Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine

Methodology

Position stand

Population

Individuals with type 2 diabetes of all ages, including adults, older adults, youth/adolescents and pregnancy; sections on obesity, prediabetes, gestational diabetes, diabetes complications and post-bariatric-surgery patients

Intervention

Aerobic training, resistance training, combined training, high-intensity interval exercise, flexibility, balance, yoga, tai chi, qigong and Pilates; also reduction of sedentary time, activity breaks during prolonged sitting, and exercise timing

Findings

A consensus statement recommending, alongside structured exercise, reducing sedentary time, activity breaks during prolonged sitting, and exercise timing to maximise glucose-lowering effects in people with type 2 diabetes of all ages. Also provides guidance for exercising safely with diabetes-related complications.

Outcome measures

Glycaemic control (HbA1c, glucose excursions), insulin sensitivity, cardiometabolic risk factors, body composition, physical function, safety in the presence of diabetes complications

Limitations

Consensus approach rather than systematic review; no risk-of-bias assessment; recommendations partly extrapolated across sub-populations with thin evidence (e.g. youth, pregnancy).

Original source

DOI: 10.1249/MSS.0000000000002800 · PMID: 35029593