Physical exercise in type 1 diabetes: recommendations and care

Detalhes bibliográficos
Autor(a) principal: Mascarenhas,Luis Paulo Gomes
Data de Publicação: 2016
Outros Autores: Decimo,Juliana Pereira, Lima,Valderi Abreu de, Kraemer,Gabriela de Carvalho, Lacerda,Kátia Regina Castro de, Nesi-França,Suzana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Motriz (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742016000400223
Resumo: Abstract The management of type 1 diabetes mellitus (T1DM) is based on three pillars: insulin therapy, nutrition, and regular practice of physical activity. Physical exercises are associated with metabolic demands that depend on the individual's energy stores and level of physical conditioning, and vary according to environmental conditions and intensity, duration, and type of exercise. All these factors, added to eventual distress with competitions, exert influence on glucose metabolism. The athletic career of diabetic individuals is often hindered by a risk of hypoglycemia during and after the exercise, frequent hyperglycemia before, during, and after certain physical activities, occurrence of ketoacidosis, and presence of chronic microvascular and macrovascular complications. Aerobic exercises reduce the levels of blood glucose while anaerobic exercise may promote transient hyperglycemia. Although diabetic individuals may achieve excellence in sport, their physical performance should be maximized by strict blood glucose control, adequate modifications in insulin dose on the day of the exercise, and appropriate nutritional intake. This review discusses the impact of physical exercise on glucose metabolism, as well as nutritional considerations and strategies appropriate to the practice of physical exercises by patients with T1DM.
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spelling Physical exercise in type 1 diabetes: recommendations and carediabetes mellitus, type 1exercisephysical activityblood glucosenutrition therapyAbstract The management of type 1 diabetes mellitus (T1DM) is based on three pillars: insulin therapy, nutrition, and regular practice of physical activity. Physical exercises are associated with metabolic demands that depend on the individual's energy stores and level of physical conditioning, and vary according to environmental conditions and intensity, duration, and type of exercise. All these factors, added to eventual distress with competitions, exert influence on glucose metabolism. The athletic career of diabetic individuals is often hindered by a risk of hypoglycemia during and after the exercise, frequent hyperglycemia before, during, and after certain physical activities, occurrence of ketoacidosis, and presence of chronic microvascular and macrovascular complications. Aerobic exercises reduce the levels of blood glucose while anaerobic exercise may promote transient hyperglycemia. Although diabetic individuals may achieve excellence in sport, their physical performance should be maximized by strict blood glucose control, adequate modifications in insulin dose on the day of the exercise, and appropriate nutritional intake. This review discusses the impact of physical exercise on glucose metabolism, as well as nutritional considerations and strategies appropriate to the practice of physical exercises by patients with T1DM.Universidade Estadual Paulista2016-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742016000400223Motriz: Revista de Educação Física v.22 n.4 2016reponame:Motriz (Online)instname:Universidade Estadual Paulista (UNESP)instacron:UNESP10.1590/s1980-6574201600040001info:eu-repo/semantics/openAccessMascarenhas,Luis Paulo GomesDecimo,Juliana PereiraLima,Valderi Abreu deKraemer,Gabriela de CarvalhoLacerda,Kátia Regina Castro deNesi-França,Suzanaeng2016-11-21T00:00:00Zoai:scielo:S1980-65742016000400223Revistahttp://www.periodicos.rc.biblioteca.unesp.br/index.php/motrizPUBhttps://old.scielo.br/oai/scielo-oai.phpmotriz@rc.unesp.br||mauerber@rc.unesp.br||azanesco@rc.unesp.br1980-65741415-9805opendoar:2022-11-08T16:30:27.133506Motriz (Online) - Universidade Estadual Paulista (UNESP)true
dc.title.none.fl_str_mv Physical exercise in type 1 diabetes: recommendations and care
title Physical exercise in type 1 diabetes: recommendations and care
spellingShingle Physical exercise in type 1 diabetes: recommendations and care
Mascarenhas,Luis Paulo Gomes
diabetes mellitus, type 1
exercise
physical activity
blood glucose
nutrition therapy
title_short Physical exercise in type 1 diabetes: recommendations and care
title_full Physical exercise in type 1 diabetes: recommendations and care
title_fullStr Physical exercise in type 1 diabetes: recommendations and care
title_full_unstemmed Physical exercise in type 1 diabetes: recommendations and care
title_sort Physical exercise in type 1 diabetes: recommendations and care
author Mascarenhas,Luis Paulo Gomes
author_facet Mascarenhas,Luis Paulo Gomes
Decimo,Juliana Pereira
Lima,Valderi Abreu de
Kraemer,Gabriela de Carvalho
Lacerda,Kátia Regina Castro de
Nesi-França,Suzana
author_role author
author2 Decimo,Juliana Pereira
Lima,Valderi Abreu de
Kraemer,Gabriela de Carvalho
Lacerda,Kátia Regina Castro de
Nesi-França,Suzana
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Mascarenhas,Luis Paulo Gomes
Decimo,Juliana Pereira
Lima,Valderi Abreu de
Kraemer,Gabriela de Carvalho
Lacerda,Kátia Regina Castro de
Nesi-França,Suzana
dc.subject.por.fl_str_mv diabetes mellitus, type 1
exercise
physical activity
blood glucose
nutrition therapy
topic diabetes mellitus, type 1
exercise
physical activity
blood glucose
nutrition therapy
description Abstract The management of type 1 diabetes mellitus (T1DM) is based on three pillars: insulin therapy, nutrition, and regular practice of physical activity. Physical exercises are associated with metabolic demands that depend on the individual's energy stores and level of physical conditioning, and vary according to environmental conditions and intensity, duration, and type of exercise. All these factors, added to eventual distress with competitions, exert influence on glucose metabolism. The athletic career of diabetic individuals is often hindered by a risk of hypoglycemia during and after the exercise, frequent hyperglycemia before, during, and after certain physical activities, occurrence of ketoacidosis, and presence of chronic microvascular and macrovascular complications. Aerobic exercises reduce the levels of blood glucose while anaerobic exercise may promote transient hyperglycemia. Although diabetic individuals may achieve excellence in sport, their physical performance should be maximized by strict blood glucose control, adequate modifications in insulin dose on the day of the exercise, and appropriate nutritional intake. This review discusses the impact of physical exercise on glucose metabolism, as well as nutritional considerations and strategies appropriate to the practice of physical exercises by patients with T1DM.
publishDate 2016
dc.date.none.fl_str_mv 2016-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742016000400223
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65742016000400223
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s1980-6574201600040001
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Universidade Estadual Paulista
publisher.none.fl_str_mv Universidade Estadual Paulista
dc.source.none.fl_str_mv Motriz: Revista de Educação Física v.22 n.4 2016
reponame:Motriz (Online)
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Motriz (Online)
collection Motriz (Online)
repository.name.fl_str_mv Motriz (Online) - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv motriz@rc.unesp.br||mauerber@rc.unesp.br||azanesco@rc.unesp.br
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