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Position Statement

Exercise and Type 2 Diabetes

The American College of Sports Medicine and the American Diabetes Association: joint position statement

  1. Sheri R. Colberg, PHD, FACSM1,
  2. Ronald J. Sigal, MD, MPH, FRCP(C)2,
  3. Bo Fernhall, PHD, FACSM3,
  4. Judith G. Regensteiner, PHD4,
  5. Bryan J. Blissmer, PHD5,
  6. Richard R. Rubin, PHD6,
  7. Lisa Chasan-Taber, SCD, FACSM7,
  8. Ann L. Albright, PHD, RD8 and
  9. Barry Braun, PHD, FACSM9
  1. 1Human Movement Sciences Department, Old Dominion University, Norfolk, Virginia;
  2. 2Departments of Medicine, Cardiac Sciences, and Community Health Sciences, Faculties of Medicine and Kinesiology, University of Calgary, Calgary, Alberta, Canada;
  3. 3Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, Illinois;
  4. 4Divisions of General Internal Medicine and Cardiology and Center for Women's Health Research, University of Colorado School of Medicine, Aurora, Colorado;
  5. 5Department of Kinesiology and Cancer Prevention Research Center, University of Rhode Island, Kingston, Rhode Island;
  6. 6Departments of Medicine and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland;
  7. 7Division of Biostatistics and Epidemiology, University of Massachusetts, Amherst, Massachusetts;
  8. 8Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia;
  9. 9Department of Kinesiology, University of Massachusetts, Amherst, Massachusetts.
  1. Corresponding author: Sheri R. Colberg, scolberg{at}odu.edu.
Diabetes Care 2010 Dec; 33(12): e147-e167. https://doi.org/10.2337/dc10-9990
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Abstract

Although physical activity (PA) is a key element in the prevention and management of type 2 diabetes, many with this chronic disease do not become or remain regularly active. High-quality studies establishing the importance of exercise and fitness in diabetes were lacking until recently, but it is now well established that participation in regular PA improves blood glucose control and can prevent or delay type 2 diabetes, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life. Structured interventions combining PA and modest weight loss have been shown to lower type 2 diabetes risk by up to 58% in high-risk populations. Most benefits of PA on diabetes management are realized through acute and chronic improvements in insulin action, accomplished with both aerobic and resistance training. The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes mellitus, and safe and effective practices for PA with diabetes-related complications.

Footnotes

  • This joint position statement is written by the American College of Sports Medicine and the American Diabetes Association and was approved by the Executive Committee of the American Diabetes Association in July 2010. This statement is published concurrently in Medicine & Science in Sports & Exercise and Diabetes Care. Individual name recognition is stated in the acknowledgments at the end of the statement.

  • The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

  • See accompanying article, p. 2692.

  • © 2010 by the American Diabetes Association.

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.

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Diabetes Care: 33 (12)

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December 2010, 33(12)
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Exercise and Type 2 Diabetes
Sheri R. Colberg, Ronald J. Sigal, Bo Fernhall, Judith G. Regensteiner, Bryan J. Blissmer, Richard R. Rubin, Lisa Chasan-Taber, Ann L. Albright, Barry Braun
Diabetes Care Dec 2010, 33 (12) e147-e167; DOI: 10.2337/dc10-9990

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Exercise and Type 2 Diabetes
Sheri R. Colberg, Ronald J. Sigal, Bo Fernhall, Judith G. Regensteiner, Bryan J. Blissmer, Richard R. Rubin, Lisa Chasan-Taber, Ann L. Albright, Barry Braun
Diabetes Care Dec 2010, 33 (12) e147-e167; DOI: 10.2337/dc10-9990
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  • Article
    • Abstract
    • Introduction
    • ACUTE EFFECTS OF EXERCISE
    • CHRONIC EFFECTS OF EXERCISE TRAINING
    • PA AND PREVENTION OF TYPE 2 DIABETES
    • PA AND PREVENTION AND CONTROL OF GDM
    • PREEXERCISE EVALUATION
    • RECOMMENDED PA PARTICIPATION FOR PERSONS WITH TYPE 2 DIABETES
    • EXERCISE WITH NONOPTIMAL BG CONTROL
    • MEDICATION EFFECTS ON EXERCISE RESPONSES
    • EXERCISE WITH LONG-TERM COMPLICATIONS OF DIABETES
    • ADOPTION AND MAINTENANCE OF EXERCISE BY PERSONS WITH DIABETES
    • CONCLUSIONS
    • Acknowledgments
    • Footnotes
    • References
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More in this TOC Section

  • Evaluation and Management of Youth-Onset Type 2 Diabetes: A Position Statement by the American Diabetes Association
  • Type 1 Diabetes in Children and Adolescents: A Position Statement by the American Diabetes Association
  • Diabetes and Hypertension: A Position Statement by the American Diabetes Association
Show more Position Statement

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