Simply taking more steps every day not only helps ward off obesity but also reduces the risk of diabetes, says a new study.While previous studies have shown that physical activity reduces body mass index and insulin resistance - an early stage in the development of diabetes - this is the first study to estimate the effects of long-term changes in daily step count on insulin sensitivity.A popular guideline is to do 10,000 steps every day, though a more recent recommendation is 3,000 steps, five days a week. The study, by the Murdoch Childrens Research Institute, Melbourne, involved 592 middle aged adults who took part in a national study to map diabetes levels across Australia between 2000 and 2005. At the start of the study, participants completed a detailed diet and lifestyle questionnaire and underwent a thorough health examination. They were also given a pedometer and instructed how to use it. Participants were monitored again five years later.Other lifestyle factors, such as diet, alcohol and smoking were taken into account. A higher daily step count over five years was associated with a lower body mass index, lower waist to hip ratio, and better insulin sensitivity. These associations were independent of dietary energy intake and appeared to be largely due to a change in adiposity (fatness) over the five years, say the authors. The authors estimate that, in their setting, a sedentary person who takes a very low number of daily steps but who was able to change behaviour over five years to meet the popular 10,000 daily step guideline would have a threefold improvement in insulin sensitivity compared with a similar person who increased his or her steps to meet the more recent recommendation of 3,000 steps for five days a week.
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