Exercise in Patients with Advanced Diabetic Complications

Seok Hong Lee; Jihyun Ahn; Jaetaek Kim

doi:10.4093/jkd.2011.12.1.33

Journal List > J Korean Diabetes > v.12(1) > 1054807

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Lee, Ahn, and Kim: Exercise in Patients with Advanced Diabetic Complications

Focused Issue

J Korean Diabetes 2011;12(1):33-36.

Published online: 22 January 2011

DOI: https://doi.org/10.4093/jkd.2011.12.1.33

Exercise in Patients with Advanced Diabetic Complications

Seok Hong Lee, Jihyun Ahn, Jaetaek Kim

Division of Endocrinology and Metabolism, Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Structured exercise is considered as an important cornerstone to achieve good glycemic control and improve cardiovascular risk profile in diabetes. Both aerobic and resistance training improve insulin action and can assist with management of blood glucose levels, lipids, and blood pressure. However, exercise must be undertaken regularly to have continued benefits and include regular training varying types. Most persons with diabetic complication such as vascular disease, peripheral neuropathy, autonomic neuropathy, retinopathy, and nephropathy can perform exercise safely as long as certain precautions are taken. (J Korean Diabetes 2011; 12:33-36)

Keywords: Exercise, Diabetes, Complication

REFERENCES

1. Cuff DJ, Meneilly GS, Martin A, Ignaszewski A, Tildesley HD, Frohlich JJ. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diabetes Care. 2003; 26:2977–82.

2. Smith SC Jr, Allen J, Blair SN, Bonow RO, Brass LM, Fonarow GC, Grundy SM, Hiratzka L, Jones D, Krumholz HM, Mosca L, Pasternak RC, Pearson T, Pfeffer MA, Taubert KA. AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update: endorsed by the National Heart, Lung, and Blood Institute. Circulation. 2006; 113:2363–72.

3. Fox CS, Pencina MJ, Wilson PW, Paynter NP, Vasan RS, D'Agostino RB Sr. Lifetime risk of cardiovascular disease among individuals with and without diabetes stratified by obesity status in the Framingham heart study. Diabetes Care. 2008; 31:1582–4.

4. McDermott MM, Ades P, Guralnik JM, Dyer A, Ferrucci L, Liu K, Nelson M, Lloyd-Jones D, Van Horn L, Garside D, Kibbe M, Domanchuk K, Stein JH, Liao Y, Tao H, Green D, Pearce WH, Schneider JR, McPherson D, Laing ST, McCarthy WJ, Shroff A, Criqui MH. Treadmill exercise and resistance training in patients with peripheral arterial disease with and without intermittent claudication: a randomized controlled trial. JAMA. 2009; 301:165–74.

5. Zwierska I, Walker RD, Choksy SA, Male JS, Pockley AG, Saxton JM. Upper- vs lower-limb aerobic exercise rehabilitation in patients with symptomatic peripheral arterial disease: a randomized controlled trial. J Vasc Surg. 2005; 42:1122–30.

6. Coccheri S. Approaches to prevention of cardiovascular complications and events in diabetes mellitus. Drugs. 2007; 67:997–1026.

7. Zee RY, Romero JR, Gould JL, Ricupero DA, Ridker PM. Polymorphisms in the advanced glycosylation end product-specific receptor gene and risk of incident myocardial infarction or ischemic stroke. Stroke. 2006; 37:1686–90.

8. Zoppini G, Targher G, Zamboni C, Venturi C, Cacciatori V, Moghetti P, Muggeo M. Effects of moderate-intensity exercise training on plasma biomarkers of inflammation and endothelial dysfunction in older patients with type 2 diabetes. Nutr Metab Cardiovasc Dis. 2006; 16:543–9.

9. Balducci S, Iacobellis G, Parisi L, Di Biase N, Calandriello E, Leonetti F, Fallucca F. Exercise training can modify the natural history of diabetic peripheral neuropathy. J Diabetes Complications. 2006; 20:216–23.

10. Lemaster JW, Mueller MJ, Reiber GE, Mehr DR, Madsen RW, Conn VS. Effect of weight-bearing activity on foot ulcer incidence in people with diabetic peripheral neuropathy: feet first randomized controlled trial. Phys Ther. 2008; 88:1385–98.

11. Singleton JR, Smith AG, Russell JW, Feldman EL. Microvascular complications of impaired glucose tolerance. Diabetes. 2003; 52:2867–73.

12. Smith AG, Singleton JR. Impaired glucose tolerance and neuropathy. Neurologist. 2008; 14:23–9.

13. Narayan KM, Boyle JP, Geiss LS, Saaddine JB, Thompson TJ. Impact of recent increase in incidence on future diabetes burden: U.S., 2005-2050. Diabetes Care. 2006; 29:2114–6.

14. Figueroa A, Baynard T, Fernhall B, Carhart R, Kanaley JA. Endurance training improves post-exercise cardiac autonomic modulation in obese women with and without type 2 diabetes. Eur J Appl Physiol. 2007; 100:437–44.

15. Pagkalos M, Koutlianos N, Kouidi E, Pagkalos E, Mandroukas K, Deligiannis A. Heart rate variability modifications following exercise training in type 2 diabetic patients with definite cardiac autonomic neuropathy. Br J Sports Med. 2008; 42:47–54.

16. Vinik AI, Ziegler D. Diabetic cardiovascular autonomic neuropathy. Circulation. 2007; 115:387–97.

17. Ziegler D, Gries FA, Spuler M, Lessmann F. The epidemiology of diabetic neuropathy. Diabetic Cardiovascular Autonomic Neuropathy Multicenter Study Group. J Diabetes Complications. 1992; 6:49–57.

18. Albright A, Franz M, Hornsby G, Kriska A, Marrero D, Ullrich I, Verity LS. American College of Sports Medicine position stand. Exercise and type 2 diabetes. Med Sci Sports Exerc. 2000; 32:1345–60.

19. Bernbaum M, Albert SG, Cohen JD. Exercise training in individuals with diabetic retinopathy and blindness. Arch Phys Med Rehabil. 1989; 70:605–11.

20. Knudtson MD, Klein R, Klein BE. Physical activity and the 15-year cumulative incidence of age-related macular degeneration: the Beaver Dam Eye Study. Br J Ophthalmol. 2006; 90:1461–3.

21. Klein R, Klein BE, Moss SE. Epidemiology of proliferative diabetic retinopathy. Diabetes Care. 1992; 15:1875–91.

22. Bo S, Ciccone G, Rosato R, Gancia R, Grassi G, Merletti F, Pagano GF. Renal damage in patients with Type 2 diabetes: a strong predictor of mortality. Diabet Med. 2005; 22:258–65.

23. Gimeno Orna JA, Boned Juliani B, Lou Arnal LM, Castro Alonso FJ. Microalbuminuria and clinical proteinuria as the main predictive factors of cardiovascular morbidity and mortality in patients with type 2 diabetes. Rev Clin Esp. 2003; 203:526–31.

24. Lazarevic G, Antic S, Vlahovic P, Djordjevic V, Zvezdanovic L, Stefanovic V. Effects of aerobic exercise on microalbuminuria and enzymuria in type 2 diabetic patients. Ren Fail. 2007; 29:199–205.

25. Painter P, Carlson L, Carey S, Paul SM, Myll J. Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis. 2000; 35:482–92.

26. Johansen KL. Exercise and chronic kidney disease: current recommendations. Sports Med. 2005; 35:485–99.

27. Koh KP, Fassett RG, Sharman JE, Coombes JS, Williams AD. Effect of intradialytic versus home-based aerobic exercise training on physical function and vascular parameters in hemodialysis patients: a randomized pilot study. Am J Kidney Dis. 2010; 55:88–99.

TOOLS

Similar articles