Ejercicio aeróbico como factor protector en adultos mayores con diabetes mellitus tipo 2

Palabras clave: Diabetes mellitus tipo 2, ejercicio aeróbico, factor protector, adulto mayor

Resumen

La diabetes mellitus tipo 2 (DM2) es considerada como una enfermedad crónico degenerativa, que forma parte de los trastornos más prevalentes en la población adulta mayor, representando hasta el 14% de la población mundial. La DM2 está asociada con complicaciones crónicas como: neuropatía, insuficiencia cardíaca, nefropatía, retinopatía, entre otras. Diversos estudios han demostrado que la realización constante de ejercicio aeróbico en las personas adultas mayores con DM2 favorece el control glucémico, la disminución de la resistencia a la insulina, así como la mejora de la función de las células β pancreáticas. Asimismo, el ejercicio aeróbico aplicado a la vida diaria incrementa la autoestima, y produce una sensación de bienestar en el adulto mayor. En este sentido, el ejercicio aeróbico en pacientes adultos mayores con DM2 les otorga una mejoría física y psicológica, lo que se traduce en una mejor calidad de vida. Por lo tanto, el objetivo de este artículo es presentar los resultados arrojados a partir de la revisión de diversos documentos en donde se observa que el ejercicio aeróbico es un factor protector en los adultos mayores con DM2.

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Petersmann A, Müller-Wieland D, Müller UA, Landgraf R, Nauck M, Freckmann G, et al. Definition, Classification and Diagnosis of Diabetes Mellitus. Exp. Clin. Endocrinol. Diabetes. 2019;127(S 01):S1–7.

Organización Panamericana de la Salud, Organización Mundial de la Salud. Diabetes. 2022 [cited 2022 Sep 21]. Available from: https://www.paho.org/es/temas/diabetes

Instituto Nacional de Estadística y Geografía. Estadísiticas a propósito del día internacional de las personas adultas mayores. Comunicado de prensa. 2022 [cited 2023 Feb 21]. Available from: https://www.un.org/es/observances/older-persons-

Izzo A, Massimino E, Riccardi G, della Pepa G. A Narrative Review on Sarcopenia in Type 2 Diabetes Mellitus: Prevalence and Associated Factors. Nutrients. 2021;13(1):183.

Langerman C, Forbes A, Robert G. The experiences of insulin use among older people with Type 2 diabetes mellitus: A thematic synthesis. Prim. Care. Diabetes. 2022;16(5):614–26.

Bellary S, Kyrou I, Brown JE, Bailey CJ. Type 2 diabetes mellitus in older adults: clinical considerations and management. Nat. Rev. Endocrinol. 2021;17(9):534–48.

Zanuso S, Balducci S, Jimenez A. Physical activity, a key factor to quality of life in type 2 diabetic patients. Diabetes Metab. Res. Rev. 2009;25(S1):S24–8.

Amanat S, Ghahri S, Dianatinasab A, Fararouei M, Dianatinasab M. Exercise and Type 2 Diabetes. Adv. Exp. Med. Biol. 2020;1228:91–105.

Stephenson EJ, Smiles W, Hawley JA. The relationship between exercise,nutrition and type 2 diabetes. Med Sport Sci. 2014;60:1–10.

American Diabetes Association Professional Practice Committee. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):1.

Redondo MJ, Hagopian WA, Oram R, Steck AK, Vehik K, Weedon M, et al. The clinical consequences of heterogeneity within and between different diabetes types. Diabetologia. 2020;63(10):2040–8.

Federación Internacional de Diabetes. Atlas de la Diabetes. Atlas de la diabetes. 2019 [cited 2022 Aug 11]. Available from: https://www. diabetesatlas. org/en

Instituto Nacional de Estadística y Geografía. Estadísticas a propósito del día mundial de la diabetes. 2021. Available from: https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2021/EAP_Diabetes2021.pdf.

Balducci S, Sacchetti M, Haxhi J, Orlando G, D’Errico V, Fallucca S, et al. Physical exercise as therapy for type 2 diabetes mellitus. Diabetes Metab. Res. Rev. 2014;30(S1):13–23.

Eckstrom E, Neukam S, Kalin L, Wright J. Physical Activity and Healthy Aging. Clin. Geriatr. Med. 2020;36(4):671–83.

Wang L, Li S, Wei L, Ren B, Zhao M. The Effects of Exercise Interventions on Mental Health in Chinese Older Adults. J. Environ. Public Health. 2022;2022:7265718.

Knapen J, Vancampfort D, Moriën Y, Marchal Y. Exercise therapy improves both mental and physical health in patients with major depression. Disabil. Rehabil. 2015;37(16):1490–5.

Kemmler W, Häberle L, von Stengel S. Effects of exercise on fracture reduction in older adults: a systematic review and meta-analysis. Osteoporos. Int. 2013;24(7):1937–50.

Xing H, Lu J, Yoong SQ, Tan YQ, Kusuyama J, Wu XV. Effect of Aerobic and Resistant Exercise Intervention on Inflammaging of Type 2 Diabetes Mellitus in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis. J. Am. Med. Dir. Assoc. 2022;23(5):823-830.e13.

Turcotte LP, Fisher JS. Skeletal Muscle Insulin Resistance: Roles of Fatty Acid Metabolism and Exercise. Phys. Ther. 2008;88(11):1279–96.

Patel H, Alkhawam H, Madanieh R, Shah N, Kosmas CE, Vittorio TJ. Aerobic vs anaerobic exercise training effects on the cardiovascular system. World J. Cardiol. 2017;9(2):134-138.

Vandewalle H, Péerès G, Monod H. Standard Anaerobic Exercise Tests. Sports Med. 1987;4(4):268–89.

Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065–79.

Fleg JL. Aerobic exercise in the elderly: a key to successful aging. Discov. Med. 2012;13(70):223–8.

Fleg JL, Morrell CH, Bos AG, Brant LJ, Talbot LA, Wright JG, et al. Accelerated longitudinal decline of aerobic capacity in healthy older adults. Circulation. 2005;112(5):674–82.

Praet SFE, van Loon LJC. Optimizing the therapeutic benefits of exercise in Type 2 diabetes. J. Appl. Physiol. 2007;103(4):1113–20.

Lee PG, Jackson EA, Richardson CR. Exercise Prescriptions in Older Adults. Am. Fam. Physician. 2017;95(7):425–32.

Flórez Villamizar JA, Castelblanco SY, Aguilar Bolívar A. Capacidad aeróbica: actividad física musicalizada, adulto mayor, promoción de la salud. Retos: nuevas tendencias en educación física, deporte y recreación. 2021;39(39):953–60.

Balducci S, Alessi E, Cardelli P, Cavallo S, Fallucca F, Pugliese G. Effects of Different Modes of Exercise Training on Glucose Control and Risk Factors for Complications in Type 2 Diabetic Patients: a Meta-AnalysisResponse to Snowling and Hopkins. Diabetes Care. 2007;30(4):e25–e25.

Motahari-Tabari N, Ahmad Shirvani M, Shirzad-E-Ahoodashty M, Yousefi-Abdolmaleki E, Teimourzadeh M. The Effect of 8 Weeks Aerobic Exercise on Insulin Resistance in Type 2 Diabetes: A Randomized Clinical Trial. Glob. J. Health Sci. 2015;7(1):115-121.

Francesconi C, Lackinger C, Weitgasser R, Haber P, Niebauer.Physical activity and exercise training in the prevention and therapy of type 2 diabetes mellitus. Wien. Klin. Wochenschr. 2016;128(2):141–5.

Jiang Y, Tan S, Wang Z, Guo Z, Li Q, Wang J. Aerobic exercise training at maximal fat oxidation intensity improves body composition, glycemic control, and physical capacity in older people with type 2 diabetes. J. Exerc. Sci. Fit. 2020;18(1):7–13.

Hwang CL, Lim J, Yoo JK, Kim HK, Hwang MH, Handberg EM, et al. Effect of All-Extremity High-Intensity Interval Training vs. Moderate-Intensity Continuous Training on Aerobic Fitness in Middle-Aged and Older Adults with Type 2 Diabetes: A Randomized Controlled Trial. Exp. Gerontol. 2019;116:46-53.

Marcus RL, Smith S, Morrell G, Addison O, Dibble LE, Wahoff-Stice D, et al. Comparison of Combined Aerobic and High-Force Eccentric Resistance Exercise With Aerobic Exercise Only for People With Type 2 Diabetes Mellitus. Phys. Ther. 2008;88(11):1345–54.

Snowling NJ, Hopkins WG. Effects of Different Modes of Exercise Training on Glucose Control and Risk Factors for Complications in Type 2 Diabetic PatientsA meta-analysis. Diabetes Care. 2006;29(11):2518–27.

Sampath Kumar A, Maiya AG, Shastry BA, Vaishali K, Ravishankar N, Hazari A, et al. Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Ann. Phys. Rehabil. Med. 2019;62(2):98–103.

Zanuso S, Jimenez A, Pugliese G, Corigliano G, Balducci S. Exercise for the management of type 2 diabetes: A review of the evidence. Acta Diabetol. 2010;47(1):15–22.

Madsen SM, Thorup AC, Overgaard K, Jeppesen PB. High Intensity Interval Training Improves Glycaemic Control and Pancreatic β Cell Function of Type 2 Diabetes Patients. PLoS One. 2015;10(8):e0133286.

Nieuwoudt S, Fealy CE, Foucher JA, Scelsi AR, Malin SK, Pagadala M, et al. Functional high-intensity training improves pancreatic β-cell function in adults with type 2 diabetes. Am. J. Physiol. Endocrinol. Metab. 2017;313(3):E314–20.

Mann S, Beedie C, Balducci S, Zanuso S, Allgrove J, Bertiato F, et al. Changes in insulin sensitivity in response to different modalities of exercise: a review of the evidence. Diabetes Metab. Res. Rev. 2014;30(4):257–68.

Umpierre D, Ribeiro PAB, Schaan BD, Ribeiro JP. Volume of supervised exercise training impacts glycaemic control in patients with type 2 diabetes: a systematic review with meta-regression analysis. Diabetologia. 2013;56(2):242–51.

Umpierre D, Ribeiro PAB, Kramer CK, Leitão CB, Zucatti ATN, Azevedo MJ, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790–9.

Pesta DH, Goncalves RLS, Madiraju AK, Strasser B, Sparks LM. Resistance training to improve type 2 diabetes: working toward a prescription for the future. Nutr. Metab. (Lond). 2017;14:24.

Maiorana A, O’Driscoll G, Cheetham C, Dembo L, Stanton K, Goodman C, et al. The effect of combined aerobic and resistance exercise training on vascular function in type 2 diabetes. J. Am. Coll. Cardiol. 2001;38(3):860–6.

Slentz CA, Bateman LA, Willis LH, Granville EO, Piner LW, Samsa GP, et al. Effects of exercise training alone vs a combined exercise and nutritional lifestyle intervention on glucose homeostasis in prediabetic individuals: a randomised controlled trial. Diabetologia. 2016;59(10):2088–98.

Martínez-Velilla N, Valenzuela PL, Sáez De Asteasu ML, Zambom-Ferraresi F, Ramírez-Vélez R, García-Hermoso A, et al. Effects of a Tailored Exercise Intervention in Acutely Hospitalized Oldest Old Diabetic Adults: An Ancillary Analysis. J. Clin. Endocrinol. Metab. 2021;106(2):E899–906.

Publicado
2023-07-05
Cómo citar
Ramírez-Alvarado , C. (2023). Ejercicio aeróbico como factor protector en adultos mayores con diabetes mellitus tipo 2. Mexican Journal of Medical Research ICSA, 11(22), 54-60. https://doi.org/10.29057/mjmr.v11i22.10631