Exercise in the management of non-insulin-dependent diabetes mellitus

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Deutscher übersetzter Titel:Koerperliches Training in der Behandlung des insulinunabhaengigen Diabetes mellitus
Autor:Wallberg-Henriksson, H.; Rincon, J.; Zierath, J.R.
Erschienen in:Sports medicine
Veröffentlicht:25 (1998), 1, S. 25-35, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource Elektronische Ressource (online)
Sprache:Englisch
ISSN:0112-1642, 1179-2035
DOI:10.2165/00007256-199825010-00003
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Erfassungsnummer:PU199801209255
Quelle:BISp

Abstract

The incidence of non-insulin-dependent diabetes mellitus (NIDDM) has increased worldwide during the last decades, despite the development of effective drug therapy and improved clinical diagnoses. NIDDM is one of the major causes of disability and death due to the complications accompanying this disease. Physical activity exerts pronounced effects on substrate utilisation and insulin sensitivity, which in turn potentially lowers blood glucose and lipid levels. Exercise training also improves many other physiological and metabolic abnormalities that are associated with NIDDM such as lowering body fat, reducing blood pressure and normalising dyslipoproteinaemia. Clearly, regular physical activity plays an important role in the prevention and treatment of NIDDM. The exercise programme should consist of moderate intensity aerobic exercise. Resistance training and high intensity exercises should only be performed by individuals without proliferative retinopathy or hypertension. Once enrolled in the exercise programme, the patient must be educated with regard to proper footwear and daily foot inspections. Fluid intake is of great importance when exercising for prolonged periods or in warm and humid environments. With the proper motivation and medical supervision, people with NIDDM can enjoy regular physical exercise as a means of enhancing metabolic control and improving insulin sensitivity. Verf.-Referat (gekuerzt)