ACSM Statement on Exercise and Type 2 Diabetes

ACSM Statement on Exercise and Type 2 Diabetes – American College of Sports Medicine

Monica Preboth

The American College of Sports Medicine (ACSM) has released a position stand on exercise and type 2 diabetes (formerly known as non- insulin-dependent diabetes). The statement covers the positive therapeutic benefits of exercise, resistance training and flexibility training in persons with diabetes. The ACSM statement appears in the July 2000 issue of Medicine & Science in Sports & Exercise.

According to the ACSM position stand, 10.3 million cases of type 2 diabetes have been diagnosed and nearly 5 million additional undiagnosed cases exist. The goal of treatment of type 2 diabetes should be the achievement and maintenance of normal or near-normal blood glucose levels and optimal lipid levels. The degree of blood glucose level control in obese patients with type 2 diabetes seems to be directly proportional to the amount of physical activity the patient performs. The effects are not as clear for the non-obese patient.

The ACSM makes the following recommendations about exercise for patients with type 2 diabetes:

* Persons with diabetes or who are pre-disposed to the disease should be screened and advised by a physician and a physical activity program should be developed.

* In patients with type 2 diabetes, the goal for energy expenditure should be a minimum of 1,000 calories per week.

* Persons with diabetes should participate in at least three nonconsecutive days of exercise per week, for 10 to 15 minutes per session at 45 to 70 percent maximum heart rate.

* The rate of progression of intensity should depend on the patient’s age, functional capacity, medical status and personal goals.

For a copy of the position stand, visit the ACSM Web site at http:// www.acsm.org.

COPYRIGHT 2001 American Academy of Family Physicians

COPYRIGHT 2001 Gale Group