ACSM updates guidance for exercise in type 2 diabetes

ACSM updates guidance for exercise in type 2 diabetes

(HealthDay)—In a consensus statement issued by the American College of Sports Medicine (ACSM) and published in the February issue of Medicine & Science in Sports & Exercise, updated recommendations are presented regarding exercise/physical activity for individuals with type 2 diabetes.

Jill A. Kanaley, Ph.D., from the University of Missouri in Columbia, and colleagues summarized the current evidence and extended and updated the 2010 recommendations on exercise and type 2 diabetes.

  • The authors note that for adults with type 2 diabetes, regular aerobic exercise training improves glycemic management, with less daily time in hyperglycemia and reductions in overall glycemia.
  • In terms of overall glucose management and attenuation of insulin levels, high-intensity resistance exercise training has greater than low- to moderate-intensity resistance training.
  • Postprandial glucose and insulin levels are modestly attenuated with small "doses" of physical activity throughout the day to break up sitting, especially for individuals with and higher body mass index.
  • For beneficial effects on hemoglobin A1c, blood lipids, and , of >5% seems to be necessary.
  • A moderately high volume of exercise (~500 kcal) done four to five times per week is needed for reductions in visceral fat for individuals with type 2 diabetes.
  • Youth and adolescents with type 2 diabetes are recommended to meet the same goals set for youth in the general population, despite limited data.

"Exercise can play an important role in managing type 2 diabetes, and workouts can be modified to fit the abilities of most people," Kanaley said in a statement.

"Those with type 2 diabetes who want to lose weight should consider workouts of moderately high volume for four to five days per week."


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More information: JILL A. KANALEY et al, Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine, Medicine & Science in Sports & Exercise (2022). DOI: 10.1249/MSS.0000000000002800

One author disclosed financial ties to the pharmaceutical and medical device industries.

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Citation: ACSM updates guidance for exercise in type 2 diabetes (2022, February 16) retrieved 14 August 2022 from https://medicalxpress.com/news/2022-02-acsm-guidance-diabetes.html
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