We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

New Evidence for the Value of Supervised Exercise Training in Type 2 Diabetes Mellitus

Ronald J. Sigal, MD, MPH; Glen P. Kenny, PhD
Arch Intern Med. 2010;170(20):1790-1791. doi:10.1001/archinternmed.2010.376.
Text Size: A A A
Published online


Exercise has been considered an important component of diabetes management for decades,1 although solid evidence of its effectiveness has been published mainly in the past 10 years. In the Aerobics Centre Longitudinal Study,2 12-year cardiovascular and overall mortality were approximately 60% lower in diabetic individuals with moderate to high cardiorespiratory (aerobic) fitness at baseline compared with those with low baseline fitness (42% of the men). The standard recommendation for people with diabetes has historically been to perform aerobic exercise such as brisk walking, swimming, or jogging, rather than resistance exercise such as weight lifting or exercise with weight machines. Indeed, the official position of the American Diabetes Association through 2004 was that “high-resistance exercise using weights may be acceptable for young individuals with diabetes, but not for older individuals or those with long-standing diabetes.”3(pS60) This position was never evidence based. High-intensity resistance exercise has been found to be safe and beneficial for glycemic control in elderly people with diabetes.4,5 A 2006 meta-analysis6 found that aerobic exercise, resistance exercise, and combined aerobic and resistance exercise each improved glycemic control in type 2 diabetes mellitus (T2DM), and a 2009 systematic review7 confirmed that resistance training had beneficial effects on glycemic control, insulin sensitivity, and, in some studies, lipid levels and body composition, with no serious adverse effects.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetes, Foot Ulcer

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetic Peripheral Neuropathy