UKACTIVE UPDATE COMBATING TYPE 2 DIABETES
New research highlights the role physical activity can play in preventing, managing and treating type 2 diabetes. David Stalker, CEO of
ukactive, outlines ways in which this can be put into practice within the sector
E
very successful sector invests in strengthening the evidence base for its services, and our sector should
be no different. Research can sometimes seem a bit abstract or remote from day- to-day operations within our clubs and leisure centres, but it’s absolutely not. It has to influence what we offer to consumers. What’s more, if we want to expand our offering and therefore our
membership base, we have to embed evidence- based practice into the everyday running of our organisations.
Work by the ukactive Research Institute When we recommend exercise to our clients, members and participants,
we have to be confident that what we’re recommending is the best thing to do for their conditions and needs. Te ukactive Research Institute has
carried out a piece of work that’s brought together over 5,000 research articles to identify the best mode, intensity, frequency and duration of exercise for the prevention and management of type 2 diabetes using physical activity and exercise.
Tis research has culminated in
a series of evidence-based exercise recommendations that have achieved the recognition of recently being published in Diabetes Metabolism Research and Reviews, so we can be confident of their findings. Te recommendations can now be shared with the sector for use in exercise programmes: the prescription and delivery of exercise as a preventative and management tool for type 2 diabetes.
Type 2 diabetes and its impact We quite likely all know someone who has type 2 diabetes, as it’s increasingly prevalent and starting to be seen as a principal public health concern. Te reasons for this are clear: it’s a major cause of blindness and the most common cause of kidney failure in the developed world1 In 2010, 285 million people worldwide
.
were classified as suffering from the disease – a figure that’s expected to rise to 438 million by 20302
. Meanwhile, in the
UK, the cost of treatment was estimated in 2010 to be £3.5bn a year3
strain on the already heavily burdened National Health Service (NHS). But to understand how to treat type
With expert guidance, exercise can be used as a preventative and management tool for type 2 diabetes
2 diabetes and where exercise can come in, we have to understand what causes it. Type 2 diabetes is characterised by raised glucose levels in circulating blood, which is caused by the development of insulin resistance and relative insulin deficiency. Tis is where the body produces insulin, but the cells in the body become resistant to it and so are unable to use it effectively, ultimately leading to hyperglycaemia. One of the principal functions of insulin is to regulate the delivery of
UKACTIVE RESEARCH INSTITUTE: TYPE 2 DIABETES EXERCISE RECOMMENDATIONS5 Preventing type 2 diabetes
Increase physical activity to more than 30 minutes a day, five times a week. Include high intensity aerobic exercise (more than 75 per cent of VO2
For those who have type 2 diabetes (insulin sensitivity improvement)
For those with type 2 diabetes and limited mobility (eg disabled, elderly populations, etc)
28 ) three times a week, combined with strength training in all major muscle groups at 70 per cent 1RM twice a week, separated by more than 24 hours.
Increase physical activity to more than 30 minutes a day, five times a week. Include long duration (more than one hour) moderate intensity aerobic training (60 per cent of VO2
max) three
times a week, combined with low intensity and high repetition resistance training (50–60 per cent 1RM) in all major muscle groups twice a week, separated by more than 24 hours.
Increase physical activity as much as is feasible. Include low intensity aerobic exercise (40–80 per cent heart rate reserve). Tis should be combined with resistance training at low intensity (50–55 per cent 1RM) in all major muscle groups three times a week, separated by more than 24 hours.
Read Health Club Management online at
healthclubmanagement.co.uk/digital January 2014 © Cybertrek 2014 , placing a huge
PHOTO:
SHUTTERSTOCK.COM/ ROBERT/ PETER BERNIK KNESCHK
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