Table 1

Guidelines for exercise prescription in patients with type 2 diabetes, issued by several scientific organisations

OrganisationTypeModeDurationIntensityFrequency
ACSM and ADA12AerobicAny form that uses large muscle groups (eg, brisk walking)Minimum of 150 min/weekModerate to vigorousAt least 3 days/week with no more than 2 consecutive days without exercising
ResistanceResistance machines and free weights involving major muscle groups1–4 sets
8–15 repetitions
5–10 exercises on each session
Moderate to vigorousAt least twice weekly on non-consecutive days
FlexibilityIncluded as part of a physical activity programme; it should not substitute other types of exercise
FDS20AerobicMinimum of 150 min/weekAt least moderateAt least 3 days/week with no more than two consecutive days without exercising
ResistanceExercises involving major muscle groups3 sets
8–10 repetitions
5–10 exercises on each session
Moderate to vigorousAt least twice weekly on non-consecutive days
BPTA13AerobicMinimum of 150 min/weekLow to moderate3–5 days/week
Resistance3 sets
10–15 repetitions
5–10 exercises on each session
ModerateCombined with aerobic exercise
ESSA15AerobicLarge muscle activities (eg, walking, running, cycling and swimming)Minimum of 150 min/week ORModerateNo more than two consecutive days without exercising
Minimum of 90 min/weekVigorous
ResistanceMulti joint exercises involving large muscle groups2–4 sets
8–10 repetitions
8–10 exercises on each session
60 min/week ORModerateTwo or more sessions per week
35 min/weekVigorous
CDA19AerobicLarge muscle activities (eg, biking, brisk walking and continuous swimming)Minimum of 150 min/weekModerate to vigorousAt least 3 days/week with no more than two consecutive days without exercising
ResistanceResistance machines or free weights3 sets
8 repetitions
Moderate to vigorousAt least twice weekly
AHA14AerobicLarge-muscle activitiesMinimum of 150 min/week ORModerate3–7 days/week
Minimum of 90 min/weekVigorous3 days/week
ResistanceMulti joint exercises; large-muscle groups2–4 sets
8–10 repetitions
Exercises for all muscle groups on each session
Moderate to vigorous3 days/week
ADA16AerobicFor example, walkingMinimum of 150 min/weekModerateAt least 3 days/week with no more than two consecutive days without exercising
ResistanceFree weights or weight machines involving large muscle groupsAt least 1 set
5 or more different exercises on each session
At least twice per week
SNIPH18AerobicFor example, brisk walking, cyclingMinimum of 30 minModerateDaily
For example, tennis, swimming20–60 minVigorous3–5 days/week
ResistanceBodyweight, elastic bands, free weights or weight machines8–12 repetitions of each exercise
8–10 exercises on each session
2–3 days/week
Flexibility5–10 min at the end of aerobic and resistance exercise sessions
IDF2AerobicMinimum of 150 min/weekModerate3–5 days/week
Resistance 3 days/week
ADA and EASD17Aerobic 
ResistanceMinimum of 150 min/weekModerate 
Flexibility 
ESC and EASD3AerobicMinimum of 150 min/weekModerate to vigorous
Resistance
  • ACSM, American College of Sports Medicine; ADA, American Diabetes Association; AHA, American Heart Association; BPTA, Belgian Physical Therapy Association; CDA, Canadian Diabetes Association; EASD, European Association for the Study of Diabetes; ESC, European Society of Cardiology; ESSA, Exercise and Sports Science Australia; FDS, Francophone Diabetes Society; IDF, International Diabetes Federation; SNIPH, Swedish National Institute of Public Health.