Effect of Exercise on Cardiovascular Disease in Patients with Diabetes Mellitus (Aerobic vs. Resistance).

Yang,  Sae Jeong; Choi,  Kyung Mook

doi:2011.12.1.25

J Korean Diabetes > Volume 12(1); 2011 > Article

Focused Issue

The Journal of Korean Diabetes 2011;12(1):25-28.
DOI: https://doi.org/10.4093/kcd.2011.12.1.25 Published online March 1, 2011.

당뇨병과 운동 ; 운동이 당뇨병환자의 심혈관질환에 미치는 영향 (유산소 vs. 저항성)

양세정, 최경묵

Effect of Exercise on Cardiovascular Disease in Patients with Diabetes Mellitus (Aerobic vs. Resistance).

Sae Jeong Yang, Kyung Mook Choi

Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. medica7@gmail.com

Abstract

The beneficial effects of exercise in patients with type 2 diabetes mellitus (T2DM) are caused by improvement of various cardiovascular risk factors. Previous studies have shown that there is a dose-dependent negative relationship between aerobic exercise and risk of cardiovascular disease (CVD). Furthermore, many recent studies reported that both aerobic and resistance exercise are equally beneficial for improvement of diverse CVD risk factors as well as better glucose control. Exercise especially improves HbA1c, HDL-cholesterol, blood pressure, and central obesity.Aerobic exercise that uses large muscle structure leads to improve aerobic fitness (VO2max). Increase of VO2max and improvement of insulin sensitivity is strongly correlated. On the other hand, resistance exercise induces a hypertrophy of muscle and muscle-fiber type shifting. Therefore, resistance training is beneficial for increment of muscle mass. These changes allow potential increase of glucose utilization. In patients with type 2 diabetes, exercise training is useful for controlling glucose and other metabolic risk factors. However, exercise training must be implemented with proper pre-assessment of cardiovascular risk.

Key Words: Aerobic exercise, Resistance exercise, Type 2 diabetes, Cardiovascular disease