Körperliche Aktivität und Sport bei Typ-2-Diabetes

Nieß, Andreas M.; Thiel, Ansgar

doi:10.1055/s-0042-121407

Cited by 6 publications

(5 citation statements)

References 66 publications

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“…Insbesondere Befunde im Bereich des Herz-Kreislauf-Systems, des Haltungs- und Bewegungsapparates sowie diabetesbedingte Komplikationen sollten vor Trainingsbeginn ermittelt und das Training ggf. angepasst werden 4 .…”

Section: Körperliches Training Bei Typ-2-diabetes – Was Sagen Die Lei...unclassified

“…Da die körperliche Leistungsfähigkeit von Mensch zu Mensch sehr unterschiedlich sein kann, was gerade für Anfänger eine wichtige Information für die Trainingsgestaltung ist, sollte diese durch ergometrische Methoden objektiviert werden 4 . Zudem sollte darauf geachtet werden, dass das Training eine ausreichende Effektivität aufweist.…”

Section: Körperliches Training Bei Typ-2-diabetes – Was Sagen Die Lei...unclassified

“…Merke Regelmäßige körperliche Aktivität und Training stellen eine der wichtigsten nicht-medikamentösen Maßnahmen zur Therapie des Typ-2-Diabetes dar [1][2][3][4].…”

Section: Introductionunclassified

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Körperliche Aktivität und Trainingstherapie bei Typ-2-Diabetes – ein Update

Nieß,

Thiel

2024

Diabetologie und Stoffwechsel

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Regelmäßige körperliche Aktivität und Training besitzen bei Menschen mit Typ-2-Diabetes ein breites Wirkspektrum. Günstige Effekte auf die glykämische Stoffwechsellage sind ebenso nachgewiesen wie die Absenkung des aufgrund der Erkrankung erhöhten kardiovaskulären Risikos. Die Empfehlung zu regelmäßiger körperlicher Aktivität bei Patienten mit Typ-2-Diabetes ist in den Leitlinien abgebildet und sollte bei der Betreuung der Betroffenen Beachtung finden.Bibliografie

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Section: Körperliches Training Bei Typ-2-diabetes – Was Sagen Die Lei...unclassified

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Körperliche Aktivität und Trainingstherapie bei Typ-2-Diabetes – ein Update

Nieß,

Thiel

2024

Diabetologie und Stoffwechsel

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“…Due to the higher intensity and therefore higher heart rate that can be achieved when cycling compared to running, this can result in better fitness [89]. Cycling in itself has been shown in studies to have positive effects on the risk of CV disease, CV fitness, and overall morbidity and mortality [90,91]. A study showed that cycling for 3.5 h per week resulted in a 23% reduction in the risk of CV death.…”

Section: • E-bikementioning

confidence: 99%

Continuous Glucose Monitoring and Physical Activity

Schubert-Olesen¹,

Kröger²,

Siegmund

et al. 2022

IJERPH

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Continuous glucose monitoring (CGM) use has several potential positive effects on diabetes management. These benefits are, e.g., increased time in range (TIR), optimized therapy, and developed documentation. Physical activity is a recommended intervention tool in diabetes management, especially for people with type 2 diabetes (T2D). The benefits of physical activity for people with diabetes can be seen as an improvement of glycemic control, glycemic variability, and the reduction of insulin resistance. In relation to the physical activity of people with T2D, the benefits of CGM use can even be increased, and CGM can be a helpful tool to prevent adverse events due to physical activity of people with diabetes, such as hypoglycemic events and nocturnal hypoglycemia after sports. This narrative review aims to provide solid recommendations for the use of CGM in everyday life physical activities based on the noted benefits and to give a general overview of the guidelines on physical activity and CGM use for people with diabetes.

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“…In recent years, the effectiveness of PA in the treatment of multiple chronic conditions has been evaluated. Regular PA has been proven to reduce 20–33% of the risk of the occurrence of CVD [ 12 ] and builds one of the main pillars of the non-pharmacological therapy of DMT2 [ 13 ]. Significant improvements in pain and function – and therefore an improvement in the quality of life – in hip and knee osteoarthritis (OA) by PA have also been evaluated [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Implementation and evaluation of an individualized physical exercise promotion program in people with manifested risk factors for multimorbidity (MultiPill-Exercise): a study protocol for a pragmatic randomized controlled trial

et al. 2022

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Background Multimorbidity is a major problem in Europe, increasing the need for prevention and rehabilitation programs. In Germany no guidelines have been developed that focus on patients with multiple chronic non-communicable diseases (NCDs). Benefits of physical activity (PA) and exercise in NCDs have been proven, but most interventions focus on single conditions. The evaluation of the effectiveness, efficiency and safety of PA programs in patients suffering from multiple NCDs and the feasibility of the implementation within the health care service remain open research questions. Methods The multi-site randomized controlled pragmatic trial includes 320 sedentary subjects with at least two of the following NCDs, either manifested or in a pre-stage with evident risk factors: Cardio-vascular disease, Diabetes mellitus type 2, knee/ hip osteoarthritis and obesity. Participants will be recruited from general practitioners and medical specialists and randomized to standard care of a statutory health insurance or MultiPill-Exercise. Standard care includes a choice of one or a maximum of two 8- to 12-week health programs, including nutrition, exercise, relaxation or special disease management programs. MultiPill-Exercise is based on the bio-psycho-social health model, considering a person-oriented perspective in light of given individual characteristics and context factors. The 24-weeks intervention focuses on aerobic and strengthening exercises in line with the WHO PA recommendations. Psychological and pedagogical elements along with behavior change techniques are implemented to ease the initiation and maintenance of exercise participation and lifestyle change, including nutrition. Primary outcome will be short- and long-term PA measured with the European Health Interview Survey-Physical Activity Questionnaire (EHIS-PAQ). Secondly, the effectiveness of the program on generic, disease specific, economic, and exercise behavioral parameters, as well as program adherence and safety will be evaluated. Discussion Results of this trial evaluate the PA intervention program in people with multiple NCDs in a real-life scenario. It will serve as a proof of concept with the opportunity of translation into routine practice. This approach, as a multi-site RCT with its rigorous methods and standardized operating procedures for the conduction of the intervention, will allow valid conclusions for the implementation of PA interventions in people with multimorbidity. Trial registration The trial was registered at www.drks.de (ID: DRKS00025033) on 30th September 2021.

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Körperliche Aktivität und Sport bei Typ-2-Diabetes

Cited by 6 publications

References 66 publications

Körperliche Aktivität und Trainingstherapie bei Typ-2-Diabetes – ein Update

Körperliche Aktivität und Trainingstherapie bei Typ-2-Diabetes – ein Update

Continuous Glucose Monitoring and Physical Activity

Implementation and evaluation of an individualized physical exercise promotion program in people with manifested risk factors for multimorbidity (MultiPill-Exercise): a study protocol for a pragmatic randomized controlled trial

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