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Exercise and dietary interventions in the management of diabetic cardiomyopathy: mechanisms and implications
Ling Zhong1, Xiaojie Hou2, Yan Tian3
1Department of Endocrinology and Metabolism, Department of Biotherapy, Laboratory of Diabetes and Metabolism Research, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Insights
Diabetic cardiomyopathy (DCM) is a growing concern in diabetes management. This review explores how exercise and diet can prevent and treat DCM, offering new therapeutic strategies for diabetic patients.
Area of Science:
- Cardiology
- Endocrinology
- Metabolic Diseases
Background:
- Diabetes mellitus prevalence is rising globally, increasing cardiovascular disease risk.
- Diabetic cardiomyopathy (DCM) is a severe complication, leading to heart failure and mortality in diabetic individuals.
- Current pharmacological treatments for DCM show limitations, necessitating novel therapeutic approaches.
Purpose of the Study:
- To review recent advancements in understanding exercise and dietary interventions for DCM.
- To elucidate the mechanisms by which these lifestyle modifications impact DCM.
- To support the development of personalized regimens for DCM prevention and treatment.
Main Methods:
- Literature review of recent scientific advancements.
- Synthesis of data on exercise and dietary interventions in DCM.
- Analysis of underlying pathophysiological mechanisms.
Main Results:
- Lifestyle modifications, including exercise and diet, offer significant cardiovascular benefits in diabetic patients.
- These interventions influence DCM pathophysiology through various mechanisms.
- Personalized exercise and dietary plans show promise in mitigating DCM progression.
Conclusions:
- Exercise and dietary interventions are crucial for managing DCM.
- Understanding the mechanisms can lead to tailored therapeutic strategies.
- Integrating lifestyle modifications is essential for preventing and treating DCM effectively.
Abstract:
The global prevalence of diabetes is rapidly increasing, significantly raising the risk of various cardiovascular diseases. Among these, diabetic cardiomyopathy (DCM) is a distinct and critical complication characterized by ventricular hypertrophy and impaired myocardial contractility, ultimately progressing to heart failure and making it a leading cause of mortality among diabetic patients. Despite advances in pharmacological therapies, the effectiveness of managing cardiac dysfunction in DCM remains challenging. Consequently, exploring additional therapeutic strategies for the prevention and treatment of DCM is urgently needed. Beyond pharmacological approaches, lifestyle modifications, particularly exercise and dietary interventions, play a fundamental role in managing DCM due to their significant cardiovascular benefits in diabetic patients. This review synthesizes recent advancements in the field, elucidating the underlying mechanisms through which exercise and dietary interventions influence DCM pathophysiology. By integrating these strategies, we aim to facilitate the development of personalized exercise and dietary regimens that effectively mitigate or prevent DCM progression.
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