short answer: 2-3 hours, once/week is good (obviously), but not as good as.
A few points:
- The American College of Sports Medicine recommends '45-60 min of exercise most days of the week' or some such - it's been a while since I've had to quote this; you can google it. The biggest improvements are seen from the couch potato --> moderately active step (google 'Cooper clinic, Blair'). So anything is better than sitting on your duff.
- Regular exercise is good for EVERYBODY in regards to improving your chance of avoiding or delaying diabetes, not just high risk groups. There is a reason why we call 'adult-onset diabetes' 'type II diabetes'. Exercise also confers numerous other health benefits. In fact, if there are 'silver bullets' to cure a large portion of society's ails, 'regular exercise' and 'portion size' are the two big ones. Shocker, I know.
- An acute exercise bout (say, 45-60 min of jogging) has some immediate benefits. E.g., in type 2 diabetics, exercise will bring typicall blood glucose levels down from an elevated state, an in insulin resistant folks ('pre-diabetic', if you will), as little as one bout of moderate exercise will improve insulin sensitivity (a good thing). These improvements are relatively transient, and in the case of improved insulin sensitivity, last around 24 hours or longer. So you can see that exercising every day is important.
- Practically, most sedentary folks find it hard enough to do 30 min or 10,000 steps of walking per day. 3 hrs of anything on Saturday is typically a non-starter for a sedentary person. The key is to establish a routine that is manageable over the long term. Hitting it hard once/week is a recipe for some serious soreness, and back to the couch they go.
- So, in short, there are practical as well as physiological reasons why you would spread your exercise out over several days, and hopefully increase your weekly hours as well. But get your friend of the couch, that's the biggest favor you can do him/her.
Josef
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