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Physical Exercise Improves Heart Rate Variability in Patients with Type 2 Diabetes: A Systematic Review

dc.contributor.authorVillafaina S.
dc.contributor.authorCollado-Mateo D.
dc.contributor.authorFuentes J.P.
dc.contributor.authorMerellano-Navarro E.
dc.contributor.authorGusi N.
dc.date.accessioned2020-09-02T22:30:30Z
dc.date.available2020-09-02T22:30:30Z
dc.date.issued2017
dc.identifier10.1007/s11892-017-0941-9
dc.identifier.citation17, 11, -
dc.identifier.issn15344827
dc.identifier.urihttps://hdl.handle.net/20.500.12728/6615
dc.descriptionPurpose of Review: The aim of the present systematic review is to provide an up-to-date analysis of the research on the effects of exercise programs on heart rate variability (HRV) in individuals with type 2 diabetes mellitus (T2DM). An electronic search of the literature (PubMed, PEDro and Web of Science) was performed. “HRV”, “heart rate variability”, “exercise”, “physical” and “diabetes” were the terms used for article retrieval. Lastly, 15 articles were selected. PRISMA methodology was employed and data were extracted according to the PICOS approach. Recent Findings: Although HRV is not routinely measured in the management of T2DM, it is an important measure due to its relation with mortality and diabetic neuropathy. Physical exercise has become a therapy for T2DM, because it improves physical fitness and functional capacity, enhances metabolic control and insulin sensitivity, reduces inflammatory markers and neuropathy symptoms and can increase the regenerative capacity of cutaneous axons, slowing or preventing neuropathy progression. However, it is not clear to what extent physical exercise can improve HRV in this population. Summary: Participation in the 15 selected studies was similar in men and women (48.01% men and 51.99% women). All the intervention programs included aerobic training, and it was complemented by strength training in four studies. Duration of physical exercise sessions ranged between 30 and 75 min, the frequency being between 2 and 7 days/week. Statistically significant improvements in groups with diabetes, relative to baseline, were observed in nine studies. More than 3 days per week of aerobic training, complemented by strength training, during at least 3 months seems to improve HRV in T2DM. Weekly frequency might be the most important factor to improve HRV. These aspects could help to design better programs based in scientific evidence, incorporating HRV as an important variable associated with diabetic neuropathy and mortality. © 2017, Springer Science+Business Media, LLC.
dc.language.isoen
dc.publisherCurrent Medicine Group LLC 1
dc.subjectAutonomic function
dc.subjectHeart rate variability
dc.subjectPhysical exercise
dc.subjectType 2 diabetes
dc.subjectaerobic exercise
dc.subjectbicycle ergometry
dc.subjectcycling
dc.subjectdiabetic neuropathy
dc.subjectexercise
dc.subjectfitness
dc.subjectfunctional status
dc.subjectheart rate variability
dc.subjecthuman
dc.subjectinflammation
dc.subjectinsulin sensitivity
dc.subjectmetabolic regulation
dc.subjectmortality
dc.subjectnerve fiber regeneration
dc.subjectnon insulin dependent diabetes mellitus
dc.subjectresistance training
dc.subjectReview
dc.subjectrunning
dc.subjectsystematic review
dc.subjecttherapy effect
dc.subjectwalking
dc.subjectcomplication
dc.subjectfemale
dc.subjectheart rate
dc.subjectmale
dc.subjectmeta analysis
dc.subjectnon insulin dependent diabetes mellitus
dc.subjectoutcome assessment
dc.subjectpathophysiology
dc.subjectphysiology
dc.subjectDiabetes Mellitus, Type 2
dc.subjectExercise
dc.subjectFemale
dc.subjectHeart Rate
dc.subjectHumans
dc.subjectMale
dc.subjectOutcome Assessment (Health Care)
dc.subjectPhysical Fitness
dc.titlePhysical Exercise Improves Heart Rate Variability in Patients with Type 2 Diabetes: A Systematic Review
dc.typeReview


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