Physical Activity in the Prevention of Development and Progression of Kidney Disease in Type 1 Diabetes

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Barlovic , D P , Tikkanen-Dolenc , H & Groop , P-H 2019 , ' Physical Activity in the Prevention of Development and Progression of Kidney Disease in Type 1 Diabetes ' , Current diabetes reports. , vol. 19 , no. 7 , 41 . https://doi.org/10.1007/s11892-019-1157-y

Title: Physical Activity in the Prevention of Development and Progression of Kidney Disease in Type 1 Diabetes
Author: Barlovic, Drazenka Pongrac; Tikkanen-Dolenc, Heidi; Groop, Per-Henrik
Contributor: University of Helsinki, Nefrologian yksikkö
University of Helsinki, HUS Abdominal Center
Date: 2019-07
Language: eng
Number of pages: 8
Belongs to series: Current diabetes reports.
ISSN: 1534-4827
URI: http://hdl.handle.net/10138/304512
Abstract: Purpose of Review Physical activity is a fundamental part of lifestyle management in diabetes care. Although its benefits are very well recognized in the general population and in people with type 2 diabetes, much less is known about the effects of exercise in type 1 diabetes. In particular, exercise effects in relation to diabetic kidney disease (DKD) are understudied. Some uncertainties about physical activity recommendations stem from the fact that strenuous exercise may worsen albuminuria immediately after the activity. However, in middle-aged and older adults without diabetes, observational studies have suggested that physical activity is associated with a decreased risk of rapid kidney function deterioration. In this review, we focus on the role of physical activity in patients with DKD and type 1 diabetes.\ Recent Findings Hereby, we present data that show that in individuals at risk of DKD or with established DKD, regular moderate-to-vigorous physical activity was associated with reduced incidence and progression of DKD, as well as reduced risk of cardiovascular events and mortality. Summary Therefore, regular moderate-to-vigorous exercise should become a central part of the management of individuals with type 1 diabetes, in the absence of contraindications and accompanied with all needed educational support for optimal diabetes management.
Subject: Type 1 diabetes
Exercise
Physical activity
Diabetic kidney disease
Chronic kidney disease
ACTIVITY REDUCES RISK
ALL-CAUSE MORTALITY
POSITION STATEMENT
GLYCEMIC CONTROL
ESTIMATED GFR
NITRIC-OXIDE
EXERCISE
ASSOCIATION
CKD
NEPHROPATHY
3121 General medicine, internal medicine and other clinical medicine
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