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Prolonged sitting and unhealthy lifestyle habits may sharply increase insulin resistance risk among office workers. A cross-sectional study published in Diabetology evaluated over 82,000 employees in Spain, revealing a strong association between sedentary behavior, poor diet, and elevated insulin resistance detected through non–insulin-based indices.

Men exhibited significantly higher insulin resistance risk compared with women across all indices, with odds ratios of 2.48 (TyG), 1.47 (METS-IR), and 1.88 (SPISE). Lifestyle behaviors including smoking, low physical activity, and poor adherence to the Mediterranean diet were independently associated with higher IR scores, irrespective of age or sex.

These findings underscore the value of incorporating TyG, METS-IR, and SPISE as accessible, low-cost measures for detecting early insulin resistance in occupational health settings. Targeted workplace programs focusing on diet improvement and increased physical activity could help mitigate future metabolic and cardiovascular risk.

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Key highlights
  • Analysis included 82,020 Spanish office workers assessed from 2021 to 2022.
  • Men had higher odds of insulin resistance across all indices: TyG (OR = 2.48), METS-IR (OR = 1.47), SPISE (OR = 1.88).
  • Smoking, physical inactivity, and low Mediterranean diet adherence were strongly linked to elevated IR scores.
  • TyG, METS-IR, and SPISE offer cost-effective tools for early detection in occupational health programs.
Source

Ramírez Gallegos A, Tárraga López PJ, López-González ÁA, et al. Prevalence of elevated insulin resistance risk in a large office worker population: sex-stratified analyses and lifestyle correlates. Diabetology. 2025;6(11):137. doi:10.3390/diabetology6110137

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Widespread Insulin Resistance Risk Detected Among Office Workers in Spain
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Large-scale study links sedentary lifestyle and poor diet to higher metabolic dysfunction risk

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