Updated
Updated · ScienceAlert · Jun 21
Lifestyle Program Cut 21% Multimorbidity Risk Over 20 Years in Prediabetes Study
Updated
Updated · ScienceAlert · Jun 21

Lifestyle Program Cut 21% Multimorbidity Risk Over 20 Years in Prediabetes Study

2 articles · Updated · ScienceAlert · Jun 21

Summary

  • 1,173 adults with prediabetes tracked for more than two decades showed a 21% lower risk of developing at least two chronic conditions after a three-year diet-and-exercise program versus placebo.
  • The benefit extended beyond diabetes prevention: even when diabetes was excluded, the lifestyle group still had lower overall chronic disease risk, while metformin showed little difference from placebo.
  • Researchers assessed 15 conditions including heart failure, stroke, dementia, cancer and chronic kidney disease, linking the strongest long-term gains to weight loss, healthier eating and regular physical activity.
  • The findings, published in JAMA from the DPP and DPPOS cohorts, suggest prevention investments can improve healthy aging, though 85% of participants still developed multimorbidity over the study period.

Insights

Lifestyle changes lower chronic disease risk, so why did 85% of participants still get sick?
If diet and exercise outperform medication for long-term health, why are they not the primary treatment?