Effects of Physical Activities on People with Diabetes

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Preventive Medicine".

Deadline for manuscript submissions: 31 January 2025 | Viewed by 3505

Special Issue Editors


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Guest Editor
Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy
Interests: neurophysiology; visual system; diabetes; exercise physiology; visuo-motor control
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Guest Editor
Department for Life Quality Studies, University of Bologna, 40126 Bologna, Italy
Interests: exercise physiology; diabetes; autonomic nervous system; cardiovascular system; oculomotor system

Special Issue Information

Dear Colleagues,

It is well known that people of all ages and abilities can improve their quality of life through regular physical activity associated with well-designed dietary recommendations and nutrition therapy. Health benefits start immediately after exercising, and even short episodes of physical activity are beneficial. Exercise is normally suggested in the management of type 1 and type 2 diabetes mellitus. In type 2 diabetes, the practice of physical exercise can result in improved glycemic control. In addition, exercise can help to prevent the onset of type 2 diabetes, reducing its world-wide burden. In type 1 diabetes, however, the expected improvements in glycemic control with exercise have not been clearly established.

The aim of the Special Issue is to provide an updated panorama of the influence of physical exercise on diabetes, focusing on new and emerging topics and on prevention, to be developed and implemented to promote physical exercise as a non-pharmacological treatment of the disease.

We encourage papers addressing exercise interventions, new methodologies focusing on diabetes complications, balance dysfunction and postural instability, as well as analysis of the public health consequences of the constant practice of physical exercise.

Dr. Milena Raffi
Dr. Alessandro Piras
Guest Editors

Manuscript Submission Information

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Keywords

  • diabetes
  • type 2 diabetes
  • type 1 diabetes
  • physical activity
  • physical exercise
  • visual system
  • motor control
  • postural control
  • eye movements
  • sensorimotor integration
  • fear of fall

Published Papers (3 papers)

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Research

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15 pages, 651 KiB  
Article
Impact of a Discontinuous Training Program on Sedentary Behavior in Italian Type 2 Diabetes Older Patients: The Results of the TRIPL-A Randomized Controlled Trial
by Anna Rita Bonfigli, Cristina Gagliardi, Olga Protic, Adrianapia Maria Lamedica, Maria Paola Luconi, Federica Turchi, Elena Tortato, Mirko Di Rosa, Francesco Lucertini and Liana Spazzafumo
Healthcare 2024, 12(8), 848; https://doi.org/10.3390/healthcare12080848 - 17 Apr 2024
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Abstract
Background: Physical activity is an important predictor of quality of life in older adults with type 2 diabetes (T2D). Unfortunately, most T2D adults adopt a sedentary lifestyle. The randomized, controlled TRIPL-A trial aims to verify the effect of a personalized, discontinuous exercise [...] Read more.
Background: Physical activity is an important predictor of quality of life in older adults with type 2 diabetes (T2D). Unfortunately, most T2D adults adopt a sedentary lifestyle. The randomized, controlled TRIPL-A trial aims to verify the effect of a personalized, discontinuous exercise program on a sedentary lifestyle of T2D older adults. Methods: A total of 305 T2D patients (mean age ± SD: 68.8 ± 3.3 years) were divided into a control arm receiving only behavioral counseling and an intervention arm of an 18-month supervised discontinuous exercise program (ERS). The primary outcomes were the changes in sitting time (ST) and metabolic equivalent (MET) values, both evaluated by the International Physical Activity Questionnaire short form. A repeated measures ANOVA with Bonferroni correction for multiple comparisons was used to compare study outcomes. Results: The ST and MET differed significantly during the study compared to the control group (p = 0.028 and p = 0.004, respectively). In the intervention group, a decrease from baseline in ST at 6 months (p = 0.01) and an increase in MET values at 6 months (p = 0.01) up to 12 months (p < 0.01) were found. No significant differences were found for the other variables. Conclusions: Beneficial lifestyle changes were found within the first year of intervention. These results align with the theory of change. Full article
(This article belongs to the Special Issue Effects of Physical Activities on People with Diabetes)
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Review

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14 pages, 307 KiB  
Review
A Narrative Literature Review on the Role of Exercise Training in Managing Type 1 and Type 2 Diabetes Mellitus
by Alessandro Piras and Milena Raffi
Healthcare 2023, 11(22), 2947; https://doi.org/10.3390/healthcare11222947 - 11 Nov 2023
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Abstract
Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia associated with impaired carbohydrate, lipid, and protein metabolism, with concomitant absence of insulin secretion or reduced sensitivity to its metabolic effects. Patients with diabetes mellitus have a 30% more risk of developing [...] Read more.
Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia associated with impaired carbohydrate, lipid, and protein metabolism, with concomitant absence of insulin secretion or reduced sensitivity to its metabolic effects. Patients with diabetes mellitus have a 30% more risk of developing heart failure and cardiovascular disease compared to healthy people. Heart and cardiovascular problems are the first cause of death worldwide and the main complications which lead to high healthcare costs. Such complications can be delayed or avoided by taking prescribed medications in conjunction with a healthy lifestyle (i.e., diet and physical activity). The American College of Sports Medicine and the American Diabetes Association recommend that diabetic people reduce total sedentary time by incorporating physical activity into their weekly routine. This narrative literature review aims to summarize and present the main guidelines, pre-exercise cardiovascular screening recommendations, and considerations for patients with diabetes and comorbidities who are planning to participate in physical activity programs. Full article
(This article belongs to the Special Issue Effects of Physical Activities on People with Diabetes)

Other

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15 pages, 1364 KiB  
Systematic Review
The Effect of Exercise on Cardiovascular Autonomic Nervous Function in Patients with Diabetes: A Systematic Review
by Hidetaka Hamasaki
Healthcare 2023, 11(19), 2668; https://doi.org/10.3390/healthcare11192668 - 01 Oct 2023
Cited by 3 | Viewed by 1446
Abstract
Background: Diabetic neuropathy, including autonomic neuropathy, is a severe complication in patients with poorly controlled diabetes. Specifically, cardiovascular autonomic neuropathy (CAN) plays a significant prognostic role in cardiovascular morbidity and mortality. Exercise, an essential component of diabetes treatment, may have a therapeutic effect [...] Read more.
Background: Diabetic neuropathy, including autonomic neuropathy, is a severe complication in patients with poorly controlled diabetes. Specifically, cardiovascular autonomic neuropathy (CAN) plays a significant prognostic role in cardiovascular morbidity and mortality. Exercise, an essential component of diabetes treatment, may have a therapeutic effect on patients with diabetes complicated by CAN. However, it remains unclear whether exercise has a therapeutic or protective effect in diabetes patients with CAN. Methods: The author conducted a systematic search of PubMed/MEDLINE, Embase, and The Cochrane Library, resulting in the identification of eight eligible randomized controlled trials for this review. Results: Exercise, including aerobic exercise combined with resistance training (RT), high-intensity interval training, and progressive RT, has shown a beneficial effect on cardiac autonomic function (CAF) in patients with type 2 diabetes, as measured by heart rate variability, heart rate recovery, and baroreflex sensitivity. However, most studies had low quality. Moreover, there were no relevant studies examining the effect of exercise on CAF in older patients, patients with poorly controlled diabetes, and patients with type 1 diabetes. Conclusions: Exercise has the potential to manage patients with CAN by balancing sympathetic and parasympathetic nervous system functions; however, further studies are warranted in the future. Full article
(This article belongs to the Special Issue Effects of Physical Activities on People with Diabetes)
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