Metabolic and cardiovascular effects of physical activity, exercise and fitness in patients with type 2 diabetes

被引:8
作者
Blueher, M. [1 ]
Zimmer, P. [2 ]
机构
[1] Univ Leipzig, Dept Innere Med, Klin Endokrinol & Nephrol, D-04103 Leipzig, Germany
[2] Klinikum Ingolstadt, Med Klin 2, Ingolstadt, Germany
关键词
exercise; type; 2; diabetes; metabolism; insulin resistance; obesity; hypoglycemia; CORONARY-HEART-DISEASE; ALL-CAUSE MORTALITY; CARDIORESPIRATORY FITNESS; POSTMENOPAUSAL WOMEN; INSULIN-RESISTANCE; AEROBIC EXERCISE; ADIPOSE-TISSUE; BODY-MASS; MEN; FAT;
D O I
10.1055/s-0030-1253682
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetes mellitus has reached epidemic proportions worldwide and is associated with an increased risk of cardiovascular disease and premature mortality. Chronic hyperglycemia is the clinical manifestation of diabetes and evolves through a multifactorial etiology of genetic, environmental, and behavioural factors. In the pathogenesis of type 2 diabetes, insulin resistance of the liver, skeletal muscle and fat as well as the inability of insulin secreting beta-cells to fully compensate for this insulin resistance are the central pathophysiological events. There are several lines of scientific evidence demonstrating a role of physical inactivity in the etiology and beneficial effects of exercise in both prevention and treatment of type 2 diabetes and its related morbidity. This review is focussing on recent studies that have examined the effects of increased physical activity and fitness on metabolic and cardiovascular parameters in patients with type 2 diabetes. © Georg Thieme Verlag KG Stuttgart.
引用
收藏
页码:930 / 934
页数:5
相关论文
共 65 条
[1]  
Albright A, 2000, MED SCI SPORT EXER, V32, P1345
[2]   Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women [J].
Blair, SN ;
Kampert, JB ;
Kohl, HW ;
Barlow, CE ;
Macera, CA ;
Paffenbarger, RS ;
Gibbons, LW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 276 (03) :205-210
[3]  
Blair SN, 2001, MED SCI SPORT EXER, V33, P762
[4]   Metabolic syndrome -: myths, mechanisms, management [J].
Blueher, M. ;
Stumvoll, M. .
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2006, 131 (20) :1167-1172
[5]   Adipose Tissue Dysfunction in Obesity [J].
Bluehre, M. .
EXPERIMENTAL AND CLINICAL ENDOCRINOLOGY & DIABETES, 2009, 117 (06) :241-250
[6]  
Boden WE., 2000, The American Journal of Cardiology, V86, P19, DOI DOI 10.1016/S0002-9149(00)01464-8
[7]   Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus -: A meta-analysis of controlled clinical trials [J].
Boulé, NG ;
Haddad, E ;
Kenny, GP ;
Wells, GA ;
Sigal, RJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (10) :1218-1227
[8]   10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study [J].
Bray, G. A. ;
Chatellier, A. ;
Duncan, C. ;
Greenway, F. L. ;
Levy, E. ;
Ryan, D. H. ;
Polonsky, K. S. ;
Tobian, J. ;
Ehrmann, D. ;
Matulik, M. J. ;
Clark, B. ;
Czech, K. ;
DeSandre, C. ;
Hilbrich, R. ;
McNabb, W. ;
Semenske, A. R. ;
Goldstein, B. J. ;
Smith, K. A. ;
Wildman, W. ;
Pepe, C. ;
Goldberg, R. B. ;
Calles, J. ;
Ojito, J. ;
Castillo-Florez, S. ;
Florez, H. J. ;
Giannella, A. ;
Lara, O. ;
Veciana, B. ;
Haffner, S. M. ;
Montez, M. G. ;
Lorenzo, C. ;
Martinez, A. ;
Hamman, R. F. ;
Testaverde, L. ;
Bouffard, A. ;
Dabelea, D. ;
Jenkins, T. ;
Lenz, D. ;
Perreault, L. ;
Price, D. W. ;
Steinke, S. C. ;
Horton, E. S. ;
Poirier, C. S. ;
Swift, K. ;
Caballero, E. ;
Jackson, S. D. ;
Lambert, L. ;
Lawton, K. E. ;
Ledbury, S. ;
Kahn, S. E. .
LANCET, 2009, 374 (9702) :1677-1686
[9]   The relative benefits of endurance and strength training on the metabolic factors and muscle function of people with type 2 diabetes mellitus [J].
Cauza, E ;
Hanusch-Enserer, U ;
Strasser, B ;
Ludvik, B ;
Metz-Schimmerl, S ;
Pacini, G ;
Wagner, O ;
Georg, P ;
Prager, R ;
Kostner, K ;
Dunky, A ;
Haber, P .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2005, 86 (08) :1527-1533
[10]   Cardiorespiratory fitness and body mass index as predictors of cardiovascular disease mortality among men with diabetes [J].
Church, TS ;
LaMonte, MJ ;
Barlow, CE ;
Blair, SN .
ARCHIVES OF INTERNAL MEDICINE, 2005, 165 (18) :2114-2120