Movement prescription
Few patients receive a real prescription specifying how to engage in physical activity, yet walking would greatly help reduce diabetes-related cardiovascular risk factors and keep blood sugar under control. As he explains Paolo Moghetti of SID, which contributed to the drafting of the document, change the lifestyle in diabetes fundamental in therapy, as well as in prevention. The path is a simple tool, easily applicable in different contexts and inexpensive which, used well, can represent a first step towards changing habits in most people with diabetes. Patients often tell their doctors that they would like to join the gym but do not find the time or that they stop going after just two or three times, but also a daily practice such as a walk, following the right advice, as useful as the gym and more easily. practicable. As he adds Ernesto Rossi, national head of prevention for AMD, few diabetes services prescribe physical activity with a structured approach, that is in safety and according to validated efficacy schemes. These guidelines on the path are born to support doctors and patients in this direction, identifying a type of exercise as the easy path to practice.
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How to walk
The guidelines first indicate what people with diabetes should do at least half an hour a day of physical activity, at moderate or high intensity, ideally every day of the week and starting gradually if out of practice; over time, especially in younger people, a short high-intensity workout alternating with recovery periods can be included, the so-called high-intensity interval training (for example alternating fast walking for one to three minutes and slow walking for the same amount of time). Walking outdoors is better than walking indoors on a treadmill: walking in a park and in nature increases the psycho-physical well-being associated with motor activity. Exercise should be monitored with a pedometer or better still with a smartwatch equipped with GPS which, in addition to the distance traveled, gives information on the type of route, body acceleration, heart rate and speed. La walk also ideal for overweight or obese diabetic people, avoiding for climbs or descents with a gradient of more than 5 percent and resting for a while every 15 minutes of exercise. Experts finally advise Nordic Walking, walking with snowshoes: it increases energy expenditure by 20-25 percent because it also engages the muscles of the upper body. Nordic Walking programs improve exercise capacity, functional status, quality of life, lipid profile and cardiorespiratory function, they also reduce weight and chronic pain. For an effective and correct training, at least at the beginning, it is advisable to rely on the supervision of an expert.
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March 2, 2021 (change March 2, 2021 | 11:33)
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