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    Exercise/Physical Activity in Individuals with Type 2 Diabetes from the American College of Sports Medicine: Interpretation and Clinical Significance
    Zhihan XU, Shiqiang WANG, Dan LI, Yijie WANG, Shaokun WANG, Kailin GUO
    Chinese General Practice    2022, 25 (25): 3083-3088.   DOI: 10.12114/j.issn.1007-9572.2022.0353
    Abstract1104)   HTML46)    PDF(pc) (1730KB)(932)       Save

    The guidelines on physical activities in individuals with type 2 diabetes, a common chronic metabolic disease, have been updated continuously, and relevant recommendations from them are increasingly improved, but there are still difficulties in these people's daily activities need to be addressed. In February 2022, the American College of Sports Medicine and the American Diabetes Association issued the Exercise/Physical Activity in Individuals with Type 2 Diabetes (EPAIT2D) by updating the Exercise and Type 2 Diabetes, a statement jointly published by them in 2010, which provides a concise summary of new clinical recommendations on age-specific physical activity, optimal timing of activities, effectiveness of medical intervention and physical activity, and precautions regarding physical activities and diets in type 2 diabetics. We interpreted the essentials and key updated contents of the EPAIT2D, and put forward recommendations on clinical delivery of exercise/physical activity interventions targeting Chinese type 2 diabetics.

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    Integrating Physical Activity into Healthcare for the Prevention and Treatment of Diabetes: Insights from the U.S. Experience
    Yuan GAO, Xianjuan KOU
    Chinese General Practice    2022, 25 (25): 3089-3096.   DOI: 10.12114/j.issn.1007-9572.2022.0222
    Abstract1101)   HTML59)    PDF(pc) (2034KB)(468)       Save

    The prevention and treatment of diabetes is booming driven by the integration of physical activity into healthcare. In China, the integration of physical activity into healthcare started late and still has many imperfections, the improvement of which relies crucially on measures explored according to the national conditions. The U.S. has formed a relatively comprehensive diabetes prevention and control system based on integrating physical activity into healthcare after years of exploratory practice, which may provide insights into the development of diabetes prevention and control in China. We introduced the development and implementation of the America's National Diabetes Prevention Program (DPP) , and summarized the wellness benefit system in health insurance for diabetes, innovative models of referral cooperation, interdisciplinary talent training programs, and the framework of integrating the data of health records and physical activities in the U.S. Then based on this, we put forward the following recommendations for integrating physical activity into healthcare to improve the current diabetic prevention and treatment (including solving problems) in China: speeding up the development of a China's national DPP, and popularizing the idea of integrating physical activity into healthcare; deepening the reform of the social security system, and resolving the conflicts between medical insurance regulations; promoting the innovation of the models of integrating physical activity into healthcare, and improving the operation of referral services; filling the gap in interdisciplinary talent training to develop a competitive heath workforce; bridging the data of health records and physical activities for information sharing with good management of the privacy and security of personal information.

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