Abstract
Persons with diabetes might experience significant benefits through regular exercise.
Not unlike the general population, those with diabetes could also lack motivation
to participate in an exercise program. Often, those treating persons with diabetes
lack training and/or interest in exercise prescription and are therefore unable to
provide the needed information and encouragement. In many cases, reluctance to exercise
could result from an inability to find an enjoyable exercise activity. Attempts to
find activities that, not only provide effective aerobic challenges, but are also
enjoyable to participate in are fraught with difficulty. Three electronic databases
were searched in January 2017. Evidence for the merits of exercise for those with
diabetes was robust. Numerous reports have addressed the degree of noncompliance to
exercise recommendations and the barriers reported for this nonadherence. Additional
studies concluded that most medical providers are deficient in formal training in
the prescription of an exercise program. Newer studies are evaluating the effects
of exercise and vitamin D supplementation and their interplay with diabetic peripheral
neuropathy and ulceration. Exercise confers remarkable benefits to those with diabetes;
however, the challenges to compelling patients with diabetes to exercise are formidable.
An improved focus on exercise prescription and related motivation during provider
training must be undertaken.
Level of Clinical Evidence
Keywords
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Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
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