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(Circulation. 2003;107:2392.)
© 2003 American Heart Association, Inc.

Editorial

Active Lifestyle and Diabetes

Jonathan Myers, PhD; J. Edwin Atwood, MD; Victor Froelicher, MD

From the Cardiology Division, VA Palo Alto Health Care System and Stanford University, Palo Alto, Calif (J.M., V.F.); and Walter Reed USA Army Medical Clinic, Washington, DC (J.E.A.).

Correspondence to Jonathan Myers, PhD, Cardiology 111C, VA Palo Alto HCS, 3801 Miranda Ave, Palo Alto, CA 94304. E-mail drj993@aol.com

Key Words: Editorials • diabetes mellitus • exercise • epidemiology

An extract of the first 250 words of the full text is provided, because this article has no abstract.

The evidence demonstrating that physical inactivity plays a role in the development of several chronic diseases continues to grow. Since the 1950s, numerous scientific reports have examined the relationships between physical activity, physical fitness, and health outcomes. Expert panels convened by organizations such as the Centers for Disease Control and Prevention, the American College of Sports Medicine, and the American Heart Association,^1–3 along with the US Surgeon General’s report on physical activity and health,⁴ have reinforced the association between regular physical activity and health. These reports support the concept that more active or fit individuals tend to experience less coronary heart disease (CHD) and have lower mortality rates than their sedentary counterparts, and when they do acquire CHD, it occurs at a later age and tends to be less severe. The increasing incidence of type 2 diabetes over the last decade, along with the established link between diabetes and cardiovascular disease, has generated interest in the effects of physical activity on insulin sensitivity, glycemic control, and the incidence of diabetes. In this issue of Circulation, Tanasescu et al⁵ add to the evidence that physical activity reduces cardiovascular mortality in those with existing diabetes. Despite the scientific evidence and the organizational efforts, these messages have not reached the public, because physical activity is vastly underutilized in the management of diabetes, and the majority of individuals remain sedentary or do too little exercise to achieve health benefits.^2,3

See p 2435

The study by Tanasescu et al⁵ examined the relationship between physical . . . [Full Text of this Article]

Related Article:

Physical Activity in Relation to Cardiovascular Disease and Total Mortality Among Men With Type 2 Diabetes

Mihaela Tanasescu, Michael F. Leitzmann, Eric B. Rimm, and Frank B. Hu
Circulation 2003 107: 2435-2439. [Abstract] [Full Text]