Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sport Science Australia

Hordern, Matthew D., Dunstan, David W., Prins, Johannes B., Baker, Michael K., Fiatarone Singh, Maria A. and Coombes, Jeff S. (2012) Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sport Science Australia. Journal of Science and Medicine in Sport, 15 1: 25-31. doi:10.1016/j.jsams.2011.04.005


Author Hordern, Matthew D.
Dunstan, David W.
Prins, Johannes B.
Baker, Michael K.
Fiatarone Singh, Maria A.
Coombes, Jeff S.
Total Author Count Override 6
Title Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sport Science Australia
Journal name Journal of Science and Medicine in Sport   Check publisher's open access policy
ISSN 1878-1861
1440-2440
Publication date 2012-01
Year available 2011
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.jsams.2011.04.005
Volume 15
Issue 1
Start page 25
End page 31
Total pages 7
Place of publication Chatswood, NSW, Australia
Publisher Elsevier Australia
Collection year 2013
Language eng
Abstract Type 2 diabetes mellitus (T2DM) and pre-diabetic conditions such as impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) are rapidly increasing in prevalence. There is compelling evidence that T2DM is more likely to develop in individuals who are insufficiently active. Exercise training, often in combination with other lifestyle strategies, has beneficial effects on preventing the onset of T2DM and improving glycaemic control in those with pre-diabetes. In addition, exercise training improves cardiovascular risk profile, body composition and cardiorespiratory fitness, all strongly related to better health outcomes. Based on the evidence, it is recommended that patients with T2DM or pre-diabetes accumulate a minimum of 210 min per week of moderate-intensity exercise or 125 min per week of vigorous intensity exercise with no more than two consecutive days without training. Vigorous intensity exercise is more time efficient and may also result in greater benefits in appropriate individuals with consideration of complications and contraindications. It is further recommended that two or more resistance training sessions per week (2–4 sets of 8–10 repetitions) should be included in the total 210 or 125 min of moderate or vigorous exercise, respectively. It is also recommended that, due to the high prevalence and incidence of comorbid conditions in patients with T2DM, exercise training programs should be written and delivered by individuals with appropriate qualifications and experience to recognise and accommodate comorbidities and complications.
Keyword Exercise
Impaired fasting glucose
Impaired glucose tolerance
Pre-diabetes
Resistance training
Type 2 diabetes mellitus
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 28 May 2011.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: UQ Centre for Clinical Research Publications
Official 2013 Collection
School of Human Movement and Nutrition Sciences Publications
School of Medicine Publications
 
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Created: Thu, 12 Jan 2012, 09:34:12 EST by Deborah Noon on behalf of School of Human Movement and Nutrition Sciences