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B&G Bewegungstherapie und Gesundheitssport 2019; 35(02): 62-65
DOI: 10.1055/a-0860-1300
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© Georg Thieme Verlag KG Stuttgart · New York

Hochintensives Intervalltraining (HIIT) und Typ-2-Diabetes mellitus

High-intensity interval training and type 2 diabetes mellitus
Christian Brinkmann
1   IST Hochschule Düsseldorf und Deutsche Sporthochschule Köln
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Further Information

Publication History

Eingegangen: 30 November 2018

Angenommen durch Review: 04 February 2019

Publication Date:
09 April 2019 (online)

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Zusammenfassung

Hochintensives Intervalltraining (HIIT) kann eine zeitsparende Alternative zu einem Training mit moderat-intensiv kontinuierlichen Sporteinheiten für Patientinnen und Patienten mit Typ-2-Diabetes mellitus mit guten bis überlegenen Effekten auf die kardiorespiratorische Fitness, glykämische Kontrolle und andere Variablen (z. B. oxidativer Stress, Endothelfunktion) sein. Ein sportmedizinischer Check-up vor Aufnahme des Trainings sollte verpflichtend sein, um kardiovaskuläre Risiken zu reduzieren. Bei schweren Folgeerkrankungen wie fortgeschrittenen Retinopathien oder autonomen Neuropathien ist grundsätzlich von HIIT abzuraten. Es ist noch weiter zu klären, wie sicher HIIT ist und wie gut es die Typ-2-Diabetes-Patientinnen und -Patienten zum Sporttreiben motivieren kann.

Summary

High-intensity interval training (HIIT) can be a time-efficient strategy for type 2 diabetic patients with similar or superior effects in the improvement of cardiorespiratory fitness, glycemic control and other output variables (e. g., oxidative stress, endothelial function) compared with moderate-intensity continuous exercise training. A medical exam should be performed prior to training to reduce cardiovascular risks. As a general recommendation, patients with severe diabetic complications, e. g., proliferative retinopathy or autonomic neuropathy, should not perform HIIT. Further research is needed to examine the safety of HIIT and adherence to HIIT protocols in this particular patient group.

Stichworte

HIIT - Hochintensives Training - Diabetes

Key words

HIIT - high-intensity training - diabetes
 

  • Literatur

  • 1 Fiorentino TV, Prioletta A, Zuo P. et al. Hyperglycemia-induced oxidative stress and its role in diabetes mellitus related cardiovascular diseases. Curr Pharm Des 2013; 19: 5695-5703
    CrossrefPubMedSearch in Google Scholar
  • 2 Weston KS, Wisløff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: A systematic review and meta-analysis. Br J Sports Med 2014; 48: 1227-1234
    CrossrefPubMedSearch in Google Scholar
  • 3 Maarbjerg SJ, Sylow L, Richter EA. Current understanding of increased insulin sensitivity after exercise - emerging candidates. Acta Physiol 2011; 202: 323-335
    CrossrefPubMedSearch in Google Scholar
  • 4 Kjaer M, Hollenbeck CB, Frey-Hewitt B. et al. Glucoregulation and hormonal responses to maximal exercise in non-insulin-dependent diabetes. J Appl Physiol 1990; 68: 2067-2074
    CrossrefPubMedSearch in Google Scholar
  • 5 Larsen JJ, Dela F, Madsbad S. et al. The effect of intense exercise on postprandial glucose homeostasis in type II diabetic patients. Diabetologia 1999; 42: 1282-1292
    CrossrefPubMedSearch in Google Scholar
  • 6 Nardi AT de, Tolves T, Lenzi TL. et al. High-intensity interval training versus continuous training on physiological and metabolic variables in prediabetes and type 2 diabetes: A meta-analysis. Diabetes Res Clin Pract 2018; 137: 149-159
    CrossrefPubMedSearch in Google Scholar
  • 7 Liu JX, Zhu L, Li PJ. et al. Effectiveness of high-intensity interval training on glycemic control and cardiorespiratory fitness in patients with type 2 diabetes: A systematic review and meta-analysis. Aging Clin Exp Res 2018
    PubMedSearch in Google Scholar
  • 8 Little JP, Gillen JB, Percival ME. et al. Low-volume high-intensity interval training reduces hyperglycemia and increases muscle mitochondrial capacity in patients with type 2 diabetes. J Appl Physiol 2011; 111: 1554-1560
    CrossrefPubMedSearch in Google Scholar
  • 9 Silzer TK, Phillips NR. Etiology of type 2 diabetes and Alzheimer’s disease: Exploring the mitochondria. Mitochondrion 2018
    PubMedSearch in Google Scholar
  • 10 Rochette L, Zeller M, Cottin Y. et al. Diabetes, oxidative stress and therapeutic strategies. Biochim Biophys Acta 2014; 1840: 2709-2729
    CrossrefPubMedSearch in Google Scholar
  • 11 Mitranun W, Deerochanawong C, Tanaka H. et al. Continuous vs interval training on glycemic control and macro- and microvascular reactivity in type 2 diabetic patients. Scand J Med Sci Sports 2014; 24: e69-76
    CrossrefPubMedSearch in Google Scholar
  • 12 Ghardashi Afousi A, Izadi MR. et al. Improved brachial artery shear patterns and increased flow-mediated dilatation after low-volume high-intensity interval training in type 2 diabetes. Exp Physiol 2018; 103: 1264-1276
    CrossrefPubMedSearch in Google Scholar
  • 13 Martins C, Kazakova I, Ludviksen M. et al. High-intensity interval training and isocaloric moderate-intensity continuous training result in similar improvements in body composition and fitness in obese individuals. Int J Sport Nutr Exerc Metab 2016; 26: 197-204
    CrossrefPubMedSearch in Google Scholar
  • 14 Esefeld K, Kress S, Zimmer P. et al. Diabetes, Sport und Bewegung. Diabetologie und Stoffwechsel 2018; 13: S199-S204
    Thieme ConnectPubMedSearch in Google Scholar
  • 15 Perri MG, Anton SD, Durning PE. et al. Adherence to exercise prescriptions: Effects of prescribing moderate versus higher levels of intensity and frequency. Health Psychol 2002; 21: 452-458
    CrossrefPubMedSearch in Google Scholar