Impacto do exercício aeróbico sobre a funcionalidade e glicemia em diabéticos com neuropatia : revisão sistemática

Abstract

Diabetes Mellitus (DM) is considered a heterogeneous set of metabolic disorders, which results in hyperglycemia, caused by dysfunction of insulin secretion and/or action, which can lead to the development of diseases and associated complications, such as peripheral neuropathy. Lifestyle changes, including diet and aerobic exercise, reduce the prevalence of diabetes and its complications. To analyze the influence of aerobic exercise on diabetic peripheral neuropathy. Systematic review with a search carried out in the Cochrane, Medline, PEDro and Pubmed databases in the period December 2021 using the terms "Diabetic Neuropathies", Exercise Therapy, Reabilitation with their respective MeSh. The selected articles had as a criterion: to be clinical studies randomized trials, published in the last 10 years, free access, in English and Portuguese that included aerobic physical exercise and Diabetic Neuropathy in humans, adults, of both sexes. The initial search resulted in 347 articles, 5 of which were compatible with the objective of the study. The samples used by the studies used a minimum of 24 and a maximum of 84 subjects. The duration of the aerobic exercise protocols ranged from 8 to 12 weeks, with a minimum weekly frequency of 3 times and a maximum of 6 times a week. The intensity of the exercises varied from 50% to 75% of the heart rate reserve of each individual and the most used material was the treadmill. After analyzing the studies, it was possible to conclude that aerobic exercise has a positive impact on blood glucose levels and on the treatment of signs and symptoms caused by peripheral diabetic neuropathy.