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Physical exercise as therapy for type 2 diabetes mellitus
Author(s) -
Balducci Stefano,
Sacchetti Massimo,
Haxhi Jonida,
Orlando Giorgio,
D'Errico Valeria,
Fallucca Sara,
Menini Stefano,
Pugliese Giuseppe
Publication year - 2014
Publication title -
diabetes/metabolism research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.307
H-Index - 110
eISSN - 1520-7560
pISSN - 1520-7552
DOI - 10.1002/dmrr.2514
Subject(s) - exercise prescription , medicine , medical prescription , physical therapy , diabetes mellitus , exercise therapy , sports medicine , type 2 diabetes mellitus , disease , physical exercise , physical activity , alternative medicine , exercise intensity , intensive care medicine , randomized controlled trial , nursing , blood pressure , heart rate , pathology , endocrinology
Many studies have highlighted the importance of physical activity (PA) for health, and recent evidence now points to the positive improvements associated with exercise in type 2 diabetes mellitus (T2DM). However, few physicians are willing to prescribe exercise as a therapy for diabetic patients. In addition, there is a lack of information on how to implement exercise therapy especially in long‐term exercise regimens. The purpose of this manuscript is to summarize standards of exercise therapy for patients with T2DM, both in terms of prescribing and monitoring, according to the American College of Sports Medicine and the American Diabetes Association guidelines. We present details of the exercise therapies used in long‐term studies, describing how the parameters for exercise prescription were applied in clinical practice. These parameters are described in terms of frequency, intensity, duration, mode and rate of progression in long‐term therapeutic prescriptions. Individual responses to exercise dose are discussed, and critical issues to be considered in patients with underlying disease and in T2DM patients are highlighted. Copyright © 2013 John Wiley & Sons, Ltd.