Exercise interventions demonstrated a beneficial effect on cardiac autonomic function in patients with type 2 diabetes across 8 randomized controlled trials, though most studies were of low quality.
Systematic Review
Does exercise improve cardiac autonomic function in patients with type 2 diabetes?
Exercise interventions, including aerobic and resistance training, appear to improve surrogate markers of cardiac autonomic function in patients with type 2 diabetes, though current evidence is of low quality.
BACKGROUND: Diabetic neuropathy, including autonomic neuropathy, is a severe complication in patients with poorly controlled diabetes. Specifically, cardiovascular autonomic neuropathy (CAN) plays a significant prognostic role in cardiovascular morbidity and mortality. Exercise, an essential component of diabetes treatment, may have a therapeutic effect on patients with diabetes complicated by CAN. However, it remains unclear whether exercise has a therapeutic or protective effect in diabetes patients with CAN. METHODS: The author conducted a systematic search of PubMed/MEDLINE, Embase, and The Cochrane Library, resulting in the identification of eight eligible randomized controlled trials for this review. RESULTS: Exercise, including aerobic exercise combined with resistance training (RT), high-intensity interval training, and progressive RT, has shown a beneficial effect on cardiac autonomic function (CAF) in patients with type 2 diabetes, as measured by heart rate variability, heart rate recovery, and baroreflex sensitivity. However, most studies had low quality. Moreover, there were no relevant studies examining the effect of exercise on CAF in older patients, patients with poorly controlled diabetes, and patients with type 1 diabetes. CONCLUSIONS: Exercise has the potential to manage patients with CAN by balancing sympathetic and parasympathetic nervous system functions; however, further studies are warranted in the future.
Hidetaka Hamasaki (Sun,) conducted a systematic review in Diabetes. Exercise was evaluated on Cardiac autonomic function. Exercise interventions demonstrated a beneficial effect on cardiac autonomic function in patients with type 2 diabetes across 8 randomized controlled trials, though most studies were of low quality.