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Exercise therapy for patients with metabolic syndrome


Authors: H. Svačinová
Authors‘ workplace: Klinika funkční diagnostiky a rehabilitace Lékařské fakulty MU a FN u sv. Anny, Brno, přednostka prof. MUDr. Jarmila Siegelová, DrSc.
Published in: Vnitř Lék 2007; 53(5): 540-544
Category:

Overview

The author presents a list of physical activity effects in metabolic and cardiovascular adaptation and current knowledge of the molecular mechanism of the effect of exercise on insulin resistance. The main principles for the prescription of exercise therapy for patients with metabolic syndrome are presented. The role of patient motivation and compliance is emphasised as part of a complex approach to the treatment of metabolic syndrome; it has a substantial influence on the results of treatment.

Key words:
metabolic syndrome – physical activity – insulin resistance


Sources

1. Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes 1988; 37: 1595-1607.

2. Wannamethee SG, Shaper AG, Walker M. Changes in physical activity, mortality and incidence of coronary heart disease in older men. Lancet 1998; 30: 1603-1608.

3. Haapanen N, Miilunpalo S, Vuori OP et al. Association of leisure time physical activity with the a risk of coronary heart disease, hypertension and diabetes in middle-aged men and women. Int J Epidemiol 1998; 27: 335-336.

4. Lee IM, Rexrode KM, Cook NR et al. Physical activity and coronary heart disease in women: is “no pain, no gain” passe? JAMA 2001; 285: 1447-1454.

5. Laukkanen JA, Lakka TA, Raurama P et al. Cardiovascular fitness as a predictor of mortality in men. Arch Intern Med 2001; 26: 825-831.

6. Blair SN, Kampert JB, Kohl HW 3rd et al. Influences of Cardiorespiratory Fitness and Other Precursors on Cardiovascular Disease and All-Cause Mortality in Men and Women. JAMA 1996; 276: 205-210.

7. Laaksonen DE, Lakka HM, Salonen JT et al. Low Levels of Leisure-Time Physical Activity and Cardiorespiratory Fitness predict development of the Metabolic Syndrome. Diabetes Care 2002; 25: 1612-1618.

8. Lakka TA, Laaksonen DE, Lakk HM et al. Sedentary Life Style, Poor Cardiorespiratory Fitness, and the Metabolic Syndrome. Med Sci Sports Exerc 2003; 8: 1279-1286.

9. Whaley MH, Kampert JB, Kohl HV 3rd et al. Physical fitness and clustering of risk factors associated with the metabolic syndrome. Med Sci Sports Exerc 1999; 31: 287-293.

10. Lee DD, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition, and all cause and cardiovascular disease mortality in men. Am J Clin Nutr 1999; 69: 373-380.

11. Ploug T, Stallknecht BM, Pedersen O et al. Effects of endurance training on glucose transport capacity and glucose transporter expression in rat skeletal muscle. Am J Physiol 1990; 259: 778-786.

12. Banks EA jr, Brozinick JT, Yaspelkis BB 3rd et al. Muscle glucose transport, GLUT-4 content, and degree of exercise training in obese Zucker rats. Am J Physiol 1992; 263: E1010-E1015.

13. Henriksen EJ. Invited review: effects of acute exercise and exercise training on insulin resistance. J Appl Physiol 2002; 93: 788-796.

14. Houmard JA, Shinebarger MH, Dolan PL et al. Exercise training increases GLUT-4 protein concentration in previously sedentary middle-aged men. Am J Physiol 1993; 264: E896-E901.

15. Holmes B, Dohm GL. Regulation of GLUT4 Gene Expression during Exercise. Med Sci Sports Exerc 2004; 7: 1202-1206.

16. Krook A, Wallberg-Henriksson H, Zierath JR. Sending the Signal. Molecular Mechanisms Regulating Glucose Uptake. Med Sci Sports Exerc 2004; 7: 1212-1217.

17. Wojtaszevski JFP, Birk JB, Frosig Ch et al. 5´AMP activated protein kinase expression in human skeletal muscle: effects of strength training and type 2 diabetes. J Physiol 2005; 564: 563-573.

18. Dengel DR, Pratley RE, Hagberg JM et al. Distinct effects of aerobic exercise training and weight loss on glucose homeostasis in obese sedentary men. J Appl Physiol 1996; 81: 318-325.

19. Holloszy JO, Schultz J, Kusnierkiewicz J et al. Effects of exercise on glucose tolerance and insulin resistance. Acta Med Scand 1986; Suppl 711: 55-65.

20. Hughes VA, Fiatrone MA, Fielding RA et al. Exercise increases muscle GLUT-4 levels and insulin action in subjects with impaired glucose tolerance. Am J Physiol 1993; 264: E855-E862.

21. Kelley DE, Goodpasture BH Effects of exercise on glucose homeostasis in Type 2 diabetes mellitus. Med Sci Sports Exerc 2001; 33(Suppl 6): S495-S501.

22. Howorka K, Pumprla J, Haber P et al. Effects of physical training on heart rate variability in diabetic patients with various degrees of cardiovascular autonomic neuropathy. Cardiovasc Res 1997; 34: 206-214.

23. Svačinová H, Siegelová J, Olšovský J et al. Baroreflex sensitivity in patients with type 2 diabetes mellitus: effect of exercise. Scripta medica LF MU Brno 2002; 4: 209-213.

24. Miller WJ, Shermann WM, Ivy JL. Effect of strength training on glucose tolerance and post-glucose insulin response. Med Sci Sports Exerc 1984; 16: 539-543.

25. Fluckey JD, Hickey MS, Brambrink JK et al. Effects of resistance exercise on glucose tolerance in normal and glucose-intolerance subjects. J Appl Physiol 1994; 77: 1087-1092.

26. Maiorana A, O’Driscoll G, Goodman C et al. Combined aerobic and resistance exercise improves glycemic control and fitness in type 2 diabetes. Diabetes Res Clin Pract 2002; 2: 115-123.

27. Hejnová J, Majerčík M, Richterová B et al. Vliv silově dynamického tréninku na inzulinovou rezistenci u jedinců s obezitou a diabetem II. typu. DMEV 2003(Suppl 3): 38.

28. Elbl L, Chaloupka V, Nehyba S et al. Význam kombinovaného rehabilitačního programu u nemocných s chronickou ischemickou chorobou srdeční. Vnitř Lék 2005; 51: 957-964.

29. Jančík J, Svačinová H, Dobšák P et al. Kombinovaný trénink u nemocných se systolickou dysfunkcí levé komory srdeční. Vnitř Lék 2003; 49: 280-284.

30. Máček M, Máčková J. Může pravidelná pohybová aktivita prodloužit život? Med Sport Boh Slov 1999; 8: 65-71.

31. Rosolová H. Deprese a metabolický syndrom. In: Svačina Š et al. Metabolický syndrom. Praha: Triton 2006: 166-168.

32. Svačinová H, Olšovský J, Žáčková V et al. Vliv tréninku chůzí na aerobní kapacitu a krevní lipidy u diabetiků 2. typu. Vnitř Lék 2003; 49: 205-209.

33. Špác J. Je současný tělesný trénink nezbytnou součástí léčby chronické ICHS i v 21. století? - editorial. Vnitř Lék 2005; 51: 930-933.

34. Říhová M. Pohyb jako prevence i terapie ve středověku (1). Čas Lék Čes 1999; 138: 374-375.

Labels
Diabetology Endocrinology Internal medicine

Article was published in

Internal Medicine

Issue 5

2007 Issue 5

Most read in this issue
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