What are the health benefits of physical activity in type 1 diabetes mellitus? A literature review
Myriam Chimen,Amy Kennedy,Krishnarajah Nirantharakumar,Terence T.L. Pang,Robert Andrews,Partheepan Narendran +5 more
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TLDR
There is sufficient evidence to recommend physical activity in the management of type 1 diabetes, but 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.Abstract:
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.read more
Citations
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Journal ArticleDOI
Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association
Sheri R. Colberg,Ronald J. Sigal,Jane E. Yardley,Michael C. Riddell,David W. Dunstan,Paddy C. Dempsey,Edward S. Horton,Kristin Castorino,Deborah F. Tate +8 more
TL;DR: A clinically oriented review and evidence-based recommendations regarding physical activity and exercise in people with type 1 diabetes, type 2 diabetes, gestational diabetes mellitus, and prediabetes are provided.
Journal ArticleDOI
Exercise management in type 1 diabetes: a consensus statement.
Michael C. Riddell,Ian W. Gallen,Carmel E. Smart,Craig E. Taplin,Peter Adolfsson,Alistair N Lumb,Aaron J. Kowalski,Rémi Rabasa-Lhoret,Rory J. McCrimmon,Carin Hume,Francesca Annan,Paul A. Fournier,Claudia Graham,Bruce W. Bode,Pietro Galassetti,Pietro Galassetti,Timothy W. Jones,Timothy W. Jones,Timothy W. Jones,Inigo San Millan,T. Heise,Anne L. Peters,Andreas Petz,Lori M.B. Laffel,Lori M.B. Laffel +24 more
TL;DR: This Review provides an up-to-date consensus on exercise management for individuals with type 1 diabetes who exercise regularly, including glucose targets for safe and effective exercise, and nutritional and insulin dose adjustments to protect against exercise-related glucose excursions.
Journal ArticleDOI
Diabetic cardiomyopathy: Mechanisms and new treatment strategies targeting antioxidant signaling pathways
Karina Huynh,Bianca C. Bernardo,Julie R. McMullen,Julie R. McMullen,Rebecca H. Ritchie,Rebecca H. Ritchie +5 more
TL;DR: This work reviews the current evidence of molecular disturbances present in the diabetic heart, and their role in the development of diabetes-induced impairments in myocardial function and structure, and incorporates both the contribution of increased reactive oxygen species production and reduced antioxidant defenses to diabetic cardiomyopathy.
Journal ArticleDOI
Impact of Physical Activity on Glycemic Control and Prevalence of Cardiovascular Risk Factors in Adults With Type 1 Diabetes: A Cross-Sectional Multicenter Study of 18,028 Patients
Barbara Bohn,Antje Herbst,Martin Pfeifer,Dietmar Krakow,Stefan Zimny,Florian Kopp,Andreas Melmer,Jürgen M. Steinacker,Reinhard W. Holl +8 more
TL;DR: PA seemed to be beneficial with respect to glycemic control, diabetes-related comorbidities, and cardiovascular risk factors without an increase of adverse events, which underscore the recommendation for subjects with type 1 diabetes to perform regular PA.
Journal ArticleDOI
Resistance Versus Aerobic Exercise: Acute effects on glycemia in type 1 diabetes
Jane E. Yardley,G. P. Kenny,Bruce A. Perkins,Michael C. Riddell,Nadia Balaa,Janine Malcolm,Janine Malcolm,Pierre Boulay,Farah Khandwala,Ronald J. Sigal,Ronald J. Sigal,Ronald J. Sigal +11 more
TL;DR: Resistance exercise causes less initial decline in blood glucose during the activity but is associated with more prolonged reductions in postexercise glycemia than aerobic exercise, which might account for HbA1c reductions found in studies of resistance exercise but not aerobic exercise in type 1 diabetes.
References
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Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.
William C. Knowler,Elizabeth Barrett-Connor,Sarah E. Fowler,Richard F. Hamman,John M. Lachin,Elizabeth A. Walker,David M. Nathan +6 more
TL;DR: In this paper, the authors compared a lifestyle intervention with metformin to prevent or delay the development of Type 2 diabetes in nondiabetic individuals. And they found that the lifestyle intervention was significantly more effective than the medication.
Journal ArticleDOI
Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: executive summary. The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD).
Lars Rydén,Eberhard Standl,Malgorzata Bartnik,Greet Van den Berghe,John Betteridge,Menko-Jan de Boer,Francesco Cosentino,Bengt Jönsson,Markku Laakso,Klas Malmberg,Silvia G. Priori,Jan Östergren,Jaakko Tuomilehto,Inga Thrainsdottir,Ilse Vanhorebeek,Marco Stramba-Badiale,Peter Lindgren,Qing Qiao,Silvia G. Priori,Jean-Jacques Blanc,Andrzej Budaj,John Camm,Veronica Dean,Jaap W. Deckers,Kenneth Dickstein,John Lekakis,Keith McGregor,Marco Metra,João Morais,Ady Osterspey,Juan Tamargo,José Luis Zamorano,J.W. Deckers,Michel E. Bertrand,Bernard Charbonnel,Erland Erdmann,Ele Ferrannini,Allan Flyvbjerg,Helmut Gohlke,Jose Ramon Gonzalez Juanatey,Ian D. Graham,Pedro Filipe Monteiro,Klaus G. Parhofer,Kalevi Pyörälä,Itamar Raz,Guntram Schernthaner,Massimo Volpe,David Wood +47 more
TL;DR: Guidelines and Expert Consensus documents aim to present management and recommendations based on all of the relevant evidence on a particular subject in order to help physicians to select the best possible management strategies for the individual patient, suffering from a specific condition, taking into account not only the impact on outcome, but also the risk benefit ratio of a particular diagnostic or therapeutic procedure.
Journal ArticleDOI
Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement.
Sheri R. Colberg,Ronald J. Sigal,Bo Fernhall,Judith G. Regensteiner,Bryan Blissmer,Richard R. Rubin,Lisa Chasan-Taber,Ann L. Albright,Barry Braun +8 more
TL;DR: The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes mellitus, and safe and effective practices for PA with diabetes-related complications.
Journal Article
Position statement. Part one: Immune function and exercise.
Neil P. Walsh,Michael Gleeson,Roy J. Shephard,Jeffrey A. Woods,Nicolette C. Bishop,Monika Fleshner,Charlotte J. Green,Bente Klarlund Pedersen,Laurie Hoffman-Goetz,Connie J. Rogers,Hinnak Northoff,Asghar Abbasi,Perikles Simon +12 more
TL;DR: The epidemiological distinction between the generic term "physical activity" and the specific category of "exercise", which implies activity for a specific purpose such as improvement of physical condition or competition is recognised.
Journal ArticleDOI
Physical Activity Advice Only or Structured Exercise Training and Association With HbA1c Levels in Type 2 Diabetes: A Systematic Review and Meta-analysis
Daniel Umpierre,Paula A.B. Ribeiro,Caroline K. Kramer,Cristiane Bauermann Leitão,Alessandra T. N. Zucatti,Mirela Jobim de Azevedo,Jorge Luiz Gross,Jorge Pinto Ribeiro,Beatriz D'Agord Schaan +8 more
TL;DR: Structured exercise training that consists of aerobic exercise, resistance training, or both combined is associated with HbA(1c) reduction in patients with type 2 diabetes.
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Exercise management in type 1 diabetes: a consensus statement.
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