Yanai Hidekatsu, Adachi Hiroki, Masui Yoshinori, Katsuyama Hisayuki, Kawaguchi Akiko, Hakoshima Mariko, Waragai Yoko, Harigae Tadanao, Hamasaki Hidetaka, Sako Akahito
Department of Internal Medicine, National Center for Global Health and Medicine Kohnodai Hospital, Chiba, Japan.
J Clin Med Res. 2018 May;10(5):365-369. doi: 10.14740/jocmr3382w. Epub 2018 Mar 16.
To achieve excellent glycemic control in patients with type 2 diabetes, an adequate prescription of exercise therapy is required. The meta-analyses proposed that high-intensity training improves metabolic parameters in patients with pre-diabetes or type 2 diabetes and low physical activity is associated with an increased risk of incident type 2 diabetes. Here, we would introduce literatures about effects of physical activity on mortality, cardiovascular events, and metabolic parameters, to encourage understanding of exercise therapy, and then describe how to prescribe exercise therapy for patients with type 2 diabetes. We also show the usefulness of non-exercise activity thermogenesis for diabetic patients who cannot perform volitional sporting-like exercise because of diabetic complication and/or comorbidity, by presenting results of our previous studies.
为使2型糖尿病患者实现良好的血糖控制，需要适当开具运动疗法处方。荟萃分析表明，高强度训练可改善糖尿病前期或2型糖尿病患者的代谢参数，而低体力活动与2型糖尿病发病风险增加有关。在此，我们将介绍有关体力活动对死亡率、心血管事件和代谢参数影响的文献，以促进对运动疗法的理解，然后描述如何为2型糖尿病患者开具运动疗法处方。我们还通过展示我们之前研究的结果，表明非运动活动产热对因糖尿病并发症和/或合并症而无法进行类似自愿运动的糖尿病患者的有用性。
