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A new study suggests pastors neglect their own health because they’re so busy tending to other people’s needs.

Duke University researchers compared United Methodist pastors to other North Carolina residents.

According to the study published in The New York Times, pastors had significantly higher rates of obesity, high blood pressure, arthritis, and diabetes.

“We had a pastor in our study group who hadn’t taken a vacation in 18 years,” Rae Jean Proeschold-Bell, an assistant professor of health research at Duke University who directed one study, told the newspaper.

“These people tend to be driven by a sense of a duty to God to answer every call for help from anybody, and they are virtually called upon all the time, 24/7,” she explained.