Chen Y, Su J, Qin Y, et al. - In type 2 diabetes, reduction of all-cause, cardiovascular disease (CVD) and stroke mortality may be achieved via fruit intake and physical activity.

• This is a prospective analysis of 20,340 community-dwelling type 2 diabetic patients aged 21-94 years.

• Fruit intake >42.9 g/d, vs non-consumption, was inversely linked with all-cause death (Hazard ratio HR: 0.76), CVD mortality (HR 0.69) and stroke mortality (HR 0.57), but not with heart disease mortality (HR 0.93).

• Comparing the top vs bottom physical activity quartiles, the estimated HRs were 0.44 for all-cause mortality, 0.46 for CVD mortality, 0.46 for stroke mortality and 0.51 for heart disease mortality.

• A greater mortality risk was observed in relation to lower fruit intake combined with a lower physical activity level.

• At 80 g fruit/day (a nonlinear threshold unveiled), all-cause death risk was decreased by about 24%.

• Experts also discovered a physical activity threshold of 8 metabolic equivalents h/day, after which the risk of mortality did not reduce.