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What are the recommended physical activity guidelines for people with type 2 diabetes as stated in this chapter?

The chapter recommends at least 150 minutes per week of moderate to vigorous aerobic activity, or more than 75 minutes per week of vigorous activity spread over at least 3 days with no more than 2 consecutive inactive days. It also advises adding 2 to 3 sessions of resistance, flexibility, or balance training, and interrupting sitting every 30 minutes with light or vigorous movement.

Physical activity is presented as an integral part of type 2 diabetes management. The main aerobic recommendation is at least 150 minutes per week of moderate to vigorous activity. Moderate activity means being slightly breathless but still able to talk. Alternatively, more than 75 minutes per week of vigorous activity is acceptable, provided it is spread over 3 days with no more than 2 consecutive inactive days. In addition, people should supplement aerobic activity with resistance, flexibility, or balance training 2 to 3 times per week, and they should interrupt prolonged sitting every 30 minutes with some activity, even light movement. Even a small increase of 500 steps per day is noted as beneficial, being associated with a 2 to 9 percent lower risk of cardiovascular morbidity and all-cause mortality.

Key points

  • Perform at least 150 minutes per week of moderate to vigorous aerobic activity.
  • More than 75 minutes per week of vigorous activity spread over at least 3 days is an alternative.
  • Avoid more than 2 consecutive inactive days.
  • Add 2 to 3 sessions per week of resistance, flexibility, or balance training.
  • Break up sitting every 30 minutes with light to vigorous activity.
  • Increasing daily steps by only 500 is associated with reduced cardiovascular and mortality risk.
Source:Oxford Handbook of Diabetes Nursing· Dietary management of diabetes· p. 53–56

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