Exercise for type 2 diabetes mellitus.

@article{Thomas2006ExerciseFT,
  title={Exercise for type 2 diabetes mellitus.},
  author={D E Thomas and Elizabeth J Elliott and Geraldine A Naughton},
  journal={The Cochrane database of systematic reviews},
  year={2006},
  volume={3},
  pages={
          CD002968
        }
}
BACKGROUND Exercise is generally recommended for people with type 2 diabetes mellitus. However, some studies evaluate an exercise intervention including diet or behaviour modification or both, and the effects of diet and exercise are not differentiated. Some exercise studies involve low participant numbers, lacking power to show significant differences which may appear in larger trials. OBJECTIVES To assess the effects of exercise in type 2 diabetes mellitus. SEARCH STRATEGY Trials were… 

Resistance Exercise Versus Aerobic Exercise for Type 2 Diabetes: A Systematic Review and Meta-Analysis

There is no evidence that resistance exercise differs from aerobic exercise in impact on cardiovascular risk markers or safety, and using one or the other type of exercise for type 2 diabetes may be less important than doing some form of physical activity.

Interventions for Being Active Among Individuals With Diabetes

General findings suggest that physical activity is better than no exercise at all; intensive regimens, if tolerated by patients, achieved better clinical outcomes than less intensive regencies, and reviewed studies using structured exercise regimens exhibited a more significant impact on outcomes.

Exercise training in high-risk ethnic populations with type 2 diabetes: a systematic review of clinical trials.

Exercise Timing in Type 2 Diabetes Mellitus: A Systematic Review

There is some evidence from randomized controlled trials that exercise performed 30 min after meal consumption may convey greater improvements in glycemic control for individuals with T2DM.

Adding exercise to usual care in patients with hypertension, type 2 diabetes mellitus and/or cardiovascular disease: a protocol for a systematic review with meta-analysis and trial sequential analysis

The present systematic review will have the potential to aid patients, clinicians and decision-makers recommending exercise and thereby, benefit patients with hypertension, type 2 diabetes mellitus and/or cardiovascular disease.

Dietary advice for treatment of type 2 diabetes mellitus in adults.

The results suggest that adoption of regular exercise is a good way to promote better glycaemic control in type 2 diabetic patients, however all of these studies were at high risk of bias.

Exercise Prescription in the Treatment of Type 2 Diabetes Mellitus

Investigation of the physiological effects and practical benefits of exercise training of different intensities in type 2 diabetes, and the use of individualized prescription to maximize the health benefits of training are investigated.

Interventions for improving adherence to treatment recommendations in people with type 2 diabetes mellitus.

Current efforts to improve or to facilitate adherence of people with type 2 diabetes to treatment recommendations do not show significant effects nor harms, and the question whether any intervention enhances adherence to treatment recommendation effectively remains unanswered.

Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis.

Structured exercise training that consists of aerobic exercise, resistance training, or both combined is associated with HbA(1c) reduction in patients with type 2 diabetes.

The role of physical activity in the management of impaired glucose tolerance: a systematic review

The results indicate that the contribution of physical activity independent of dietary or weight loss changes to the prevention of type 2 diabetes in people with prediabetes is equivocal.
...

References

SHOWING 1-10 OF 67 REFERENCES

Effects of Exercise on Glycemic Control and Body Mass in Type 2 Diabetes Mellitus: A Meta-analysis of Controlled Clinical Trials

Exercise training reduces HbA1c by an amount that should decrease the risk of diabetic complications, but no significantly greater change in body mass was found when exercise groups were compared with control groups.

Effects of physical training on metabolic control in elderly type 2 diabetes mellitus patients.

Regular physical activity may lower triacylglycerol and cholesterol levels in this group of patients and physical training in motivated elderly type 2 diabetic patients without major cardiovascular or musculoskeletal disorders is feasible, but only under supervision.

Promoting Weight Loss in Type II Diabetes

Dairy strategies are most effective for promoting short-term weight loss in type II diabetes, and effects of weight promotion strategies were smaller in experimental studies and for individuals over age 55.

Effects of diet and exercise interventions on control and quality of life in non-insulin-dependent diabetes mellitus

The authors conclude that the combination of dietary change and physical conditioning benefits NIDDM patients, and that the benefits may be independent of substantial weight loss.

Effects of aerobic physical exercise in the elderly with type 2 diabetes mellitus.

A Randomized Controlled Trial of Weight Reduction and Exercise for Diabetes Management in Older African-American Subjects

The intervention program was effective in improving glycemic and blood pressure control and may reflect indirect program effects on other aspects of self-care.

Physical training as treatment for Type 2 (non-insulin-dependent) diabetes in elderly men. A feasibility study over 2 years

Doubts are cast on the feasibility and efficacy of physical training as a long-term treatment for the majority of Type 2 diabetic patients, who are older than 60 years, who have other diseases or were on treatment which made regular training difficult and would have complicated the interpretation of the metabolic effects of training.

Exercise in a behavioural weight control programme for obese patients with Type 2 (non-insulin-dependent) diabetes

The data suggest that the combination of diet and exercise improves weight loss and glycaemic control compared to diet only in Type 2 diabetic patients.

Coronary risk factors in type II diabetes: response to low-intensity aerobic exercise.

Data indicate that a low-to-moderate level of aerobic training, independent of dietary changes, is an effective and feasible method of improving cardiovascular risk factors: physical fitness, systolic blood pressure, plasma triglycerides, and glycemic control in non-insulin-dependent diabetic subjects.
...