PMID- 35498435 OWN - NLM STAT- MEDLINE DCOM- 20220503 LR - 20220728 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 13 DP - 2022 TI - Rehabilitation of Individuals With Diabetes Mellitus: Focus on Diabetic Myopathy. PG - 869921 LID - 10.3389/fendo.2022.869921 [doi] LID - 869921 AB - Diabetes mellitus (DM) is a chronic metabolic disease characterized by high blood glucose levels, causing serious damage to the cardiovascular, respiratory, renal and other systems. The prevalence of type 2 diabetes mellitus (T2DM) was 6.28% in 2017, considering all age groups worldwide (prevalence rate of 6,059 cases per 100,000), and its global prevalence is projected to increase to 7,079 cases per 100,000 by 2030. Furthermore, these individuals are often affected by diabetic myopathy, which is the failure to preserve muscle mass and function in the course of DM. This happens in type 1 diabetes mellitus (T1DM) and T2DM. As skeletal muscle plays a key role in locomotion and glucose homeostasis, diabetic myopathy may contribute to additional complications of the disease. In addition, chronic hyperglycemia is associated with lung functional changes seen in patients with DM, such as reduced lung volumes and compliance, inspiratory muscle strength, and lung elastic recoil. Thus, the weakness of the inspiratory muscles, a consequence of diabetic myopathy, can influence exercise tolerance. Thus, moderate strength training in T2DM can contribute to the gain of peripheral muscle strength. Although the literature is robust on the loss of mass and consequent muscle weakness in diabetic myopathy, triggering pathophysiological factors, the impact on functional capacity, as well as the prescription of physical exercise for this condition deserves to be further explored. This review aims to explore the consequences of diabetic myopathy and its implication in rehabilitation from prescription to safety in the practice of physical exercises for these individuals. CI - Copyright (c) 2022 Bassi-Dibai, Santos-de-Araujo, Dibai-Filho, de Azevedo, Goulart, Luz, Burke, Garcia-Araujo and Borghi-Silva. FAU - Bassi-Dibai, Daniela AU - Bassi-Dibai D AD - Postgraduate Program in Environment, Universidade Ceuma, Sao Luis, Brazil. FAU - Santos-de-Araujo, Aldair Darlan AU - Santos-de-Araujo AD AD - Postgraduate Program in Physical Therapy, Universidade Federal de Sao Carlos, Sao Carlos, Brazil. FAU - Dibai-Filho, Almir Vieira AU - Dibai-Filho AV AD - Postgraduate Program in Adult Health, Universidade Federal do Maranhao, Sao Luis, Brazil. FAU - de Azevedo, Lisiane Fernanda Simeao AU - de Azevedo LFS AD - Postgraduate Program in Environment, Universidade Ceuma, Sao Luis, Brazil. FAU - Goulart, Cassia da Luz AU - Goulart CDL AD - Postgraduate Program in Physical Therapy, Universidade Federal de Sao Carlos, Sao Carlos, Brazil. FAU - Luz, Gabriela Costa Pontes AU - Luz GCP AD - Department of Physical Therapy, Universidade Ceuma, Sao Luis, Brazil. FAU - Burke, Patrick Rademaker AU - Burke PR AD - Department of Medicine, Universidade Federal do Maranhao, Pinheiro, Brazil. FAU - Garcia-Araujo, Adriana Sanches AU - Garcia-Araujo AS AD - Department of Physical Therapy, Universidade Federal de Sao Carlos, Sao Carlos, Brazil. FAU - Borghi-Silva, Audrey AU - Borghi-Silva A AD - Postgraduate Program in Physical Therapy, Universidade Federal de Sao Carlos, Sao Carlos, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220414 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 SB - IM MH - *Diabetes Mellitus, Type 1/complications MH - *Diabetes Mellitus, Type 2 MH - Exercise Tolerance MH - Humans MH - Muscle Strength/physiology MH - *Muscular Diseases PMC - PMC9047902 OTO - NOTNLM OT - cardiometabolic rehabilitation OT - diabetes mellitus OT - diabetic myopathy OT - muscular strength OT - physical exercise COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/05/03 06:00 MHDA- 2022/05/04 06:00 PMCR- 2022/01/01 CRDT- 2022/05/02 07:11 PHST- 2022/02/05 00:00 [received] PHST- 2022/03/21 00:00 [accepted] PHST- 2022/05/02 07:11 [entrez] PHST- 2022/05/03 06:00 [pubmed] PHST- 2022/05/04 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2022.869921 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2022 Apr 14;13:869921. doi: 10.3389/fendo.2022.869921. eCollection 2022.