Bewegungsanpassung in der prävention des diabetes mellitus typ 2

Genetic predisposition, lack of exercise and over-eating have led to a worldwide increase in the frequency of metabolic syndrome, type 2 diabetes mellitus and macrovascular disease. In prediabetic individuals, a change in lifestyle with more physical activity and better nutritional habits can prevent the manifestation of type 2 diabetes and reduce the risk of it to 60% of that without such changes over a period of 3 years. Practical implementation of this knowledge should be pursued as a matter of urgency, so as to contain the spiralling costs of diabetes and the vascular illnesses it leads to. The increased prevalence of type 2 diabetes mellitus and its precursors and the worldwide extreme rise in cost to healthcare systems of the other illnesses it causes have led to a rethink in healthcare policies: these are now aimed at prevention, with the option of being able to contain medical care devised to repair damage already sustained. Increasing lack of exercise is meanwhile recognized as a risk factor for metabolic and associated macroangiopathic disease. Thus, strategies aimed at lifestyle changes including increased exercise are potentially highly valuable in prevention and rehabilitation.