Abstract

QUILEZ LLOPIS, Pablo  and  REIG GARCIA-GALBIS, Manuel. Glycemic control through physical exercise in type 2 diabetes systematic review. Nutr. Hosp. [online]. 2015, vol.31, n.4, pp.1465-1472. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2015.31.4.7907.

Introduction: In Spain, nearly 14% of the population is diabetic, 95% corresponds to Type 2 Diabetes Mellitus patients. Poor glycemic control increases morbidity and mortality. There are three pillars in the treatment of type 2 diabetes: diet, medication and exercise. However, the potential for prescribing exercise training has not been fully exploited. Objective: To analyze the effect of different exercise modalities (AE, RT, Combo, HIIT) on glycemic control in patients with type 2 diabetes mellitus. Methods: The research was performed in 3 electronic databases (Pubmed, Scopus and Proquest), including publications from 2011 to May 2014, publications undertaking interventions with AE, RT, Combo or HIIT, and those that measured capillary glucose, CGMS or HbA1c. Results: Of the 386 articles found, 14 met the inclusion criteria. These items were classified according to exercise intervention modality (AE, RT, Combo, HIIT) and whether glycemic control was measured as a result of long term training or a single bout of exercise. Conclusions: AE, RT, Combo and HIIT show efficacy in glycemic control in both long term training and after a single bout of exercise. To achieve certain benefits in glycemic control, prescribing a structured frequency, volume and intensity training is required. Combo is the modality that gets better results through continued training.

Keywords : Diabetes Mellitus; Type 2; Hemoglobin A; Glycosylated; Resistance training; Aerobic exercise; Blood sugar self monitoring.

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