Diabetes complications

Optimal amount of vigorous-intensity physical activity for lowering incidence of microvascular diseases: A prospective cohort study from the UK Biobank

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

VPA of 34-44 min/week were associated with 23 %-36 % lower risks of overall MVDs, with a less pronounced decline in risk thereafter. These findings may have implications for the future revision of physical activity recommendations to better improve microvascular health.

Study context

Population
UK Biobank participants with wrist-worn accelerometer-measured physical activity (PA); 40,256 males and 52,019 females, mean (SD) age 61.7 (7.8) years
Participants
92,275 participants
Exposure
Duration of physical activity at different intensities, focus on vigorous-intensity PA (VPA)
Outcome
Incident microvascular diseases (nephropathy, neuropathy, retinopathy) from hospital inpatient records
Follow-up
Median 7.9 years
Methodological detailsaccelerometer-measured physical activity, UK Biobank, Cox models and restricted cubic splines
  • Accelerometer-measured physical activity
  • UK Biobank
  • Cox models and restricted cubic splines

Main finding

As reported in the abstract

Amount-response association of VPA with overall MVDs

Optimal amount of VPA, minutes/week

38

95% CI 34, 44

HR at optimal VPA amount

0.71

95% CI 0.64, 0.77

Observational data: associations, not effects.

Further findings

Incident microvascular diseases (MVDs) · median follow-up 7.9 years

Overall MVDs
5,201
Nephropathy
2,385
Neuropathy
512
Retinopathy
2,666

Original publication

Optimal amount of vigorous-intensity physical activity for lowering incidence of microvascular diseases: A prospective cohort study from the UK Biobank. Diabetes Res Clin Pract. Published 26 April 2025. doi:10.1016/j.diabres.2025.112203

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