[Management of exercise therapy for elderly with diabetes]
Takashi Funayama1, Takashi Funayama1
1Department of Metabolism and Endocrinology, Juntendo University Graduate School of Medicine.
Nihon Rinsho. Japanese Journal of Clinical Medicine
|January 9, 2014
Summary
Physical activity offers significant benefits for elderly patients with diabetes, improving glycemic control and quality of life. Careful exercise prescription is essential to maximize benefits while minimizing risks like falls and cardiovascular disease.
Area of Science:
- Gerontology
- Endocrinology
- Sports Medicine
Background:
- The prevalence of diabetes mellitus is rising rapidly among the elderly population.
- Elderly individuals with diabetes face increased risks of falls, hypoglycemia, and cardiovascular disease.
- Physical activity is known to positively impact glycemic control, cardiovascular health, fall prevention, cancer risk, and overall quality of life.
Purpose of the Study:
- To review the methods, benefits, and contraindications of exercise and physical activity in elderly patients with diabetes.
- To provide guidance on optimizing exercise interventions for this demographic.
- To highlight the importance of balancing the advantages of physical activity with potential risks.
Main Methods:
- This study is a review of existing literature on exercise and physical activity in elderly patients with diabetes.
- The review synthesizes information regarding exercise protocols, physiological effects, and safety considerations.
- Key findings from relevant research studies were analyzed and summarized.
Main Results:
- Exercise demonstrates significant benefits for glycemic control in elderly diabetics.
- Physical activity can reduce the risk of falls and cardiovascular events in this population.
- Appropriate exercise regimens can enhance the quality of life for elderly patients with diabetes.
Conclusions:
- Exercise is a crucial component in managing diabetes in the elderly.
- Careful consideration of exercise methods and contraindications is necessary to ensure patient safety.
- Tailored physical activity programs can effectively mitigate risks and improve health outcomes for older adults with diabetes.
Related Concept Videos
01:15Diabetes: Management and Pharmacotherapy
1.5K
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.5K
01:26Peripheral Artery Disease IV: Nursing Management
702
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
702
01:29Cardiomyopathy VI: Nursing Management
481
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
481
01:30Heart Failure VII: Nursing Interventions
787
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
787
01:30Heart Failure V: Medical Management
626
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
626
01:26Angina IV: Management
493
IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
493