Combining Strength Training and Cardio Reduces Type 2 Diabetes Risk, Study Shows
A study published in the Journal of the American Medical Association (JAMA) found that adults who engaged in both strength training and cardiovascular exercise reduced their risk of developing type 2 diabetes by 26% compared to those who exercised less frequently, according to the American Diabetes Association (ADA). The research followed 15,000 participants over 10 years, tracking physical activity levels and health outcomes.
Study Details and Key Findings

The study, led by researchers at the University of California, San Francisco, analyzed data from the National Health and Nutrition Examination Survey (NHANES). Participants who performed at least 150 minutes of moderate-intensity cardio per week, such as brisk walking or cycling, alongside two sessions of strength training, showed the lowest incidence of type 2 diabetes. “This combination improves insulin sensitivity and reduces visceral fat, both critical factors in diabetes prevention,” said Dr. Sarah Kim, a co-author of the study.
How Exercise Affects Diabetes Risk
Strength training builds muscle mass, which enhances glucose uptake, while cardio improves cardiovascular health and metabolic function. The ADA recommends at least 150 minutes of weekly aerobic activity and two days of resistance training for adults. “Exercise isn’t just about weight loss—it’s about optimizing the body’s ability to regulate blood sugar,” explained Dr. Michael Thompson, a diabetes specialist at the Mayo Clinic.
Real-World Implications
The findings align with guidelines from the Centers for Disease Control and Prevention (CDC), which emphasize the role of physical activity in chronic disease prevention. However, the study highlights a gap in public health messaging: many individuals prioritize one form of exercise over the other. “People often focus on cardio for weight loss or strength training for muscle gain, but combining both offers the most comprehensive protection,” said Dr. Linda Nguyen, a public health researcher.
What’s Next for Patients and Providers?
Healthcare professionals are encouraged to counsel patients on integrated exercise routines. The ADA has launched a campaign to promote “balanced fitness plans” that include both cardio and strength training. “Simple changes, like adding resistance bands to a walking routine, can make a significant difference,” said Dr. Rachel Lee, a primary care physician.
Comparison With Previous Research
Earlier studies, such as a 2021 review in Diabetes Care, noted similar benefits but did not specifically quantify the combined effect of both exercise types. This new study provides stronger evidence for the synergistic impact of mixed workouts. “It’s a critical step in refining exercise prescriptions for diabetes prevention,” said Dr. James Carter, an endocrinologist.
Key Takeaways
- 26% lower type 2 diabetes risk with combined strength and cardio exercise.
- 150 minutes of weekly cardio plus two strength sessions recommended.
- Exercise improves insulin sensitivity and reduces visceral fat.
- Healthcare providers should emphasize integrated fitness plans.