{
  "abstract": "Exercise has long been recognised as a cornerstone in the management of type 2 diabetes and several other chronic conditions. However, concerns over adherence and real-world effectiveness often undermine its clinical application. Recent discussions, including the article ‘Why exercise may never be effective medicine: an evolutionary perspective on the efficacy vs effectiveness of exercise in treating type 2 diabetes’, 1 published in this journal, highlight these challenges. However, this view oversimplifies the issue and underestimates the transformative potential of properly implemented exercise. This article aims to reframe the narrative that labels exercise as the ‘Ugly Duckling’ of diabetes treatment and to extend the discussion to other conditions where exercise acts as medicine—such as hypertension, obesity, metabolic steatotic liver disease and depression.",
  "authors": [
    {
      "affiliations": [
        "Laboratório de Performance Humana, Rio de Janeiro, Brazil",
        "Instituto Estadual de Diabetes e Endocrinologia Luiz Capriglione, Rio de Janeiro, Brazil"
      ],
      "name": "Roberto Luis Zagury"
    },
    {
      "affiliations": [
        "Laboratório de Performance Humana, Rio de Janeiro, Brazil",
        "Cardiology, Universidade do Estado do Rio de Janeiro Faculdade de Ciencias Medicas, Rio de Janeiro, Brazil"
      ],
      "name": "Fabrício Braga"
    }
  ],
  "title": "Exercise: the ugly duckling of diabetes treatment?",
  "uid": "e4083df0-c40b-5489-83f1-58fffb58367e"
}