C. J. C. is supported by the National Institutes of Health through grants 1T34GM141989-01, 5UL1GM118964-07, 5TL4GM118965-07, and 5RL5GM118963-07. J. A. K. is supported by the National Institutes of Health R01 DK101513. J. P. K. is supported by the National Institutes of Health through grants U54 GM104940, U54 GM104940-S2, U54 GM104940-S3, U01 DK114156, P01 HL103453, R01 HD088061, and R01 DK114156. S. K. M. is supported by National Institutes of Health R01-HL130296. J. R. Z. was supported by the Swedish Research Council (Vetenskapsrådet; 2015-00165), the Strategic Research Program in Diabetes at Karolinska Institutet (2009-1068), the Swedish Research Council for Sport Science (P2018-0097), and Novo Nordisk Foundation (NNF17OC0030088).
Medicine and Science in Sports and Exercise
Diabetes, Diabetes -- Treatment, Behavior modification, Blood sugar monitoring
This consensus statement is an update of the 2010 American College of Sports Medicine position stand on exercise and type 2 diabetes. Since then, a substantial amount of research on select topics in exercise in individuals of various ages with type 2 diabetes has been published while diabetes prevalence has continued to expand worldwide. This consensus statement provides a brief summary of the current evidence and extends and updates the prior recommendations. The document has been expanded to include physical activity, a broader, more comprehensive definition of human movement than planned exercise, and reducing sedentary time. Various types of physical activity enhance health and glycemic management in people with type 2 diabetes, including flexibility and balance exercise, and the importance of each recommended type or mode are discussed. In general, the 2018 Physical Activity Guidelines for Americans apply to all individuals with type 2 diabetes, with a few exceptions and modifications. People with type 2 diabetes should engage in physical activity regularly and be encouraged to reduce sedentary time and break up sitting time with frequent activity breaks. Any activities undertaken with acute and chronic health complications related to diabetes may require accommodations to ensure safe and effective participation. Other topics addressed are exercise timing to maximize its glucose-lowering effects and barriers to and inequities in physical activity adoption and maintenance.
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Kanaley, J. A., Colberg, S. R., Corcoran, M. H., Malin, S. K., Rodriguez, N. R., Crespo, C. J., ... & Zierath, J. R. (2022). Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine. Medicine and science in sports and exercise, 54(2), 353-368.