Exercise and Type 2 Diabetes

被引:437
作者
Colberg, Sheri R.
Albright, Ann L.
Blissmer, Bryan J.
Braun, Barry
Chasan-Taber, Lisa
Fernhall, Bo
Regensteiner, Judith G.
Rubin, Richard R.
Sigal, Ronald J.
机构
关键词
IMPAIRED GLUCOSE-TOLERANCE; LIFE-STYLE INTERVENTION; PHYSICAL-ACTIVITY INTERVENTION; ALL-CAUSE MORTALITY; IMPROVES INSULIN SENSITIVITY; RESTING BLOOD-PRESSURE; PERIPHERAL ARTERIAL-DISEASE; RANDOMIZED CONTROLLED-TRIAL; GLYCOGEN-SYNTHASE ACTIVITY; WEIGHT-BEARING ACTIVITY;
D O I
10.1249/MSS.0b013e3181eeb61c
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Although physical activity (PA) is a key element in the prevention and management of type 2 diabetes mellitus (T2DM), many with this chronic disease do not become or remain regularly active. High-quality studies establishing the importance of exercise and fitness in diabetes were lacking until recently, but it is now well established that participation in regular PA improves blood glucose control and can prevent or delay T2DM, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life. Structured interventions combining PA and modest weight loss have been shown to lower T2DM risk by up to 58% in high-risk populations. Most benefits of PA on diabetes management are realized through acute and chronic improvements in insulin action, accomplished with both aerobic and resistance training. The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes, and safe and effective practices for PA with diabetes-related complications.
引用
收藏
页码:2282 / 2303
页数:22
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