Reference Number: 654
Year: 2021
Link: Link to original paper
Summary
Abstract
Introduction: Exercise is considered a cornerstone in achieving an optimized blood glucose level and reducing body weight, body mass index (BMI), and waist circumference. This study aimed to investigate and quantitatively summarize the literature regarding the therapeutic effects of exercise and general physical activity on glycemic control.
Methods: A systematic review and meta-analysis of the literature on the therapeutic effects of exercise on glycemic control in patients with type 2 diabetes mellitus (type 2 DM) were conducted using electronic databases. Studies with an exercise intervention lasting more than 8 weeks were included. Both qualitative and quantitative analyses were performed. Qualitative data were presented narratively in table form. Quantitative analysis was performed using a random-effects model with a 95% confidence interval and a significance level of 0.05. The Physiotherapy Evidence Database (PEDro) scale and the Cochrane Risk of Bias 2 (RoB2) tool were used to assess the quality of evidence and the risk of bias.
Results: A total of 21,559 articles were identified through different databases. Out of 21559 studies, only 32 randomized controlled trials were deemed eligible for inclusion in this study. The average exercise session was 45.15 min, while the average follow-up duration was 21.94 weeks. The mean exercise frequency according to our findings was 3.25 days/week. Almost all the studies reported decreases in glycated hemoglobin (HbA1c; P < 0.0001), fasting blood glucose (P = 0.03), BMI (P = 0.04), and waist circumference (P = 0.007) after the exercise intervention.
Conclusion: Exercise plays an important role in optimizing glycemic control and improving quality of life (QoL), BMI, and waist circumference in type 2 DM patients. Exercise could be a safe adjunct therapy to medical treatments in these patients.
Summary
Exercise is considered a cornerstone in type 2 DM management, but diabetes patients are increasingly likely to lead a sedentary lifestyle. This review investigated the effects of different exercise regimens on glycemic control, anthropometric parameters, and quality of life for type 2 DM patients. What was overall key findind? Exercise significantly affects glycemic control, induces beneficial anthropometric changes such as weight and waist circumference, and enhances quality of life.
Significance of this study to the baker
High intensity exercises such as HIIT and resistance exercises have shown to significantly improve blood glucose levels as well as have positive effects of body weight. However, low to moderate exercises such as walking can also have a positive effects on the management of blood glucose levels and help reduce weight. In addition, studies have used yoga as an intervention for type 2 DM and found significantly improved blood glucose levels as compared to standard exercise. So part of the approach to Baking as Lifestyle Medicine is incorporating exercise into the rhythm of your baking routine, we love to get our rock on and dance in the kitchen as HITT, and just a as lovely is getting outside in the fresh air and daylight joy a stroll.
