Acute effects of physical exercise in type 2 diabetes: A review

Asano, Ricardo Yukio; Sales, Marcelo Magalhães; Browne, Rodrigo Alberto Vieira; Moraes, José Fernando Vila Nova de; Júnior, Hélio José Coelho; Moraes, Milton Rocha; Simões, Herbert Gustavo

doi:10.4239/wjd.v5.i5.659

Cited by 87 publications

(86 citation statements)

References 47 publications

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“…Several mechanisms seem to be associated with PEH, such as a better functioning of the cardiac and peripheral autonomic control and an increased bioavailability of vasoactive substances 8,14,19. One of the most widely studied vasoactive substances is nitric oxide (NO).…”

Section: Introductionmentioning

confidence: 99%

“…This molecule is a free radical with vasodilatory activity released by the vascular endothelium in response to several stimuli, including shear stress, which is generated by frictional resistance to blood flow on the vascular endothelial wall 19–21. During physical exercise, muscle contractions induce an increase in shear stress, consequently, increasing NO synthesis and releasing 19,21. Therefore, studies have been indicating NO as one possible mechanism associated with PEH 8,19,21.…”

Section: Introductionmentioning

confidence: 99%

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Acute effects of power and resistance exercises on hemodynamic measurements of older women

Coelho-Júnior¹,

Irigoyen²,

Aguiar³

et al. 2017

CIA

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PurposeThe purpose of this study was to compare the acute effects of resistance training (RT) and power training (PT) on the hemodynamic parameters and nitric oxide (NO) bioavailability of older women.Materials and methodsA randomized experimental design was used in this study. Twenty-one older women (age: 67.1±4.6 years; body mass index: 28.03±4.9 kg/m2; systolic blood pressure: 135.1±21.1 mmHg) were recruited to participate in this study. Volunteers were randomly allocated into PT, RT, and control session (CS) groups. The PT and RT groups underwent a single session of physical exercise equalized by training volume, characterized by 3 sets of 8–10 repetitions in 8 different exercises. However, RT group performed exercise at a higher intensity (difficult) than PT (moderate) group. On the other hand, concentric contractions were faster in PT group than in RT group. Hemodynamic parameters and saliva samples (for NO quantification) were collected before and during an hour after exercise completion.ResultsResults demonstrated post-exercise hypotension during 35 minutes in the PT when compared to rest period (P=0.001). In turn, RT showed decreased heart rate and double product (P<0.001) during the whole evaluation period after exercise completion compared with the rest period. NO levels increased in the PT and RT during the whole evaluation period in relation to rest period. However, there were no differences between PT, RT, and CS regarding hemodynamic and NO evaluations.ConclusionData indicate that an acute session of power and resistance exercise can be effective to cause beneficial changes on hemodynamic parameters and NO levels in older women.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute effects of power and resistance exercises on hemodynamic measurements of older women

Coelho-Júnior¹,

Irigoyen²,

Aguiar³

et al. 2017

CIA

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“…Although descriptive and systematic reviews have been written on the effects of exercise interventions on glycemic control of diabetics patients (Snowling and Hopkins 2006;Umpierre et al 2011;Hwang and Kim 2014;Asano et al 2014;Figueira et al 2014), at the best of the authors' knowledge, no previous reviews have focused the effects of resistance, endurance, or combined resistance and endurance training in the glycemic control, neuromuscular and cardiovascular function, as well as functional capacity in elderly with type 2 diabetes. In addition, the effects of exercise interventions in the functional capacity in diabetic elderly at a polyphatological conditions and severe functional decline have not been addressed in previous reviews.…”

Section: Introductionmentioning

confidence: 99%

Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

Cadore

Izquierdo

2015

AGE

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In elderly populations, diabetes is associated with reduced muscle strength, poor muscle quality, and accelerated loss of muscle mass. In addition, diabetes mellitus increases risk for accelerated aging and for the development of frailty syndrome. This disease is also associated with a polypathological condition, and its complications progressively affect quality of life and survival. Exercise interventions, including resistance training, represent the cornerstones of diabetes management, especially in patients at severe functional decline. This review manuscript aimed to describe the beneficial effects of different exercise interventions on the functional capacity of elderly diabetics, including those at polypathological condition. The SciELO, Science Citation Index, MEDLINE, Scopus, SPORTDiscus, and ScienceDirect databases were searched from 1980 to 2015 for articles published from original scientific investigations. In addition to the beneficial effects of exercise interventions on glycemic control, and on the cardiovascular risk factors associated with diabetes, physical exercise is an effective intervention to improve muscle strength, power output, and aerobic power and functional capacity in elderly diabetic patients. Thus, a combination of resistance and endurance training is the most effective exercise intervention to promote overall physical fitness in these patients. In addition, in diabetic patients with frailty and severe functional decline, a multicomponent exercise program including strength and power training, balance exercises, and gait retraining may be an effective intervention to reduce falls and improve functional capacity and quality of life in these patients.

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“…1 Among these exercises, the aerobic training shows beneficial acute 2,3 and chronic effects 4---6 in the inflammatory, glycemic, lipids, pressoric and functional outcomes. However, most studies with aerobic training in this population 4---12 have prescribed the training intensity based on percentages of peak oxygen uptake (%VO 2peak ) and maximal heart rate (%HR max ), which can elicit different physiological responses for different individuals and that submaximal parameters such anaerobic threshold are better markers of the stress induced by physical exercise.…”

Section: Introductionmentioning

confidence: 99%

Heart rate deflection point as an alternative method to identify the anaerobic threshold in patients with type 2 diabetes

Delevatti

Kanitz

Alberton

et al. 2015

Apunts. Medicina de l'Esport

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Aims: The purpose of this study was to evaluate the agreement between heart rate (HR) and treadmill velocity corresponding to the anaerobic threshold measured by second ventilatory threshold (VT 2 ) and the HR deflection point (HRDP) in patients with type 2 diabetes. Materials and methods: Thirty-two sedentary patients (56.1 ± 7.7 years) were evaluated. To determine the threshold values, patients performed an incremental treadmill test, with an initial velocity of 3 km h −1 for 3 min, which was then increased by 1 km h −1 every 2 min. The degree of agreement between VT 2 and HRDP was analyzed using the Bland---Altman test. Results: Patients had a HR of 133 ± 16 bpm at VT 2 and 133 ± 18 bpm at HRDP. Mean velocity corresponding to VT 2 was 6.3 ± 0.7 km h −1 , and that corresponding to HRDP was 6.4 ± 1.1 km h −1 . There were no significant differences between the methods evaluated (HR: p = 0.78; mean velocity: p = 0.57). Conclusions:The present investigation concludes that there is an agreement between VT2 and HRDP methods for HR and treadmill velocity, and thus, either method may be used for these patients. © 2014 Consell Català de l'Esport. Document downloaded from http://www.apunts.org, day 24/12/2015. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. Document downloaded from http://www.apunts.org, day 13/01/2016. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. R.S. Delevatti et al. PALABRAS CLAVEUmbral ventilatorio; Segundo umbral ventilatorio; Punto de desviación de la frecuencia cardiaca; Ejercicio; Diabetes tipo 2 Punto de desviación de la frecuencia cardíaca es una alternativa de método para identificar el umbral anaeróbico en pacientes con diabetes tipo 2 Resumen Objetivos: El propósito de este artículo fue evaluar la concordancia entre frecuencia cardíaca (FC) y velocidad en la cinta de correr correspondiente al umbral anaeróbico medido por el segundo umbral ventilatorio (VT 2 ) y por el punto de deflexión de la FC (PDFC) en pacientes con diabetes tipo 2. Métodos: Se evaluaron treinta y dos pacientes sedentarios (56,1 ± 7,7 años) para determinar los valores de los umbrales, los pacientes realizaron una prueba de esfuerzo incremental a una velocidad inicial de 3 km h −1 durante 3 min, con incrementos de 1 km h −1 cada 2 min. Se analizó el grado de concordancia entre VT 2 y PDFC mediante el test de Bland---Altman. Resultados: Los pacientes mostraron una FC de 133 ± 16 lpm en VT 2 y 133 ± 18 lpm en PDFC.La velocidad media correspondiente a VT 2 fue 6,3 ± 0,7 km h −1 y la correspondiente a PDFC fue 6,4 ± 1,1 km h −1 . No hubo diferencias significativas entre los métodos evaluados (FC: p = 0,78; velocidad media: p = 0,57). Conclusión: Esta investigación concluye que existe correspondencia entre los métodos VT 2 y PDFC en FC y la velocidad media en la cinta de correr, por lo tanto, cualquiera de estos dos métodos puede ser usado en estos pacientes.

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Acute effects of physical exercise in type 2 diabetes: A review

Cited by 87 publications

References 47 publications

Acute effects of power and resistance exercises on hemodynamic measurements of older women

Acute effects of power and resistance exercises on hemodynamic measurements of older women

Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

Heart rate deflection point as an alternative method to identify the anaerobic threshold in patients with type 2 diabetes

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