PMID- 30317879 OWN - NLM STAT- MEDLINE DCOM- 20200831 LR - 20200831 IS - 2047-4881 (Electronic) IS - 2047-4873 (Linking) VI - 26 IP - 7 DP - 2019 May TI - Exercise training to reduce cardiovascular risk in patients with metabolic syndrome and type 2 diabetes mellitus: How does it work? PG - 701-708 LID - 10.1177/2047487318805158 [doi] AB - Metabolic syndrome (MetS) - a clustering of pathological conditions, including abdominal obesity, hypertension, dyslipidemia and hyperglycaemia - is closely associated with the development of type 2 diabetes mellitus (T2DM) and a high risk of cardiovascular disease. A combination of multigenetic predisposition and lifestyle choices accounts for the varying inter-individual risk to develop MetS and T2DM, as well as for the individual amount of the increase in cardiovascular risk in those patients. A physically active lifestyle can offset about half of the genetically mediated cardiovascular risk. Yet, the extent to which standardized exercise programmes can reduce cardiovascular risk differs between patients. Exercise parameters, such as frequency, intensity, type and duration or number of repetitions, differentially target metabolic function, vascular health and physical fitness. In addition, exercise-induced molecular mechanisms are modulated by other patient-specific variables, such as age, diet and medication. This review discusses the molecular and cellular mechanisms underlying the effects of exercise training on cardiovascular risk specifically in patients with MetS and T2DM. FAU - Krankel, Nicolle AU - Krankel N AD - 1 Charite - Universitatsmedizin Berlin, Klinik fur Kardiologie, Campus Benjamin Steglitz, Berlin, Germany. AD - 2 DZHK (German Centre for Cardiovascular Research), Partner Site, Berlin, Germany. FAU - Bahls, Martin AU - Bahls M AD - 3 University Medicine Greifswald, Department of Internal Medicine B, Greifswald, Germany. AD - 4 DZHK (German Centre for Cardiovascular Research), Partner Site, Greifswald, Germany. FAU - Van Craenenbroeck, Emeline M AU - Van Craenenbroeck EM AD - 5 Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium. FAU - Adams, Volker AU - Adams V AD - 6 Department of Molecular and Experimental Cardiology, TU Dresden, Heart Centre Dresden, Dresden, Germany. FAU - Serratosa, Luis AU - Serratosa L AD - 7 Hospital Universitario Quironsalud, Madrid, Spain. AD - 8 Ripoll & De Prado Sport Clinic, FIFA Medical Centre of Excellence, Madrid, Spain. FAU - Solberg, Erik Ekker AU - Solberg EE AD - 9 Diakonhjemmet hospital, Department of Medicine, Oslo, Norway. FAU - Hansen, Dominique AU - Hansen D AD - 10 Hasselt University, Faculty of Rehabilitation Sciences, Diepenbeek, Belgium. AD - 11 Heart Centre Hasselt, Jessa Hospital, Hasselt, Belgium. FAU - Dorr, Marcus AU - Dorr M AD - 3 University Medicine Greifswald, Department of Internal Medicine B, Greifswald, Germany. AD - 4 DZHK (German Centre for Cardiovascular Research), Partner Site, Greifswald, Germany. FAU - Kemps, Hareld AU - Kemps H AD - 12 Department of Cardiology, Maxima Medical Centre, Veldhoven, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20181015 PL - England TA - Eur J Prev Cardiol JT - European journal of preventive cardiology JID - 101564430 SB - IM MH - Cardiovascular Diseases/diagnosis/epidemiology/*prevention & control MH - Diabetes Mellitus, Type 2/diagnosis/epidemiology/*therapy MH - *Exercise Therapy MH - *Healthy Lifestyle MH - Humans MH - Metabolic Syndrome/diagnosis/epidemiology/*therapy MH - *Preventive Health Services MH - Protective Factors MH - Risk Assessment MH - Risk Factors MH - *Risk Reduction Behavior MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - Exercise training OT - diabetes OT - glycaemic control OT - inflammation OT - signalling EDAT- 2018/10/16 06:00 MHDA- 2020/09/01 06:00 CRDT- 2018/10/16 06:00 PHST- 2018/10/16 06:00 [pubmed] PHST- 2020/09/01 06:00 [medline] PHST- 2018/10/16 06:00 [entrez] AID - 10.1177/2047487318805158 [doi] PST - ppublish SO - Eur J Prev Cardiol. 2019 May;26(7):701-708. doi: 10.1177/2047487318805158. Epub 2018 Oct 15.