Exercise Therapy for Patients With Type 2 Diabetes: A Narrative Review

Hidekatsu Yanai, Hiroki Adachi, Yoshinori Masui, Hisayuki Katsuyama, Akiko Kawaguchi, Mariko Hakoshima, Yoko Waragai, Tadanao Harigae, Hidetaka Hamasaki, Akahito Sako

Abstract


To achieve excellent glycemic control in patients with type 2 diabetes, an adequate prescription of exercise therapy is required. The meta-analyses proposed that high-intensity training improves metabolic parameters in patients with pre-diabetes or type 2 diabetes and low physical activity is associated with an increased risk of incident type 2 diabetes. Here, we would introduce literatures about effects of physical activity on mortality, cardiovascular events, and metabolic parameters, to encourage understanding of exercise therapy, and then describe how to prescribe exercise therapy for patients with type 2 diabetes. We also show the usefulness of non-exercise activity thermogenesis for diabetic patients who cannot perform volitional sporting-like exercise because of diabetic complication and/or comorbidity, by presenting results of our previous studies.




J Clin Med Res. 2018;10(5):365-369
doi: https://doi.org/10.14740/jocmr3382w


Keywords


Exercise; Insulin sensitivity; Non-exercise activity thermogenesis; Type 2 diabetes

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