Curr Diab Rep (2017) 17: 125 https://doi.org/10.1007/s11892-017-0959-z MICROVASCULAR COMPLICATIONS—NEUROPATHY (R POP-BUSUI, SECTION EDITOR) Cardiorespiratory Fitness and Cardiac Autonomic Function in Diabetes 1,2 1,3 1 1,3,4 Martin Röhling & Alexander Strom & Gidon J. Bönhof & Michael Roden & 1,3,4 Dan Ziegler Published online: 23 October 2017 Springer Science+Business Media, LLC 2017 Abstract diabetes. By contrast, the evidence in those with type 1 diabe- Purpose of Review This review summarizes the current tes and also in individuals with prediabetes or metabolic syn- knowledge on the relationship of physical activity, exercise, drome is weaker. and cardiorespiratory fitness (CRF) with cardiovascular auto- Summary Overall, the studies reviewed herein addressing the nomic neuropathy (CAN) based on epidemiological, clinical, question whether favorably modulating the autonomic ner- and interventional studies. vous system may improve CRF during exercise programs Recent Findings The prevalence of CAN increases with age support the therapeutic concept to promote physical activity and duration of diabetes. Further risk factors for CAN com- and to achieve physical fitness. However, high-quality exer- prise poor glycemic control, dyslipidemia, abdominal obesity, cise interventions, especially in type 1 diabetes and metabolic hypertension, and the presence of diabetic complications. syndrome including prediabetes, are further required to better CAN
Current Diabetes Reports – Springer Journals
Published: Oct 23, 2017
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