Exercise and Type 2 Diabetes: ACSM and ADA Joint Position Statement

Kyung Soo Kim; Seok Won Park

doi:10.4093/jkd.2012.13.2.61

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Kim and Park: Exercise and Type 2 Diabetes: ACSM and ADA Joint Position Statement

Statement

The Journal of Korean Diabetes

The Journal of Korean Diabetes 2012; 13(2): 61-68.

Published online: 30 June 2012

DOI: https://doi.org/10.4093/jkd.2012.13.2.61

Exercise and Type 2 Diabetes: ACSM and ADA Joint Position Statement

Kyung Soo Kim, Seok Won Park

Department of Internal Medicine, CHA Bundang Medical Center, School of Medicine CHA University, Seongnam, Korea.

Corresponding author (spark@cha.ac.kr)

Abstract

Diabetes has become a widespread epidemic, primarily due to the increasing prevalence and incidence of type 2 diabetes. Although physical activity (PA) is a key element in the prevention and management of type 2 diabetes, many with this chronic disease do not become or remain regularly active. Most benefits of PA in diabetes management are conferred through acute and chronic improvements in insulin action with both aerobic and resistance training. In this paper, the benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes mellitus, and safe and effective PA practices for patients with diabetes-related complications. The inclusion of an exercise program or other means of increasing overall PA is critical for optimal health in individuals with type 2 diabetes.

Keywords: Exercise, Motor activity, Type 2 diabetes mellitus

Figures and Tables

Table 1

Summary of ACSM evidence and ADA clinical practice recommendation statements

ACSM, American College of Sports Medicine; ADA, American Diabetes Association; PA, physical activity; IFG, impaired fasting glucose; BG, blood glucose; LDL, low density lipoprotein; HDL, high density lipoprotein; CV, cardiovascular; QOL, quality of life; GDM, gestational diabetes mellitus; RCT, randomized controlled trial; CAD, coronary artery disease; PAD, peripheral artery disease; CAN, cardiovascular autonomic neuropathy; HR, heart rate.

^aNo recommendation given.

Adapted from Colberg et al. Diabetes Care 2010;33:e147-67 [37].

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