A Comparative Study About Various Physical Exercise Therapy In the Treatment of Diabetes: a Critical Review |
Exercise interventions are recommended in most guidelinesfor the treatment of type 2 diabetes. Although most guidelines suggest acombination of both aerobic and resistance training, the exact benefits ofthese interventions remain unclear. Although either modality alone or incombination seems to have an identical impact on glycated hemoglobin levels,resistance training and aerobic training have independent effects on otherparameters of cardio-metabolic risk. This review examines the current evidencefor aerobic and resistance training on glycemic control, lipid profile, bodycomposition, vascular health, and mental health in patients with type 2diabetes. The uncertainties surrounding exercise modality, volume and intensityare also addressed. Many studies have highlighted the importance of physicalactivity for health and recent evidence now points to the positive improvementsassociated with exercise in type 2 diabetes mellitus (T2DM). However, fewphysicians are willing to prescribe exercise as a therapy for diabeticpatients. In addition, there is a lack of information on how to implementexercise therapy especially in long-term exercise regimens. The purpose of thismanuscript is to summarize standards of exercise therapy for patients withT2DM, both in terms of prescribing and monitoring, according to the AmericanCollege of Sports Medicine and the American Diabetes Association guidelines. Wepresent details of the exercise therapies used in long-term studies, describinghow the parameters for exercise prescription were applied in clinical practice.These parameters are described in terms of frequency, intensity, duration, modeand rate of progression in long-term therapeutic prescriptions. Individualresponses to exercise dose are discussed and critical issues to be consideredin patients with underlying disease and in T2DM patients are highlighted.