Where to Start? Physical Assessment, Readiness, and Exercise Recommendations for People With Type 1 or Type 2 Diabetes

Armstrong, Marni J.; Colberg, Sheri R.; Sigal, Ronald J.

doi:10.2337/dsi22-0016

Cited by 2 publications

(1 citation statement)

References 103 publications

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“…It is recognized that implementing screening protocols beyond routine diabetes care can mitigate the risk of exercise-induced adverse events in asymptomatic individuals with diabetes ( 15 ). However, precautions should be taken to avoid that the screening requirements do not lead to unnecessary barriers to initiating an exercise program ( 62 ), especially in individuals with limited or not covered by health insurance.…”

Section: Discussionmentioning

confidence: 99%

Physical exercise as treatment for adults with type 2 diabetes: a rapid review

Ribeiro,

Carvalho,

Bento-Torres

2023

Front. Endocrinol.

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BackgroundType 2 diabetes mellitus (T2DM) is a leading cause of disability-adjusted life years (DALY). Physical exercise is an effective non-pharmacological intervention to promote glycaemic control in T2DM. However, the optimal exercise parameters for glycemic control in individuals with T2DM remain unclear.ObjectiveThis study aimed to analyze the relationship between physical training variables – frequency, intensity, type, duration, volume, and progression – and glycemic control in individuals with T2DM.MethodsA rapid systematic literature review was conducted on PubMed and LILACS databases. The PICOT strategy was employed to define the inclusion criteria. Eligible studies had to assess the impact of exercise parameters (frequency, intensity, type, duration, volume, and progression) on glycemic control indicators, primarily glycosylated hemoglobin (HbA1c). Randomized and non-randomized clinical trials were included in the review. The methodological quality of each study was assessed using the PEDro scale (PROSPERO - CRD 42021262614).ResultsOut of 1188 papers initially identified, 18 reports met the inclusion criteria and were included in the analysis. A total of 1,228 participants with T2DM (1086 in exercise groups) were included in the selected studies. Among these studies, 16 (88.9%) were RCTs and 2 (11.1%) were nRCTs. The age of participants ranged from 43.1 and 68.9 years, and the average intervention duration was 16.8 weeks. Data on adherence to the intervention, adverse events, detailed intervention protocol, and its impacts on glycaemic control, lipid profile, blood pressure, anthropometric measures, medication, body composition, and physical fitness are reported.ConclusionThe evidence supports the safety and effectiveness of physical exercises as non-pharmacological interventions for glycemic control. Aerobic, resistance and combined training interventions were associated with reductions in HbA1c and fasting glucose. The diversity of the physical exercise intervention protocols investigated in the studies included in this review is an important limitation to generalizing evidence-based practice. The call for action is mandatory to implement large-scale education programs on the prevention of diabetes and public health policies aimed to include well-planned and supervised exercise programs as an essential part of the primary prevention of type 2 diabetes.Systematic Review RegistrationPROSPERO, identifier (CRD42021262614).

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Section: Discussionmentioning

confidence: 99%

Physical exercise as treatment for adults with type 2 diabetes: a rapid review

Ribeiro,

Carvalho,

Bento-Torres

2023

Front. Endocrinol.

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5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2024

ElSayed,

Aleppo,

Bannuru

et al. 2023

Diabetes Care

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The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, an interprofessional expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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Where to Start? Physical Assessment, Readiness, and Exercise Recommendations for People With Type 1 or Type 2 Diabetes

Cited by 2 publications

References 103 publications

Physical exercise as treatment for adults with type 2 diabetes: a rapid review

Physical exercise as treatment for adults with type 2 diabetes: a rapid review

5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2024

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