Diabetologie und Stoffwechsel, Table of Contents

Diabetologie und Stoffwechsel 2023; 18(S 02): S314-S323
DOI: 10.1055/a-2076-0130

DDG-Praxisempfehlung

Diabetes, Sport und Bewegung

Katrin Esefeld

¹Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, Technische Universität München, München, Deutschland

²Deutsches Zentrum für Herzkreislaufforschung (DZHK), partner site Munich Heart Alliance (MHA), München, Deutschland

,

Stephan Kress

³AG Diabetes, Sport und Bewegung der DDG

⁴Medizinische Klinik Vinzentius-Krankenhaus Landau, Landau, Deutschland

,

Meinolf Behrens

³AG Diabetes, Sport und Bewegung der DDG

⁵Diabeteszentrum Minden, Minden, Deutschland

,

Peter Zimmer

³AG Diabetes, Sport und Bewegung der DDG

,

Michael Stumvoll

⁶Medizinische Klinik und Poliklinik III, Universitätsklinik Leipzig, Leipzig, Deutschland

,

Ulrike Thurm

³AG Diabetes, Sport und Bewegung der DDG

,

Bernhard Gehr

³AG Diabetes, Sport und Bewegung der DDG

⁷m&i Fachklinik Bad Heilbrunn, Bad Heilbrunn, Deutschland

,

Martin Halle^*

¹Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, Technische Universität München, München, Deutschland

²Deutsches Zentrum für Herzkreislaufforschung (DZHK), partner site Munich Heart Alliance (MHA), München, Deutschland

³AG Diabetes, Sport und Bewegung der DDG

,

Christian Brinkmann^*

³AG Diabetes, Sport und Bewegung der DDG

⁸Institut für Kreislaufforschung und Sportmedizin, Deutsche Sporthochschule Köln, Köln, Deutschland

⁹IST Hochschule Düsseldorf, Düsseldorf, Deutschland

› Author Affiliations

Literatur
1 Pedersen BK, Saltin B. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports 2015; 25 (Suppl. 03) 1-72
2 Kirchner H, Osler ME, Krook A. et al. Epigenetic flexibility in metabolic regulation: disease cause and prevention?. Trends Cell Biol 2013; 23: 203-209
3 Benatti FB, Pedersen BK. Exercise as an anti-inflammatory therapy for rheumatic diseases-myokine regulation. Nat Rev Rheumatol 2015; 11: 86-97
4 Fiuza-Luces C, Garatachea N, Berger NA. et al. Exercise is the real polypill. Physiology 2013; 28: 330-358
5 American Diabetes Association. Standards in medical care in diabetes 2023. Diabetes Care 2023; 46: S68-S96
6 Stanford KI, Goodyear LJ. Exercise and type 2 diabetes: molecular mechanisms regulating glucose uptake in skeletal muscle. Adv Physiol Educ 2014; 38: 308-314
7 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 23251 patients. Diabetes Care 2007; 30: 2098-2100
8 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 Med 2012; 42: 1059-1080
9 Riddell MC, Peters AL. Exercise in adults with type 1 diabetes mellitus. Nat Rev Endocrinol 2023; 19: 98-111
10 Riddell MC, Li Z, Gal RL. et al. Examining the acute glycemic effects of different types of structured exercise sessions in type 1 diabetes in a real-world setting: The type 1 diabetes and exercise initiative (T1DEXI). Diabetes Care 2023; 46: 704-713
11 Moser O, Riddell MC, Eckstein ML. et al. Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA). Diabetologia 2020; 63: 2501-2520
12 Roberts AJ, Taplin CE. Exercise in Youth with Type 1 Diabetes. Curr Pediatr Rev 2015; 11: 120-125
13 Pivovarov JA, Taplin CE, Riddell MC. Current perspectives on physical activity and exercise for youth with diabetes. Pediatr Diabetes 2015; 16: 242-255
14 Bally L, Laimer M, Stettler C. Exercise-associated glucose metabolism in individuals with type 1 diabetes mellitus. Curr Opin Clin Nutr Metab Care 2015; 18: 428-433
15 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 Med 2015; 45: 587-599
16 Riddell MC, Scott SN, Fournier PA. et al. The competitive athlete with type 1 diabetes. Diabetologia 2020; 63: 1475-1490
17 Toghi-Eshghi SR, Yardley JE. Morning (fasting) vs afternoon resistance exercise in individuals with type 1 diabetes: a randomized crossover study. J Clin Endocrinol Metab 2019; 104: 5217-5224
18 Aronson R, Brown RE, Li A. et al. Optimal insulin correction factor in post-high-intensity exercise hyperglycemia in adults with type 1 diabetes: the FIT study. Diabetes Care 2019; 42: 10-16
19 Lean ME, Leslie WS, Barnes AC. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster randomised trial. Lancet 2018; 391: 541-551
20 Lean MEJ, Leslie WS, Barnes AC. Durability of a primary care-led weight-management intervention for remission of type 2 diabetes: 2 year results of the DiRECT open-label, cluster randomised trial. Lancet Diabetes Endocrinol 2019; 7: 344-355
21 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. Exp Clin Endocrinol Diabetes 2016; 124: 487-494
22 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 2011; 305: 1790-1799
23 Wing RR, Bolin P, Brancati FL. et al. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med 2013; 369: 145-154
24 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 2009; 374: 1677-1686
25 Look AHEAD research group et al. 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. Lancet Diabetes Endocrinol 2014; 2: 801-809
26 Colberg SR, Laan R, Dassau E. et al. Physical activity and type 1 diabetes: time for a rewire?. J Diabetes Sci Technol 2015; 9: 609-618
27 Jayawardene DC, McAuley SA, Horsburgh JC. et al. Closed-loop insulin delivery for adults with type 1 diabetes undertaking high-intensity interval exercise versus moderate-intensity exercise: a randomized, crossover study. Diabetes Technol Ther 2017; 19: 340-348
28 Breton MD, Chernavvsky DR, Forlenza GP. et al. Closed-loop control during intense prolonged outdoor exercise in adolescents with type 1 diabetes: the artificial pancreas ski study. Diabetes Care 2017; 40: 1644-1650
29 Dovc K, Macedoni M, Bratina N. et al. Closed-loop glucose control in young people with type 1 diabetes during and after unannounced physical activity: a randomised controlled crossover trial. Diabetologia 2017; 60: 2157-2167
30 Porter M, Fonda S, Swigert T. et al. Real-time continuous glucose monitoring to support self-care: results from a pilot study of patients with type 2 diabetes. J Diabetes Sci Technol 2022; 16: 578-580
31 Taylor PJ, Thompson CH, Luscombe-Marsh ND. et al. Tolerability and acceptability of real-time continuous glucose monitoring and its impact on diabetes management behaviours in individuals with type 2 diabetes – A pilot study. Diabetes Res Clin Pract 2019; 155: 107814
32 Vallis M, Ryan H, Berard L. et al How continuous glucose monitoring can motivate self-management: Can motivation follow behaviour?. Can J Diabetes 2023; S1499-2671 : 00064-3
33 Ding S, Schumacher M. Sensor monitoring of physical activity to improve glucose management in diabetic patients: a review. Sensors 2016; 16: 589
34 Lunde P, Blakstad Nilsson B, Bergland A. et al. The effectiveness of smartphone apps for lifestyle improvement in noncommunicable diseases: systematic review and meta-analyses. J Med Internet Res 2018; 20: 1-12
35 Wu X, Guo X, Zhang Z. The efficacy of mobile phone apps for lifestyle modification in diabetes: systematic review and meta-analysis. JMIR mHealth uHealth 2019; 7: e12297
36 Yom-Tov E, Feraru G, Kozdoba M. et al. Encouraging physical activity in patients with diabetes: intervention using a reinforcement learning system. J Med Internet Res 2017; 19: e338
37 Jimenez G, Lum E, Car J. Examining diabetes management apps recommended from a Google search: content analysis. JMIR mHealth uHealth 2019; 7: e11848
38 Pais S, Parry D, Petrova K. et al. Acceptance of using an ecosystem of mobile apps for use in diabetes clinic for self-management of gestational diabetes mellitus. Stud Health Technol Inform 2017; 245: 188-192
39 Kordonouri O, Riddell MC. Use of apps for physical activity in type 1 diabetes: current status and requirements for future development. Ther Adv Endocrinol Metab 2019; 10: 1-7
40 Thomas JG, Bond DS, Raynor HA. et al. Comparison of smartphone-based behavioral obesity treatment with gold standard group treatment and control: a randomized trial. Obesity (Silver Spring) 2019; 27: 572-580
41 Schütte L. Digitale Selbsthilfe. Digitalisierungs- und Technologiereport Diabetes 2019. Im Internet (Zugriff: 26.05.2019): https://www.dut-report.de/wp-content/uploads/2019/01/Selbsthilfe_Schuette.pdf
42 Staiano AE, Beyl RA, Guan W. et al. Home-based exergaming among children with overweight/obesity: a randomized clinical trial. Pediatr Obes 2018; 13: 724-733
43 Cooper AR, Tibbitts B, England C. et al. Potential of electric bicycles to improve the health of people with type 2 diabetes: a feasibility study. Diabet Med 2018; 35: 1279-1282
44 van der Berg JD, Stehouwer CD, Bosma H. et al. Associations of total amount and patterns of sedentary behaviour with type 2 diabetes and the metabolic syndrome: The Maastricht Study. Diabetologia 2016; 59: 709-718
45 Dunstan DW, Dogra S, Carter SE. et al. Sit less and move more for cardiovascular health: emerging insights and opportunities. Nat Rev Cardiol 2021; 18: 637-648
46 Duvivier BM, Schaper NC, Hesselink MK. et al. Breaking sitting with light activities vs structured exercise: a randomised crossover study demonstrating benefits for glycaemic control and insulin sensitivity in type 2 diabetes. Diabetologia 2017; 60: 490-498
47 Han HO, Lim J, Viskochil R. et al. Pilot study of impact of a pedal desk on postprandial responses in sedentary workers. Med Sci Sports Exerc 2018; 50: 2156-2163
48 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: 228-236
49 Yang Z, Scott AC, Mao C. et al. Resistance exercise versus aerobic exercise for type 2 diabetes: a systematic review and meta-analysis. Sports Med 2014; 44: 487-499
50 van Buuren F, Horstkotte D, Mellwig KP. et al. Electrical myostimulation (EMS) improves glucose metabolism and oxygen uptake in type 2 diabetes mellitus patients – results from the EMS study. Diabetes Technol Ther 2015; 17: 413-419
51 Robinson CC, Barreto RP, Sbruzzi G. et al. The effects of whole body vibration in patients with type 2 diabetes: a systematic review and metaanalysis of randomized controlled trials. Braz J Phys Ther 2016; 20: 4-14
52 Kempf K, Martin S. Autonomous exercise game use improves metabolic control and quality of life in type 2 diabetes patients – a randomized controlled trial. BMC Endocr Disord 2013; 13: 57
53 Kemmler W, Weissenfels A, Willert S. et al Recommended contraindications for the use of non-medical WB-electromyostimulation. Dtsch Z Sportmed 2019; 11: 278-281
54 Baskerville R, Ricci-Cabello I, Roberts N. et al Impact of accelerometer and pedometer use on physical activity and glycaemic control in people with type 2 diabetes: a systematic review and meta-analysis. Diabet Med 2017; 5: 612-620