PMID- 28462566
OWN - NLM
STAT- MEDLINE
DCOM- 20180730
LR  - 20181202
IS  - 1827-1928 (Electronic)
IS  - 0022-4707 (Linking)
VI  - 58
IP  - 4
DP  - 2018 Apr
TI  - Exercise for the management of type 2 diabetes mellitus: factors to consider with 
      current guidelines.
PG  - 510-524
LID - 10.23736/S0022-4707.17.06969-9 [doi]
AB  - It has long been established that exercise is powerful medicine for those with 
      type 2 diabetes mellitus (T2DM), such that it should represent a priority in the 
      treatment and management of that condition. In spite of this, exercise adherence 
      among those with T2DM is low, with lack of time and fear of doing harm commonly 
      cited as reasons for not being more active. Published guidelines for aerobic 
      exercise in those with T2DM recommend only moderate intensity, due to the 
      elevated risk of untoward outcomes with more vigorous exercise in persons with 
      chronic disease. However, considerable research evidence has appeared in the 
      literature since the publication of those guidelines in 2010 addressing the 
      safety and efficacy of more vigorous forms of exercise (i.e., interval training) 
      in those with T2DM. Many such studies have reported improvements in glucose 
      control as great as or greater than those associated with moderate intensity 
      exercise, with significantly reduced time requirements, and mechanisms of 
      improved glucose control via interval training may be unique to this mode of 
      exercise. Resistance training, too, appears to confer significant improvements in 
      glucose control in those with T2DM through unique mechanisms. These recent 
      findings may be of interest to physicians and exercise practitioners, as they may 
      provide for greater adherence to more optimal exercise prescriptions that are 
      better suited to each patient's time availability and motivational level.
FAU - Buresh, Robert
AU  - Buresh R
AD  - Department of Exercise Science and Sport Management, Kennesaw State University, 
      Kennesaw, GA, USA - rburesh@kennesaw.edu.
FAU - Berg, Kris
AU  - Berg K
AD  - School of Health, Physical Education, and Recreation, University of Nebraska at 
      Omaha, Omaha, NE, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170428
PL  - Italy
TA  - J Sports Med Phys Fitness
JT  - The Journal of sports medicine and physical fitness
JID - 0376337
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Blood Glucose/physiology
MH  - Diabetes Mellitus, Type 2/*therapy
MH  - Exercise Therapy/adverse effects/*methods
MH  - Female
MH  - Humans
MH  - Insulin Resistance/physiology
MH  - Male
MH  - Practice Guidelines as Topic
EDAT- 2017/05/04 06:00
MHDA- 2018/07/31 06:00
CRDT- 2017/05/03 06:00
PHST- 2017/05/04 06:00 [pubmed]
PHST- 2018/07/31 06:00 [medline]
PHST- 2017/05/03 06:00 [entrez]
AID - S0022-4707.17.06969-9 [pii]
AID - 10.23736/S0022-4707.17.06969-9 [doi]
PST - ppublish
SO  - J Sports Med Phys Fitness. 2018 Apr;58(4):510-524. doi: 
      10.23736/S0022-4707.17.06969-9. Epub 2017 Apr 28.