Topic:	Diabetes (DM)
Title:	Physical Activity-Exercise and Type 2 Diabetes.
Author:	Sigal, R. J., et al.
Source:	Diabetes Care. 27(10): 2518-2539. October 2004.
Abstract:	Exercise has been a cornerstone of diabetes management, along with diet and medication. This review article examines areas of major advances that have occurred since the last American Diabetes Association technical review of exercise and Type 2 diabetes in 1990. Advances in basic science have increased the understanding of the effects of exercise on glucoregulation. Large clinical trials demonstrating that lifestyle interventions (diet and exercise) reduce incidence of Type 2 diabetes in people with impaired glucose tolerance (IGT). Studies of structured exercise interventions in Type 2 diabetes have shown the effectiveness of exercise in reducing HbA1c (glycosylated hemoglobin, a measure of blood glucose over time), independent of body weight and the association between exercise training intensity and change in HbA1c. Large cohort studies have shown that low aerobic fitness and low physical activity level predict increased risk of overall and cardiovascular disease (CVD) mortality in people with diabetes. Clinical trials have shown the effectiveness and safety of resistance training (such as weight lifting) for improving glycemic control in Type 2 diabetes. 2 figures. 2 tables. 190 references.
Format:	Journal Article
Language:	English.
Major Keywords:	Diabetes Mellitus. Type 2 Diabetes. Activities of Daily Living. Exercise. Recreation. Patient Care Management. Blood Glucose.
Minor Keywords:	Lifestyle. Impaired Glucose Tolerance. Incidence. Prevention. Glycosylated Hemoglobin. Cardiovascular Diseases. Health Promotion.
Publication Number:	DMJA12076
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