.72(95% CI 0.47–1.10)
MSA 1 time/week
0.58(CI 0.44–0.77)
MSA 2 times/week
0.76(CI 0.61–0.96)
MSA 3 times/week
0.80(CI 0.67–0.96)
MSA 4-6 times/week
0.97(CI 0.65–1.47)
MSA ≥ 7 times/week
0.99(CI 0.83–1.19)

Observational data: associations, not effects.

Further findings

CVD and cancer mortality

Non-linear associations with CVD and cancer mortality
Associations did not vary by age or sex
  • 1995 CVD and 1202 cancer deaths

Joint MSA and MVPA, all-cause and CVD mortality

MSA ≤ 2 times/week with MVPA ≥ 150 min/week had the lowest all-cause and CVD mortality risk vs no MSA and MVPA < 150 min/week

Original publication

Association of muscle-strengthening and aerobic physical activity with all-cause, cardiovascular disease, and cancer mortality in US adults with diabetes. Eur J Prev Cardiol. Published 6 February 2025. doi:10.1093/eurjpc/zwaf061

Summarised from the published abstract; every number is checked against it