What are the health benefits of physical activity in type 1 diabetes mellitus? A literature review

被引:315
作者
Chimen, M. [1 ]
Kennedy, A. [1 ,2 ]
Nirantharakumar, K. [3 ]
Pang, T. T. [1 ,4 ]
Andrews, R. [5 ]
Narendran, P. [1 ,2 ]
机构
[1] Univ Birmingham, Inst Biomed Res, Sch Clin & Expt Med, Birmingham B15 2TT, W Midlands, England
[2] Univ Hosp Birmingham, Dept Diabet, Birmingham, W Midlands, England
[3] Univ Birmingham, Sch Hlth & Populat Sci, Birmingham B15 2TT, W Midlands, England
[4] NHS Fdn Trust, Dudley Grp Hosp, Russells Hall Hosp, Diabet & Endocrine Ctr, Dudley, W Midlands, England
[5] Univ Bristol, Sch Clin Sci, Bristol, Avon, England
基金
美国国家卫生研究院;
关键词
Complications; Glycaemic control; HbA(1c); Physical activity; Review; Type; 1; diabetes; CARDIOVASCULAR RISK-FACTORS; LIFE-STYLE INTERVENTION; BETA-CELL FUNCTION; QUALITY-OF-LIFE; INSULIN SENSITIVITY; AEROBIC EXERCISE; GLYCEMIC CONTROL; METABOLIC-CONTROL; ENDOTHELIAL FUNCTION; GLUCOSE CONTROL;
D O I
10.1007/s00125-011-2403-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Physical activity improves well-being and reduces the risk of heart disease, cancer and type 2 diabetes mellitus in the general population. In individuals with established type 2 diabetes, physical activity improves glucose and lipid levels, reduces weight and improves insulin resistance. In type 1 diabetes mellitus, however, the benefits of physical activity are less clear. There is poor evidence for a beneficial effect of physical activity on glycaemic control and microvascular complications, and significant risk of harm through hypoglycaemia. Here we review the literature relating to physical activity and health in type 1 diabetes. We examine its effect on a number of outcomes, including glycaemic control, lipids, blood pressure, diabetic complications, well-being and overall mortality. We conclude that whilst there is sufficient evidence to recommend physical activity in the management of type 1 diabetes, it is still unclear as to what form, duration and intensity should be recommended and whether there is benefit for many of the outcomes examined.
引用
收藏
页码:542 / 551
页数:10
相关论文
共 73 条
[1]  
[Anonymous], DIABETES CARE S1
[2]  
[Anonymous], 2010, DIABETES CARE
[3]  
[Anonymous], LEAST 5 WEEK EV IMP
[4]   METABOLIC RESPONSES TO PHYSICAL-TRAINING IN YOUNG INSULIN-DEPENDENT DIABETICS [J].
BAEVRE, H ;
SOVIK, O ;
WISNES, A ;
HEIERVANG, E .
SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION, 1985, 45 (02) :109-114
[5]   Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus [J].
Boulé, NG ;
Kenny, GP ;
Haddad, E ;
Wells, GA ;
Sigal, RJ .
DIABETOLOGIA, 2003, 46 (08) :1071-1081
[6]   Barriers to Physical Activity Among Patients With Type 1 Diabetes [J].
Brazeau, Anne-Sophie ;
Rabasa-Lhoret, Remi ;
Strychar, Irene ;
Mircescu, Hortensia .
DIABETES CARE, 2008, 31 (11) :2108-2109
[7]   Resistance exercise training lowers HbA1c more than aerobic training in adults with type 2 diabetes [J].
Bweir, Salameh ;
Al-Jarrah, Muhammed ;
Almalty, Abdul-Majeed ;
Maayah, Mikhled ;
Smirnova, Irina V. ;
Novikova, Lesya ;
Stehno-Bittel, Lisa .
DIABETOLOGY & METABOLIC SYNDROME, 2009, 1
[8]   EFFECTS OF A PHYSICAL-ACTIVITY PROGRAM ON METABOLIC CONTROL AND CARDIOVASCULAR FITNESS IN CHILDREN WITH INSULIN-DEPENDENT DIABETES-MELLITUS [J].
CAMPAIGNE, BN ;
GILLIAM, TB ;
SPENCER, ML ;
LAMPMAN, RM ;
SCHORK, MA .
DIABETES CARE, 1984, 7 (01) :57-62
[9]   A Randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes [J].
Castaneda, C ;
Layne, JE ;
Munoz-Orians, L ;
Gordon, PL ;
Walsmith, J ;
Foldvari, M ;
Roubenoff, R ;
Tucker, KL ;
Nelson, ME .
DIABETES CARE, 2002, 25 (12) :2335-2341
[10]   Markers of insulin resistance are strong risk factors for retinopathy incidence in type 1 diabetes - The EURODIAB Prospective Complications Study [J].
Chaturvedi, N ;
Sjoelie, AK ;
Porta, M ;
Aldington, SJ ;
Fuller, JH ;
Songini, M ;
Kohner, EM .
DIABETES CARE, 2001, 24 (02) :284-289