How Can Patients With Diabetes and Obesity Lose Weight?

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How Can Patients With Diabetes and Obesity Lose Weight?
ExercisePhysical ActivityObesity
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At a recent diabetes conference, experts debated the relative merits of exercise and medication for weight loss in this patient population.

BERLIN — What is the best way to help patients with diabetes, heart problems, and obesity lose weight and improve their outcomes? Is it exercise or medication ? This was the focus of a"Battle of Experts" at the 2024 Diabetes Congress in Berlin."Exercise is 'omnipotent,'" said Christine Joisten, MD, general, sports, and nutrition physician at the Sports University in Cologne, Germany.

Different recommendations exist regarding how much exercise is necessary. According to the World Health Organization's recommendation,"Every step counts.""As sports physicians, we consider physical activity to be any form of energy expenditure achieved through muscle activity," said Joisten. Even the first walk improves the condition of coronary arteries, Kress explained. Fragmented exercise sessions, such as three times for 10 min/d, benefit circulation and fitness, the expert emphasized. Moderate aerobic training also ensures effective fat burning and prevents lactic acid buildup.Gradual progression can lead to longer or brisker walks. The goal does not always have to be 10,000 steps per day, as shown inpresented by Joisten.

The diabetologist also pointed out the risk for injury associated with exercise. Patients may become less active after a sports injury, he noted.investigated whether a lifestyle program involving exercise and dietary changes brought cardiovascular benefits. In the long run, it did not. Patients regained weight after some time, and the combined cardiovascular endpoint did not differ between the group with an active, healthy lifestyle and the inactive control group. The study was discontinued.

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