Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement from the American Heart Association.
Circulation 2009;119:3244-62
Marwick TH, Hordern MD, Miller T, Chyun DA, Bertoni AG, Blumenthal RS, Philippides G, Rocchini A, Council on Clinical Cardiology, American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Nursing, Council on Nutrition, Physical Activity, and Metabolism, Interdisciplinary Council on Quality of Care and Outcomes Research
Obesity and type 2 diabetes have reached epidemic proportions in populations around the world and the present statement of the American Heart Association aims to review the evidence on the beneficial effects of exercise training in patients with type 2 diabetes. Among other things, exercise training is known to improve glycemic control, cardiorespiratory fitness, muscular strength, endurance, weight loss and to reduce the risk of cardiovascular disease. In order to improve cardiovascular risk in patients with type 2 diabetes, a minimum of 150 min of moderate intensity exercise or 90 min of vigorous intensity exercise per week is recommended. The exercise training periods should last more than 10 min and should be performed for at least 3 non-consecutive days per week to maximize benefits. Strategies must be established to minimize sedentary behaviours and telephone counselling is proposed as a strategy to maintain motivation and provide support.
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