RESUMO
Uno de los principales roles de la prescripción de actividad física para personas con diabetes tipo 2 es reducir la hiperglucemia. El efecto beneficioso que otorga el entrenamiento físico sobre el nivel glucémico es considerado como la suma de los efectos de cada sesión de ejercicio. Una mejor comprensión de las respuestas agudas al ejercicio, a través de la variabilidad glucémica a corto plazo, podría explicar las diferencias en los resultados de distintos protocolos de entrenamiento. El objetivo del estudio fue analizar la información científica de distintos protocolos de ejercicio y su asociación con la variabilidad glucémica a corto plazo en los pacientes diabéticos tipo 2. Se realizó una revisión sistemática de estudios publicados en idioma inglés y español; los buscadores científicos utilizados fueron: PubMed, Cochrane, ScienceDirect y Medline. Solo se incluyeron estudios realizados en adultos (mayores de 18 años). Se identificaron 36 estudios, los cuales se analizaron y completaron utilizando la plataforma Covidence®, incluyendo para el análisis final 10 artículos y sumando un total de 296 pacientes. Los 10 artículos incluidos fueron divididos acorde al tipo de protocolo de intervención utilizado: grupo 1, ejercicio agudo, y grupo 2, entrenamiento. Se encontraron diferencias significativas sobre la variabilidad glucémica en el 71,4% de los artículos del grupo 1 y en el 100% de los artículos incluidos en el grupo 2. Se demuestran efectos positivos del ejercicio agudo y del entrenamiento físico sobre la variabilidad glucémica a corto plazo, siendo más contundentes los hallazgos en los protocolos de intervención que con base en entrenamiento físico (AU)
One of the main roles of the prescription of physical activity for people with type 2 diabetes is to reduce hyperglycemia. The beneficial effect of physical training on glycemic levels is considered as the sum of the effects of each exercise session. A better understanding of acute responses to exercise, through short-term glycemic variability, could explain the differences in the results of distinct training protocols. The objective of this study was to analyze the scientific information on different exercise protocols and their association with short-term glycemic variability in patients with type 2 diabetes. A systematic review of studies published in English and Spanish was carried out. The databases used were PubMed, Cochrane, ScienceDirect, and Medline. Only studies conducted in adults (older than 18 years) were included. A total of 36 studies were identified, which were analyzed and completed using the Covidence® platform. The final analysis included 10 articles with 296 patients. The 10 included articles were divided according to the type of intervention protocol used: group 1, acute exercise, and group 2, training. Significant differences were found in glycemic variability in 71.4% of the articles in group 1 and in 100% of the articles included in group 2. Positive effects of acute exercise and physical training on short-term glycemic variability were demonstrated. The findings were more pronounced in the intervention protocols than in physical training (AU)
Assuntos
Humanos , Diabetes Mellitus Tipo 2/terapia , Hiperglicemia/prevenção & controle , Glicemia , Exercício FísicoRESUMO
One of the main roles of the prescription of physical activity for people with type 2 diabetes is to reduce hyperglycemia. The beneficial effect of physical training on glycemic levels is considered as the sum of the effects of each exercise session. A better understanding of acute responses to exercise, through short-term glycemic variability, could explain the differences in the results of distinct training protocols. The objective of this study was to analyze the scientific information on different exercise protocols and their association with short-term glycemic variability in patients with type 2 diabetes. A systematic review of studies published in English and Spanish was carried out. The databases used were PubMed, Cochrane, ScienceDirect, and Medline. Only studies conducted in adults (older than 18 years) were included. A total of 36 studies were identified, which were analyzed and completed using the Covidence® platform. The final analysis included 10 articles with 296 patients. The 10 included articles were divided according to the type of intervention protocol used: group 1, acute exercise, and group 2, training. Significant differences were found in glycemic variability in 71.4% of the articles in group 1 and in 100% of the articles included in group 2. Positive effects of acute exercise and physical training on short-term glycemic variability were demonstrated. The findings were more pronounced in the intervention protocols than in physical training.
