ArticleJournal of sport and health science2026
Global, regional, and national burden of major diabetes-related complications attributable to physical inactivity.
Article in Journal of sport and health science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies investigating the global, regional, and national impact of physical inactivity on diabetes complications are scarce. We aimed to estimate the population attributable fractions (PAFs) of macrovascular complications and retinopathy in people with diabetes at the national, regional, and global levels.
methodsWe conducted a pooled analysis of population-based cohort studies and cross-sectional surveys to identify the prevalence of physical inactivity and its association with macrovascular complications and retinopathy in adults with diabetes. Diabetes-related complications included macrovascular (i.e., cardiovascular diseases, stroke, coronary heart disease (CHD), heart failure) complications and retinopathy. PAFs were estimated using the adjusted relative risks, the proportion of physical inactivity in cases, and the available prevalence of physical inactivity from countries and territories worldwide.
resultsWe pooled data from 2,374,714 adults from representative prospective cohorts and cross-sectional surveys. We included data from high-income Western countries (n = 11), Latin America and Caribbean (n = 4), high-income Asia Pacific (n = 3), East and South-East Asia (n = 3), Sub-Saharan Africa (n = 3), South Asia (n = 2), and Central and Eastern Europe (n = 1). The highest PAFs were observed for stroke (10.2%, 95% uncertainty interval (95%UI): 5.1%-16.6%), retinopathy (9.7%, 95%UI: 4.1%-16.5%), and heart failure (7.3%, 95%UI: 3.1%-12.5%). High-income Asia Pacific, Latin America and Caribbean, and the Central Asia, North Africa-Middle East regions showed the largest PAF to physical inactivity for macrovascular and retinopathy. The largest sex disparity was observed in retinopathy. A higher country income was associated with a higher PAF across all investigated complications. Oppositely, adults with low educational attainment showed higher PAFs for all analyzed complications, especially in cardiovascular disease and CHD.
conclusionThe global burden of diabetes-related complications is significantly influenced by physical inactivity. Tailoring interventions to reduce physical inactivity in this population may contribute to mitigating the health impacts of diabetes complications.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.