Although a person’s genes play a pivotal role in whether they develop diabetes, lifestyle factors—like diet, exercise, and body weight—influence their risk, too. A recent study found that lifestyle interventions reduce the risk of developing diabetes, especially among those at high genetic risk.

The study involved nearly 1,000 middle-aged men with metabolic syndrome—a constellation of health conditions that increases the for diabetes. About half of the men had a low genetic risk for the disease, while the remainder had a high genetic risk. The men participated in a three-year-long group-based lifestyle intervention program that involved dietary counseling, exercise guidance, and weight management. Researchers monitored the men’s health and diabetes incidence throughout the study period.

They found that the intervention reduced the risk of developing diabetes by 70% among participants with high genetic risk and 31% among those with low genetic risk. However, the latter reduction wasn’t statistically significant. The intervention promoted weight loss and prevented increased blood glucose levels in both groups.

These findings suggest that lifestyle interventions can have marked effects on diabetes incidence in people at risk. Exercise, in particular, makes the body’s tissues more sensitive to insulin, helping to maintain healthy blood glucose levels. Learn more about how exercise may prevent diabetes in this episode featuring Dr. Guido Kroemer.