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Cardio Diabetes Medicine 2017 583

Progression *A greater emphasis *Beginning training *Continue to work on
should be placed on intensity should be flexibility and balance
vigorous intensity moderate, involv- training, increasing du-
aerobic exercise if ing 10-15 repeti- ration and/or frequency
fitness is a primary tions per set, with to progress over time
goal of increases in
exercise and not weight or resis-
contraindicated by tance undertaken
complications with a lower num-
ber of repetitions
(8-10) only after
* Both HIIT and con- the target number
tinuous exercise of repetitions per
training are appropri- set can consistent-
ate activities ly be exceeded. *HIIT=HIGH INTENSITY
INTERVAL TRAINING.
for most individuals *Increase in resis-
with diabetes tance can be
followed by a
greater number of
sets and finally by
increased training
frequency

Life Style Phsical Activity and Its Pyramid :
In addition to the contemporary exercise guidelines, randomized clinical trials have now shown that
a life style approach to physical activity will be beneficial in promoting cardio vascular fitness and pre-
vention of cardio-metabolic disorders. This will be an alternative approach to sedentary people who
are not compliant with formal exercise program. Practicing physicians and allied health care providers
should advise their patients to integrate multiple short session of physical activity into their daily rou-
tines to reduce non-exercise activity thermogenesis. The spontaneous physical activities of daily living
represent another way of energy expenditure for many people. The activity pyramid analogous to the
U.S. food guide pyramid had been suggested as a model for the increasingly sedentary public. (Fig 2)

FIG 2: The Activity Pyramid Model Analogous to Food Pyramid

Cardio Diabetes Medicine