Mechanisms of aerobic exercise impairment in diabetes: a narrative review
Open accessAbstract
The prevalence of diabetes in the United States and globally has been rapidly increasing over the last several decades. There are now estimated to be 30.3 million people in the United States and 422 million people worldwide with diabetes. Diabetes is associated with a greatly increased risk of cardiovascular mortality, which is the leading cause of death in adults with diabetes. While exercise training is a cornerstone of diabetes treatment, people with diabetes have well-described aerobic exercise impairments that may create an additional diabetes-specific barrier to adding regular exercise to their lifestyle. Physiologic mechanisms linked to exercise impairment in diabetes include insulin resistance, cardiac abnormalities, mitochondrial function, and the ability of the body to supply oxygen. In this paper, we highlight the abnormalities of exercise in type 2 diabetes as well as potential therapeutic approaches.
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Many studies have reported that individuals with type 2 diabetes suffer from disease-related barriers to exercise adoption and diet modulation.
“Further, many studies have reported that individuals withT2D suffer from disease‐related barriers to exercise adoption and diet modulation (Vijan 2005; Wahl 2018).”
From Mindfulness-based interventions for adults with type 2 diabetes mellitus (2021) · cites this paper as Wahl 2018
The Abstract and Clinical Impact sections describe diabetes-related exercise impairments that may make regular exercise harder for people with T2D. They do not describe disease-related barriers to diet modulation, so Wahl (2018) supports only the exercise portion of the claim. The supplied copy has no page numbers for these sections. (LLM, conf=0.87)
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- Authors
- Wahl, M. P., Scalzo, R. L., Regensteiner, J. G., & Reusch, J. E. B.
- Affiliations
- VA Eastern Colorado Health Care System (US)
- University of Colorado Anschutz (US)
- Corresponding author
- Reusch, Jane E. B.
- Venue
- Frontiers in Endocrinology
- Publisher
- Frontiers Media SA
- Published
- 2018-04-18
- Volume
- 9
- Pages
- 181-181
- ISSN
- 1664-2392 (ISSN-L)
- PMC
- PMC5915473
- OpenAlex
- W2801490718
- Cited by
- 44
- References
- 125
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 12 · 2019: 6 · 2014: 1
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Endocrinology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Veterans Affairs (I01 CX001532, I01 BX002046)
- National Institutes of Health
- National Heart, Lung, and Blood Institute (T32HL007171)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK048520)
- National Center for Research Resources (UL1RR025780)
- Colorado Clinical and Translational Sciences Institute (UL1-RR025780)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, exercise capacity, insulin resistance, cardiac anomalies, mitochondrial function, oxygen supply, cardiovascular mortality, exercise training, treatment options
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