Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is one of the main causes of increasing global health morbidity and mortality for diabetes cases. Increasing the glycemic control in patients with T2DM is not enough if it is only treated with anti-hyperglycemic drugs. Physical exercise is an activity that is planned, structured and carried out to improve health or physical fitness and it is an effective way to improve glycemic control. The aim of this study was to search and review the research on effectiveness of physical exercise on glycemic control in T2DM.Methods: We searched the scientific literature on T2DM and physical exercise in the ScienceDirect, ProQuest, Scopus, Ebsco and Pubmed databases for original research studies and then we reviewed them systematically. Of the 1145 articles retrieved, 14 studies were obtained by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodResults: Aerobic physical exercise improved the glycemic control of T2DM and it was widely used and significant for glycemic control. The schedule of 3 times a week for 60 minutes per session over 2 months was widely used and significant when it came to reducing blood glucose and hemoglobin A1c (HbA1c).Conclusion: This systematic review could be used as evidence when carrying out aerobic physical exercise interventions for the purpose of glycemic control.

Highlights

  • Type 2 diabetes mellitus (T2DM) is one of the main causes of increasing global health morbidity and mortality for diabetes cases

  • Aerobic physical exercise improved the glycemic control of T2DM and it was widely used and significant for glycemic control

  • This systematic review could be used as evidence when carrying out aerobic physical exercise interventions for the purpose of glycemic control

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Summary

Introduction

Type 2 diabetes mellitus (T2DM) is one of the main causes of increasing global health morbidity and mortality for diabetes cases. The World Health Organization (WHO) and the International Diabetes Federation (IDF) reported that the number of patients with diabetes worldwide was projected to increase to more than 300 million people in 2025 and 366 million by 2030. This is up from 171 million in 2000 (Animaw & Seyoum, 2017). Different associations such as the American Diabetes Association (ADA), the American College of Physicians (ACP) and the International Diabetes Federation (IDF) assumed that the goal of glycemic control was to decrease the HbA1c level, as shown by the epidemiology analysis where each decrease by 1% in HbA1c is associated with a 14% reduction in the risk of myocardial infarction (MI), a 21% reduction in mortality associated with T2DM and a 37% reduction in microvascular complications (A et al, 2012)

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