The Role of Physical Exercise in Obesity and Diabetes.

Melmer, Andreas; Kempf, Patrick; Laimer, Markus (2018). The Role of Physical Exercise in Obesity and Diabetes. Praxis, 107(17-18), pp. 971-976. Hogrefe 10.1024/1661-8157/a003065

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SUMMARY

The prevalence of obesity is increasing world-wide. Obesity is associated with a plethora of metabolic and clinical constraints, which result in a higher risk for the development of cardiovascular complications and metabolic disease, particularly insulin resistance and type 2 diabetes. Obesity is an acknowledged determinant of glycemic control in patients with type 1 diabetes and accounts for the majority of premature death due to cardiovascular events. Physical exercise is generally recommended in patients with diabetes in order to prevent the development of or reduce existing obesity, as adopted by every international treatment guideline so far. Regular physical exercise has a beneficial impact on body composition, cardiovascular integrity, insulin sensitivity and quality of life. However, only a minority of patients participates in regular physical exercise, due to individual or disease-related barriers. In type 2 diabetes, there is robust evidence for beneficial effects of physical exercise on glycemic control, cardiovascular health and the development of diabetes-related long-term complications. In type 1 diabetes and patients treated with insulin, a higher risk for exercise-related hypoglycemia has to be considered, which requires certain prerequisites and adequate adaptions of insulin dosing. Current treatment guidelines do only incompletely address the development of exercise-related hypoglycemia. However, every patient with diabetes should participate in regular physical exercise in order to support and enable sufficient treatment and optimal glycemic control.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition

UniBE Contributor:

Melmer, Andreas, Kempf, Patrick, Laimer, Markus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1661-8157

Publisher:

Hogrefe

Language:

English

Submitter:

Markus Laimer

Date Deposited:

28 Mar 2019 10:58

Last Modified:

05 Dec 2022 15:25

Publisher DOI:

10.1024/1661-8157/a003065

PubMed ID:

30131033

Uncontrolled Keywords:

Adipositas Diabetes Hypoglykämie Obesity Obésité Sport diabetes diabète hypoglycemia hypoglycémie physical exercise éducation physique

BORIS DOI:

10.7892/boris.125375

URI:

https://boris.unibe.ch/id/eprint/125375

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