Exercise training for patients with type 2 diabetes and cardiovascular disease: What to pursue and how to do it. A Position Paper of the European Association of Preventive Cardiology (EAPC)

  • Hareld Kemps
    Department of Cardiology, Máxima Medical Centre, Veldhoven, The Netherlands
  • Nicolle Kränkel
    Charité – Universitätsmedizin Berlin, Klinik für Kardiologie, Campus Benjamin Steglitz, Germany
  • Marcus Dörr
    University Medicine Greifswald, Department of Internal Medicine B, Germany
  • Trine Moholdt
    Department of Circulation and Medical Imaging, Norwegian University of Science and Technology Trondheim, Norway
  • Matthias Wilhelm
    Department of Cardiology, Bern University Hospital and University of Bern, Switzerland
  • Francesco Paneni
    Centre for Molecular Cardiology and Cardiology, Zurich University Hospital, University of Zurich, Switzerland
  • Luis Serratosa
    Hospital Universitario Quironsalud, Madrid, Spain
  • Erik Ekker Solberg
    Diakonhjemmet Hospital, Department of Medicine, Oslo, Norway
  • Dominique Hansen
    Hasselt University, Faculty of Rehabilitation Sciences, Diepenbeek, Belgium
  • Martin Halle
    Technical University Munich, Department of Prevention, Rehabilitation and Sports Medicine, Germany
  • Marco Guazzi
    University Cardiology Department and Heart Failure Unit and Cardiopulmonary Laboratory, Cardiology, I.R.C.C.S., Milan, Italy

書誌事項

公開日
2019-01-14
権利情報
  • http://journals.sagepub.com/page/policies/text-and-data-mining-license
DOI
  • 10.1177/2047487318820420
公開者
Oxford University Press (OUP)

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説明

<jats:p>Patients with type 2 diabetes mellitus suffer from dysregulation of a plethora of cardiovascular and metabolic functions, including dysglycaemia, dyslipidaemia, arterial hypertension, obesity and a reduced cardiorespiratory fitness. Exercise training has the potential to improve many of these functions, such as insulin sensitivity, lipid profile, vascular reactivity and cardiorespiratory fitness, particularly in type 2 diabetes mellitus patients with cardiovascular comorbidities, such as patients that suffered from an acute myocardial infarction, or after a coronary intervention such as percutaneous coronary intervention or coronary artery bypass grafting. The present position paper aims to provide recommendations for prescription of exercise training in patients with both type 2 diabetes mellitus and cardiovascular disease. The first part discusses the relevance and practical applicability of treatment targets that may be pursued, and failure to respond to these targets. The second part provides recommendations on the contents and methods to prescribe exercise training tailored to these treatment targets as well as to an optimal preparation and dealing with barriers and risks specific to type 2 diabetes mellitus and cardiac comorbidity.</jats:p>

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