Physical Activity Clinical Practice Guidelines: What's New in 2013?

摘要

Physical activity has long been considered an important component of diabetes management (1), and evidence of its effectiveness has grown considerably over the past decade. For the 2013 Canadian Diabetes Association's Clinical Practice Guidelines (CPGs) on Physical Activity and Diabetes (2), an expert committee re-examined the evidence relevant to physical activity and diabetes management, focusing on data published since 2008. The authors also were members of the expert panel. The committee included experts with experience in family medicine, endocrinology, exercise physiology and physical activity research. Since 2008, evidence has continued to mount in support of physical activity in the management of diabetes. Before beginning the process of guidelines revision, the expert panel met and discussed which new topics related to physical activity but not covered in the 2008 CPGs should be added. The three new topics chosen by consensus were types of exercise other than aerobic and resistance exercise, minimizing risk of heat-related illness, and behavioural strategies to promote exercise adherence. In addition, the expert panel revised recommendations based on important new evidence on the use of screening asymptomatic people with diabetes for cardiovascular disease (CVD), exercise in people with diabetic neuropathy and new strategies to reduce risk of exercise-induced hypoglycemiain patients with type 1 diabetes.