Exercise Rehabilitation Efficacy and Optimal Exercise Training Prescriptions for Improved Health Outcomes in People with Type 2 Diabetes

This dissertation examines the impact of exercise rehabilitation and the components of exercise prescriptions on optimizing health outcomes for people with diabetes (DM). Exercise is an accepted part of the diabetes management regime to help prevent or slow the progression of the disease. A combined aerobic and resistance training protocol is the recommended exercise regime for people with DM, but the question remains as to what the optimal dose may be for glycemic control and reduction of cardiovascular risk. This thesis aims to address three objectives surrounding optimal exercise prescriptions for diabetes: 1) To investigate aerobic exercise prescription efficacy in people with DM, coronary artery disease (CAD) and both CAD and DM to determine if there are population-specific VO2peak responses to exercise prescription; 2) To determine the optimal volume and intensity of resistance training exercise, in combination with aerobic training, that may improve glucose control, cardiovascular risk factors and body composition in people with type 2 DM (T2DM); and 3) To study the relationship between exercise performance, physiological changes and depressive mood in people with T2DM participating in a supervised, exercise program. Encouraging participation in an appropriately prescribed aerobic and resistance training program may help to improve adherence to exercise and elicit optimal health outcomes in people with T2DM. Tailoring the exercise prescription to suit the patient’s lifestyle, history and capacity is the utmost challenge for health care providers who hope to provide a complementary, non-pharmacologic therapeutic option for their patients.

Department dc:contributor.department

Rehabilitation Science

Year dc:date.issued

2010

Author dc:creator

• Yang, Pearl

Advisors dc:contributor.advisor

• Thomas, Scott
• Oh, Paul

• diabetes
• exercise
• aerobic fitness
• glycemic control

Language dc:language.iso

en_ca

Handle dc:identifier.uri

http://hdl.handle.net/1807/32190

OAI identifier oai:identifier

oai:utoronto.scholaris.ca:1807/32190