Abstract
Type 2 diabetes mellitus (T2DM) and pre-diabetic conditions such as impaired fasting
glucose (IFG) and/or impaired glucose tolerance (IGT) are rapidly increasing in prevalence.
There is compelling evidence that T2DM is more likely to develop in individuals who
are insufficiently active. Exercise training, often in combination with other lifestyle
strategies, has beneficial effects on preventing the onset of T2DM and improving glycaemic
control in those with pre-diabetes. In addition, exercise training improves cardiovascular
risk profile, body composition and cardiorespiratory fitness, all strongly related
to better health outcomes. Based on the evidence, it is recommended that patients
with T2DM or pre-diabetes accumulate a minimum of 210 min per week of moderate-intensity exercise or 125 min per week of vigorous intensity exercise with no more than two consecutive days
without training. Vigorous intensity exercise is more time efficient and may also
result in greater benefits in appropriate individuals with consideration of complications
and contraindications. It is further recommended that two or more resistance training
sessions per week (2–4 sets of 8–10 repetitions) should be included in the total 210
or 125 min of moderate or vigorous exercise, respectively. It is also recommended that, due
to the high prevalence and incidence of comorbid conditions in patients with T2DM,
exercise training programs should be written and delivered by individuals with appropriate
qualifications and experience to recognise and accommodate comorbidities and complications.
Keywords
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Article info
Publication history
Published online: May 30, 2011
Accepted:
April 29,
2011
Received in revised form:
April 28,
2011
Received:
March 5,
2011
Identification
Copyright
© 2011 Sports Medicine Australia. Published by Elsevier Inc. All rights reserved.
