糖尿病教育权威英文2_5 Physical activity.ppt

Physical activity Section 2 | Part 5 of 6 Curriculum Module III–4 | Physical activity Health benefits of physical activity /1 Reduces total cholesterol levels Increases HDL levels Reduces blood pressure levels Reduces joint pain and stiffness in osteoarthritis Reduces the risk of coagulation abnormalities Health benefits of physical activity /2 Reduces obesity Reduces risk of colon and other cancers Improves intermittent claudication Improves cardiovascular health Reduces coronary artery disease Health benefits of physical activity /3 Improves work, recreational and sports performance Decreases number of ‘sick’ days Decreases fatigue in daily activities, improves mood and self-esteem Improves quality of sleep Decreases stress Encourages social interaction Enhances quality of life Health benefits of physical activity in type 2 diabetes Improved insulin sensitivity and therefore better blood glucose control Increased glucose utilization Decreased glucose production from the liver Decrease in circulating insulin levels during exercise Physical activity in the prevention of type 2 diabetes Physical activity in the prevention of type 2 diabetes Physical activity and food Exercise combined with caloric restriction Modifies visceral fat and distribution of body fat Increases muscle mass Types of exercise Aerobic exercise uses large muscle groups and requires oxygen for sustained periods Anaerobic (resistance) exercise uses large muscles which do not require oxygen for short periods of exercise Yoga Yoga helps to reduce stress by lowering counter-regulatory hormones This improves the insulin sensitivity and thereby lowers blood glucose Advantage: does not cause hypoglycaemia as with other types of exercise Recommendations People with type 2 diabetes should accumulate 150 minutes of moderate-intense aerobic exercise each week, spread over 3 non-consecutive days People with diabetes should be encouraged to perform resistance exercise 3 times a week Recommendations