Ried-Larsen M, Rasmussen MG, Blond K, et al. - This cohort study demonstrated lower all-cause and cardiovascular disease (CVD) mortality risk in relation to cycling in patients with diabetes independent of practicing other types of physical activity. Overall, cycling could be promoted as an activity for individuals with diabetes to reduce the risk of premature mortality.

• Higher premature death from all causes and CVD has been seen in diabetes cases.

• A total of 7,459 adults with diabetes were included from the European Prospective Investigation into Cancer and Nutrition study.

• Relative to reference group (no cycling at baseline) (0 min/wk), the multivariable-adjusted hazard ratios for all-cause death were 0.78, 0.76, 0.68, and 0.76 for cycling 1 to 59, 60 to 149, 150 to 299, and 300 or more min/wk, respectively.

• At least a 24% lower all-cause mortality rate was reported in relation to cycling vs noncyclists, independent of other physical activity and putative confounders.

• A considerably lower risk of both all-cause and CVD mortality was observed in participants who took up cycling between the baseline and second examination (a 5-year period), vs consistent noncyclists.