Cited by 567Physical Activity and HealthDiabetes Management and ResearchDiabetes, Cardiovascular Risks, and Lipoproteins

Exercise and Type 2 Diabetes: American College of Sports Medicine and the American Diabetes Association Joint Position Statement

Sheri R. Colberg, Ann L. Albright, Bryan J. Blissmer, Barry Braun, Lisa Chasan‐Taber, Bo Fernhall, Judith G. Regensteiner, Richard R. Rubin +1 more·2010·Medicine & Science in Sports & Exercise

Abstract

Although physical activity (PA) is a key element in the prevention and management of type 2 diabetes mellitus (T2DM), many with this chronic disease do not become or remain regularly active. High-quality studies establishing the importance of exercise and fitness in diabetes were lacking until recently, but it is now well established that participation in regular PA improves blood glucose control and can prevent or delay T2DM, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life. Structured interventions combining PA and modest weight loss have been shown to lower T2DM risk by up to 58% in high-risk populations. Most benefits of PA on diabetes management are realized through acute and chronic improvements in insulin action, accomplished with both aerobic and resistance training. The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes, and safe and effective practices for PA with diabetes-related complications.

Integrity signals

Registry

Crossref · 10.1249/mss.0b013e3181eeb61c

Cites

271 of 271 references verified0 citation errors · 0 not checkable

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  • Physical activity improves blood sugar control through decreased inflammation, activation of insulin-independent glucose pathways, and reduced sympathetic response.

    “PA is effective in treatment of diabetes and is believed to improve blood sugar control by 1) decreasing inflammation to improve insulin sensitivity, 2) activating insulinindependent glucose pathways, and 3) reducing sympathetic response”
  • Light physical activity forms improve balance and gait, minimizing fall risk.

    “These forms of light PA are useful also for their improvements in balance and gait, minimizing fall risk.”
  • Increased sedentary behavior may be a risk factor for various health outcomes independent of physical activity.

    “Increased sedentary behavior, defined as “any waking behavior with an energy expenditure of 1.5 metabolic equivalents (METs) or less in a sitting or reclining posture” may be a risk factor for various health outcomes independent of physical activity588–590).”

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Authors
Colberg, S. R., Albright, A. L., Blissmer, B. J., Braun, B., Chasan‐Taber, L., Fernhall, B., Regensteiner, J. G., Rubin, R. R., & Sigal, R. J.
Venue
Medicine & Science in Sports & Exercise
Published
2010-12
Volume
42
Issue
12
Pages
2282-2303
ISSN
0195-9131 (ISSN-L)
OpenAlex
W2419454807
Cited by
567
References
271
Citations by year
2026: 16 · 2025: 18 · 2024: 21 · 2023: 22 · 2022: 41 · 2021: 21 · 2020: 36 · 2019: 38 · 2018: 44 · 2017: 57 · 2016: 51 · 2015: 46 · 2014: 51 · 2013: 40 · 2012: 38
FWCI
22.09
Type
journal article
Language
en
Open access
closed
Locations
  • Medicine & Science in Sports & Exercise (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
type 2 diabetes, physical activity, diabetes prevention, glycemic control, insulin sensitivity, aerobic exercise, resistance training, weight loss, gestational diabetes mellitus, diabetes complications, cardiovascular risk
MeSH terms
Diabetes Mellitus, Type 2, Humans, Sports Medicine, Exercise

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