Diyabetli Hastalarda Egzersiz Reçetesi

ÖzDiyabet hastalarında egzersizin insülin direncini azalttığı, insülinin etkisini ve glikoztoleransını artırdığı bilinmektedir. Türü, şiddeti, sıklığı, süresi, tekrar ve set sayısı her bir hastaya göre yapılandırılmış olan aerobik, direnç ya da kombine egzersizler, diyabet tedavisinde tıbbi tedavi ve tıbbi beslenmenin yanında önemli bir bileşendir. Aerobik eg-zersizler, haftada 3-5 gün, orta şiddete (max. kalp atım hızının yada max. VO2’nin %50-80’i aralığında), her bir egzersizin 30-60 dakika sürdüğü, haftada toplam 150 dakikaolacak şekilde ayarlanmalıdır. Direnç egzersizleri herhangi bir kontrendikasyonu olmayan diyabetlilerde aerobik egzersizlere ek olarak, haftada 2-3 kez, kaldırabildiği max. ağırlığın %60-80’i kadar, 2-3 set ve 8-12 tekrarla, her bir egzersizde 8-10 kas grubunu çalıştıracak ve egzersizler arasında 48 saatlik dinlenme olacak şekilde planlanmalıdır. Diyabet hastalarında egzersiz öncesi, sırası ve sonrasında hiperglisemi ve hipoglisemi bakımından alınması gereken önlemlere dikkat edilerek hastaya güvenli bir egzersiz sağlanmalıdır.

Anahtar Kelimeler:

Diyabet, egzersiz reçetesi, dirençegzersizi

Exercise Prescription for Diabetic Patients

AbstractIt is known that exercise reduces insulin resistance and increases glucose tolerancein patients with diabetic. The component of exercise i.e; type, intensity, frequency, du-ration in individually design aerobics, resistance or combined exercise programs are important part of treatment in addition to medical care and nutritional life style changes.To gain best health benefits, aerobic exercises are advised to perform for 30- 60 min.per day, totally 150 min per week, 3 to 5 days per week, at a moderate intensity of 50-80% of max VO2 or heart rate reserve. In addition to aerobic exercises, if patients with diabetes mellitus are free from contraindications, resistance exercises could be prescribed at an intensity of 60-80% of 1RM (one repetition maximum), perform 2-3 sets andeach sets consisting of 8-12 repetitions for 8-10 different muscle groups per exercise.The total resistance work out could be performed 2-3 times per week with 48 hours restperiods. In order to avoid hyperglycaemia and hypoglycaemia before, during, and afterexercise in patients with diabetes, safety precautions should be provided.

Keywords:

Diabetes exercise prescription, aerobic exercise, resistance exercise,

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