Revised_Physical activity and structured exercise in patients with type 2 diabetes mellitus and heart failure_FINAL.pdf (657.14 kB)

Physical activity and structured exercise in patients with type 2 diabetes mellitus and heart failure

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journal contribution
posted on 31.07.2020, 12:37 by Jack A. Sargeant, Thomas Yates, Gerry P. McCann, Claire A Lawson, Melanie J Davies, Gaurav S. Gulsin, Joseph Henson
Patients with type 2 diabetes mellitus (T2DM) or heart failure (HF) are encouraged to adopt a physically active lifestyle and participation in structured exercise is endorsed as a safe and effective adjunct to medical therapy in both conditions. This article aims to provide health care professionals with the information required to tailor guidance relating to physical activity and exercise for individuals with T2DM and HF by: (1) presenting an overview of current guidelines, and (2) providing practical suggestions for their implementation. ‘Traditional’ forms of exercise training include moderate to vigorous-intensity aerobic exercise and dynamic resistance exercise. Benefits of exercise training include improved cardiorespiratory fitness and physical function, more favourable body composition, lower metabolic risk and enhanced quality of life. Before engaging in structured exercise, medical clearance may be required for certain types of activities, and precautions should be taken to minimise the risk of hypoglycaemia and left-ventricular overload in patients with T2DM and HF. Importantly, patients with HF should be educated to distinguish severe adverse symptoms during exercise from expected feelings of breathlessness and fatigue. The latter should not be a reason to discourage patients from engaging in as much physical activity and structured exercise as possible. In order to optimise adherence, exercise prescription should be driven by patient preferences, motivations and individual circumstances. Consideration should also be given to more novel approaches, such as reducing sedentary behaviour and high-intensity interval training. Copyright © 2018 John Wiley & Sons.

Funding

National Institute for Health Research (NIHR) Leicester Biomedical Research Centre, UK

History

Citation

Practical Diabetes 2018; 35(4): 131–138

Author affiliation

Department of Cardiovascular Sciences

Version

AM (Accepted Manuscript)

Published in

Practical Diabetes

Volume

35

Issue

4

Pagination

131-138

Publisher

Wiley

issn

2047-2900

eissn

2047-2900

Copyright date

2018

Language

English

Publisher version

https://www.practicaldiabetes.com/article/physical-activity-and-structured-exercise-in-patients-with-type-2-diabetes-mellitus-and-heart-failure/

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