Acute glycaemic management before, during and after exercise for cardiac rehabilitation participants with diabetes mellitus: a joint statement of the British and Canadian Associations of Cardiovascular Prevention and Rehabilitation, the International Council for Cardiovascular Prevention and Rehabilitation and the British Association of Sport and Exercise Sciences

Abstract

Type 1 (T1) and type 2 (T2) diabetes mellitus (DM) are significant precursors and comorbidities to cardiovascular disease and prevalence of both types is still rising globally. Currently,~25% of participants (and rising) attending cardiac rehabilitation in Europe, North America and Australia have been reported to have DM (>90% have T2DM). While there is some debate over whether improving glycaemic control in those with heart disease can independently improve future cardiovascular health-related outcomes, for the individual patient whose blood glucose is well controlled, it can aid the exercise programme in being more efficacious. Good glycaemic management not only helps to mitigate the risk of acute glycaemic events during exercising, it also aids in achieving the requisite physiological and psycho-social aims of the exercise component of cardiac rehabilitation (CR). These benefits are strongly associated with effective behaviour change, including increased enjoyment, adherence and self-efficacy. It is known that CR participants with DM have lower uptake and adherence rates compared with those without DM. This expert statement provides CR practitioners with nine recommendations aimed to aid in the participant’s improved blood glucose control before, during and after exercise so as to prevent the risk of glycaemic events that could mitigate their beneficial participation.

Publication DOI: https://doi.org/10.1136/bjsports-2020-102446
Divisions: College of Health & Life Sciences > Aston Medical School
Additional Information: © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Uncontrolled Keywords: cardiovascular,diabetes,exercise rehabilitation,heart disease,nutrition,Orthopedics and Sports Medicine,Physical Therapy, Sports Therapy and Rehabilitation
Publication ISSN: 0306-3674
Last Modified: 28 May 2024 07:19
Date Deposited: 04 Jan 2021 12:52
Full Text Link:
Related URLs: https://bjsm.bm ... rts-2020-102446 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Review article
Published Date: 2021-06-17
Published Online Date: 2020-12-23
Accepted Date: 2020-11-19
Authors: Buckley, John
Riddell, Michael
Mellor, Duane (ORCID Profile 0000-0002-1369-3868)
Bracken, Richard
Ross, Marie-Kristelle
LaGerche, Andre
Poirier, Paul

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