Performance
A · High confidencePhysical activity advice for people with type 2 diabetes
Subject: Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine
What this means
This American College of Sports Medicine consensus advises people with type 2 diabetes to be active regularly, sit less and break up sitting time often.
Jill A Kanaley, Sheri R Colberg, Matthew H Corcoran, Steven K Malin, Nancy R Rodriguez, Carlos J Crespo, John P Kirwan, Juleen R Zierath · 2022 · Medicine & Science in Sports & Exercise
What does this rating mean?
Multiple consistent meta-analyses or a position stand. Sufficient basis for a fixed choice in the coaching.
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.
Who this applies to
People of various ages with type 2 diabetes.
What to keep in mind
This is expert advice based on earlier research, without new measurements. People with diabetes complications may need adjustments to their activity.
Practical conclusion for REZA
Practical for clients with type 2 diabetes: alongside structured training, reducing sitting time, taking activity breaks and timing sessions around meals all contribute to a better glucose effect.
View method and source
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
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
View on PubMed →The compatibility of concurrent high intensity interval training and resistance training for muscular strength and hypertrophy: a systematic review and meta-analysis
Next study →Effect of resistance training on HbA1c in adults with type 2 diabetes mellitus and the moderating effect of changes in muscular strength: a systematic review and meta-analysis
This information is general education about scientific research. It is not personal medical advice and does not replace diagnosis or treatment by a doctor or other healthcare professional. If you have symptoms, a medical condition or take medication, consult your GP or treating professional before changing your training or nutrition.