| Title |
Physical Exercise Improves Heart Rate Variability in Patients with Type 2 Diabetes: A Systematic Review
|
|---|---|
| Published in |
Current Diabetes Reports, September 2017
|
| DOI | 10.1007/s11892-017-0941-9 |
| Pubmed ID | |
| Authors |
Santos Villafaina, Daniel Collado-Mateo, Juan Pedro Fuentes, Eugenio Merellano-Navarro, Narcis Gusi |
| Abstract |
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. 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. 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. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 33% |
| Japan | 1 | 33% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 2 | 67% |
| Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 208 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 208 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 27 | 13% |
| Student > Bachelor | 25 | 12% |
| Student > Ph. D. Student | 23 | 11% |
| Researcher | 21 | 10% |
| Student > Doctoral Student | 10 | 5% |
| Other | 36 | 17% |
| Unknown | 66 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Sports and Recreations | 37 | 18% |
| Medicine and Dentistry | 33 | 16% |
| Nursing and Health Professions | 27 | 13% |
| Social Sciences | 8 | 4% |
| Agricultural and Biological Sciences | 5 | 2% |
| Other | 20 | 10% |
| Unknown | 78 | 38% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 September 2017.
All research outputs
#15,769,651
of 24,041,016 outputs
Outputs from Current Diabetes Reports
#645
of 1,034 outputs
Outputs of similar age
#193,654
of 322,753 outputs
Outputs of similar age from Current Diabetes Reports
#25
of 36 outputs
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