© 2004 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine
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Cardiovascular health in diabetes
Exercise training: can it improve cardiovascular health in patients with type 2 diabetes?
Correspondence to:
Correspondence to:
Dr Stewart
Johns Hopkins Heart Health, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, USA; kstewart@jhmi.edu, kerrystewart@comcast.net
Exercise training is an essential component of the management of patients with type 2 diabetes
Keywords: diabetes; heart; cardiovascular health; training; exercise
| The first 150 words of the full text of this article appear below. |
Most exercise training studies of patients with diabetes have focused on glycaemic control and less on the effects of exercise on cardiovascular health. Yet there are data from a variety of studies that provide strong, albeit not perfect, evidence that exercise training should be a standard of care not only for glycaemic control but for also improving the cardiovascular system in these patients.
Type 2 diabetes is associated with dysfunction and failure of various organs, especially the heart and peripheral blood vessels. Both insulin resistance and ß cell dysfunction are contributing factors to the disease,1,2 as are environmental influences and genetic factors.3,4 It has also become clear that the increasing prevalence of obesity1 and a sedentary lifestyle5 are also key contributors to the rising prevalence of type 2 diabetes in the United States and throughout the world. Two other metabolic conditions that precede the development of
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