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Nutrition (14) - Exercise and diabetes
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Excercite and Type 2 diabetes
Excercise - major role in control of insulin resistance, type 2 diabetes, diabetes related health complications
Both aerobic and resistance training improve insulin action, can assist with the management of BG LEVELS, LIPIDS, bp, cv RISK AND mortality
Exercise must be undertaken regularly to have continued benefits
An exercise program or any increase in overall physical activity is critical for optimal health in individuals with type 2 diabetes
To maintain health for adults
30 mins / day moderate intensity activity - 5days/week
- reduces risk of CVD, premature death and some cancers
- reduced risk of Type 2 diabetes
- improves psychosocial well being
can be in 10 min bouts
- eg: three 10 min brisk walks
To prevent obesity
45-60 mins/d moderate intensity
For children/young people
-60 mins/d moderate intensity (5 days / week)
plus Twice a week: activities to improve
- bone health (high physical stresses on bones)
- muscle strength and flexibility
Adults: excercise needs:
need 150 minutes / week of moderate intesity physical activity and should perform excercises that focus on muscle strengthening for 2 or more days each week
Youth : 6 to 17
60 minu per day excercise , including aerobic and muscle and bone strengthening activities
Percentage of adults meeting physical guidelines
less than 40 percent meet these these levels (adults)
Aerobic physical activity improves
lower blood pressure, tags, fasting blood glucose, waist circumference
increases HDL-C
Greatest improvements
- with most intense excercise
-with combined physical activity and dietary improvements
Lifestyle interventions can prevent diabetes
Diabetes prevention program
Large lifestyle plus medication intervention in a high risk population
overweight/high glucose levels - over 3 years
Metformin group
leads to 31 percent reduction in progression
lifestyle (diet and exercise) group
7 percent average initial weight loss
58 percent reduction in progression (cf placebo)
71 percent reduction in progression aged >60 years
For prediabetics (impaired glucose tolerance/fasting flucose)
dietary change, weight loss, increased physical activity can prevent or delay diabetes and return blood glucose level to normal
Lifestyle intervention is more effective than medication?
yes more better than metformin
Increased exercise is an equally important lifestyle change to improve
insulin action, reduce comorbidity risk and help with weight management
lifestyle change is more effective than
medication
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