Diabetes, Sport und Bewegung

Diese Praxisleitlinie soll die pathophysiologischen Hintergründe und therapeutischen Optionen zur Bedeutung von körperlicher Aktivität in der Therapie des Diabetes mellitus in Grundzügen umreißen und praktische Empfehlungen für die Umsetzung bei Typ-1- und Typ-2-Patienten geben. Sie ist eine Aktualisierung der bisherigen Praxisleitlinien von 2014 [1].

• Literatur

• 1 Esefeld K, Zimmer P, Stumvoll M. et al. Diabetes, Bewegung und Sport. Diabetologie 2014; 10 (Suppl. 02) S199-S204
• 2 Stanford KI, Goodyear LJ. Exercise and type 2 diabetes: molecular mechanisms regulating glucose uptake in skeletal muscle. Advances in physiology education 2014; 38: S308-S314
• 3 Herbst A, Kordonouri O, Schwab KO. et al. Impact of physical activity on cardiovascular risk factors in children with type 1 diabetes: a multicenter study of 23,251 patients. Diabetes Care 2007; 30: S2098-S2100
• 4 Tonoli C, Heyman E, Roelands B. et al. Effects of different types of acute and chronic (training) exercise on glycaemic control in type 1 diabetes mellitus: a meta-analysis. Sports medicine (Auckland, NZ) 2012; 42: S1059-S1080
• 5 Roberts AJ, Taplin CE. Exercise in Youth with Type 1 Diabetes. Current pediatric reviews 2015; 11: S120-S125
• 6 Pivovarov JA, Taplin CE, Riddell MC. Current perspectives on physical activity and exercise for youth with diabetes. Pediatric diabetes 2015; 16: S242-S255
• 7 Bally L, Laimer M, Stettler C. Exercise-associated glucose metabolism in individuals with type 1 diabetes mellitus. Current opinion in clinical nutrition and metabolic care 2015; 18: S428-S433
• 8 Garcia-Garcia F, Kumareswaran K, Hovorka R. et al. Quantifying the acute changes in glucose with exercise in type 1 diabetes: a systematic review and meta-analysis. Sports medicine (Auckland, NZ) 2015; 45: S587-S599
• 9 Rohling M, Herder C, Roden M. et al. Effects of Long-Term Exercise Interventions on Glycaemic Control in Type 1 and Type 2 Diabetes: a Systematic Review. Experimental and clinical endocrinology & diabetes: official journal, German Society of Endocrinology [and] German Diabetes Association; 2016
• 10 Umpierre D, Ribeiro PA, Kramer CK. et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA: the journal of the American Medical Association 2011; 305: S1790-S1799
• 11 Wing RR, Bolin P, Brancati FL. et al. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. The New England journal of medicine 2013; 369: S145-S154
• 12 Knowler WC, Fowler SE, Hamman RF. et al. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet (London, England) 2009; 374: S1677-S1686
• 13 Effect of a long-term behavioural weight loss intervention on nephropathy in overweight or obese adults with type 2 diabetes: a secondary analysis of the Look AHEAD randomised clinical trial. The lancet Diabetes & endocrinology 2014; 2: S801-S809
• 14 Karstoft K, Winding K, Knudsen SH. et al. The effects of free-living interval-walking training on glycemic control, body composition, and physical fitness in type 2 diabetic patients: a randomized, controlled trial. Diabetes Care 2013; 36: S228-S236