1. Time spent cycling was associated with lower all-cause and cardiovascular disease-specific mortality in this multicenter European cohort study of patients with diabetes, independent of other exercise.
2. Taking up cycling over a five-year period was associated with lower mortality rates compared with those who did not cycle at all.
Evidence Rating: 2 (Good)
Study Rundown : Diabetes is known to be a leading cause of morbidity and mortality worldwide. Many of the health conditions associated with diabetes are modifiable through lifestyle modifications and appropriate glycemic control. Exercise is a major component of preventive medicine and is particularly effective in reducing the incidence of cardiovascular disease. In this multicenter, prospective cohort study, Ried-Larsen et al sought to evaluate the association between cycling and mortality (both all-cause and cardiovascular disease [CVD]-specific) in patients with diabetes. Patient data was accrued through the pre-existing European Prospective Investigation into Cancer and Nutrition cohort; data from 7,459 individuals was included. The mean age of participants at the start of the study was 55.9 years (standard deviation [SD] 7.7 years) and the mean time since diabetes diagnosis was 7.7 (SD 8.1) years. The hazard ratios for both CVD and death were significantly lower amongst cyclists (individuals who spent any non-zero amount of time cycling). These trends persisted when controlling for smoking, self-reported diabetes diagnosis and sports participation. Finally, there was a dose-response relationship between time spent cycling and mortality risk which was modelled by a J-shaped curve. These results demonstrate that there is […]