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    Lecture Slides Week3 3-2 PhysicalActivityWeight

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    ralucastanescu
    Physical activity and weight loss are important factors for managing and preventing diabetes. Maintaining a healthy weight lowers insulin resistance and risk for type 2 diabetes. Research shows that losing as little as 7% of body weight and engaging in moderate physical activity like brisk walking for 130 minutes per week can delay or prevent type 2 diabetes. For those with diabetes, regular exercise even without weight loss improves blood sugar control and reduces cardiovascular risk factors. Exercise recommendations include at least 150 minutes per week of moderate activity spread over 3 days along with resistance training twice per week.

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    Lecture Slides Week3 3-2 PhysicalActivityWeight

    Uploaded by

    ralucastanescu
    29 views13 pages
    Physical activity and weight loss are important factors for managing and preventing diabetes. Maintaining a healthy weight lowers insulin resistance and risk for type 2 diabetes. Research shows that losing as little as 7% of body weight and engaging in moderate physical activity like brisk walking for 130 minutes per week can delay or prevent type 2 diabetes. For those with diabetes, regular exercise even without weight loss improves blood sugar control and reduces cardiovascular risk factors. Exercise recommendations include at least 150 minutes per week of moderate activity spread over 3 days along with resistance training twice per week.

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    Health Promotion Notes

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    Physical activity and weight loss are important factors for managing and preventing diabetes. Maintaining a healthy weight lowers insulin resistance and risk for type 2 diabetes. Research shows that losing as little as 7% of body weight and engaging in moderate physical activity like brisk walking for 130 minutes per week can delay or prevent type 2 diabetes. For those with diabetes, regular exercise even without weight loss improves blood sugar control and reduces cardiovascular risk factors. Exercise recommendations include at least 150 minutes per week of moderate activity spread over 3 days along with resistance training twice per week.

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    29 views13 pages

    Lecture Slides Week3 3-2 PhysicalActivityWeight

    Uploaded by

    ralucastanescu
    Physical activity and weight loss are important factors for managing and preventing diabetes. Maintaining a healthy weight lowers insulin resistance and risk for type 2 diabetes. Research shows that losing as little as 7% of body weight and engaging in moderate physical activity like brisk walking for 130 minutes per week can delay or prevent type 2 diabetes. For those with diabetes, regular exercise even without weight loss improves blood sugar control and reduces cardiovascular risk factors. Exercise recommendations include at least 150 minutes per week of moderate activity spread over 3 days along with resistance training twice per week.

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    Physical Activity

    and Weight in Diabetes


    Defining Overweight & Obesity
    o kg/m
    2
    .or
    o (lb/ln
    2
    ) x 703
    !"#$%& ()&"$*+, -./ 01$23
    4
    5
    underwelghL < 18.3
    normal welghL 18.3 - 24.9
    CverwelghL 23.0 - 29.9
    Cbese > 30
    Type 2 Diabetes and Weight
    67"+8"#$%&
    8Ml: 23.0-29.9
    69":"
    8Ml > 30
    uS Men wlLh 1ype 2 86.3 33
    uS Women wlLh 1ype 2 84.2 38
    MMwk Motb Mottol weekly kep 2004,5J(45).1066-1068.
    Weight and Insul in Resistance
    o CverwelghL/welghL galn ^ lnsulln reslsLance
    o WelghL loss Lowards healLhy welghL ^ lnsulln
    sensluvlLy
    Research: Di abet es Pr event i on Pr ogram
    o llrsL large-scale Lrlal Lo assess 2 Lechnlques ln prevenung or
    delaylng developmenL of 1ype 2, 10 years, publlshed 2002
    o n=3,234, overwelghL, lC1, 43 were from hlgh rlsk groups:
    AA, Plspanlc, Aslan-A, ac-lslander, nA
    o 8andomlzed Lo 1 of 3: llfesLyle (dleL & exerclse, 130 mln/
    week, 7 welghL loss) or meuormln (830 mg bld) or
    placebo
    o ;":<=&:> ? +#:1 @"7"=*A B. *C DEF C*+ GH( 0IJF #K LMN5O
    DF #K GH( $+*<A @"7"=*A"@ B.O JJF C*+ K*KPGH( $+*<A:
    o Meuormln helpful Lo delay onseL of uM (31 88)
    N oql I MeJ 2002, J46.J9J-40J
    Research: Type 2 Diabetes & Weight
    o 3 body welghL loss assoclaLed wlLh j lnsulln
    reslsLance, lmproved glycemla and llpemla and j
    8
    o Look APLAu (Acuon for PealLh ln ulabeLes) 1 year
    resulLs show LhaL aL average 8.6 welghL loss from
    lnLenslve llfesLyle lnLervenuon group had j 8, j
    1C, ^ PuL & overall beuer dlabeLes and Cvu rlsk
    facLor proles Lhan supporL & ed group
    ulobetes cote. 2004 Aoq,27(8).2067-7J, ulobetes cote. 2007 Ioo,J0(6).1J74-8J
    Prediabetes Recommendations
    o redlabeLes: aL hlgh rlsk for developlng
    dlabeLes
    o SLrucLured program LhaL emphaslze llfesLyle
    changes, LhaL lnclude:
    7 body welghL loss
    8egular physlcal acuvlLy (130 mln/week)
    8educed calorles and reduced faL lnLake
    ulobetes cote. Iooooty 2012 vol J5 oo 5opplemeot 1 511-56J.
    Physical Activity Recommendations
    eople wlLh dlabeLes should perform:
    o AL leasL 130 mln/week
    o ModeraLe-lnLenslLy physlcal acuvlLy
    o 30-70 maxlmum hearL raLe
    o Spread over aL leasL 3 days/week
    o no more Lhan 2 consecuuve days w/o acuvlLy
    ulobetes cote. Iooooty 2012 vol J5 oo 5opplemeot 1 511-56J.
    Target Hear t Rate
    Maxlmum age-relaLed hearL raLe: 220 - age ln yr
    o WhaL ls a 30 year old person's esumaLed
    maxlmum hearL raLe?
    o WhaL ls 30-70 of Lhls esumaLed maxlmum
    hearL raLe?
    cuc, lbyslcol Acuvlty, 1otqet neott kote ooJ sumoteJ Moxlmom neott kote, ovolloble ot.
    bup.//www.cJc.qov/pbyslcolocuvlty/evetyooe/meosotloq/beotttote.btml
    Physical Activity Recommendations
    eople wlLh Lype 2 dlabeLes:
    o 8eslsLance Lralnlng aL leasL Lwlce per week
    o Cnly ln absence of conLralndlcauons
    ulobetes cote. Iooooty 2012 vol J5 oo 5opplemeot 1 511-56J.
    Research: Exercise and Diabetes
    o SLrucLured exerclse lnLervenuons of aL leasL 8-
    weeks ln durauon:
    Lower A1c by average 0.66 ln Lhose wlLh 1ype 2
    Cccurs even wlLh no slgnlcanL change ln 8Ml
    o 8egular exerclse has been shown Lo:
    lmprove blood glucose conLrol and well-belng
    8educe Cvu rlsk facLors and promoLe welghL loss
    N oql I MeJ 2002, J46.J9J-40J, IAMA 2001,5ep 12,286(10).1218-27
    Hypogl ycemia
    lor Lhose on lnsulln or lnsulln secreLagogues:
    o hyslcal acuvlLy can cause hypoglycemla lf medlcauon
    dose or carbohydraLe consumpuon noL alLered
    o CarbohydraLe should be Laken lf preexerclse glucose
    levels are < 100 mg/dL (3.6 mmol/L)
    o Pypoglycemla rare ln dlabeuc lndlvlduals noL LeraLed
    wlLh lnsulln or secreLagogues - no prevenuve measure
    for Lhem
    ulobetes cote. Iooooty 2012 vol J5 oo 5opplemeot 1 511-56J.
    For More Infor mation
    o ulabeLes revenuon rogram:
    hup://dlabeLes.nlddk.nlh.gov/dm/pubs/prevenuonprogram/
    o CuC - revenL ulabeLes:
    hup://www.cdc.gov/dlabeLes/consumer/prevenL.hLm
    o WPC - 1he CosL of ulabeLes:
    hup://www.who.lnL/medlacenLre/facLsheeLs/fs236/en/
    o nauonal ulabeLes lnformauon Clearlnghouse - WhaL l need Lo know
    abouL hyslcal AcuvlLy and ulabeLes:
    hup://dlabeLes.nlddk.nlh.gov/dm/pubs/physlcal_ez/

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