title: [Physical activity as a therapeutic tool in type 2 diabetes: practical aspects].
abstract: Physical activity is an integral part of the therapeutic management of type 2 diabetic patients. Its beneficial effects on patients' metabolic control and quality of life are well recognized. The clinical intervention is based on two complementary approaches: to promote physical activity and/or to decrease sedentary behavior, with the aim of long term maintainance. Careful examination of the patient, and assessment of his/her physical capacity and potential risks associated with activity represent the first steps. Assessment of the patient's motivation and stage of change regarding physical activity appears to be a key element for the success of the physical activity project. Main objectives should be clearly defined, as well as the means to reach them (changes in every day-life activities, progressive structured physical exercise), and should be reevaluated and adapted on a regular basis, together with the patient, and whenever possible, with his/her familial/social environment.
authors.affiliation: Service de Médecine et Nutrition, Hôtel-Dieu. Université Pierre-et-Marie Curie (Paris VI), Centre de Recherche en Nutrition Humaine Ile-de-France, F-75181 Paris Cedex 04. jean-michel.oppert@htd.ap-hop-paris.fr
authors.forename: J M
authors.initials: JM
authors.lastname: Oppert
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D015444:Exercise; D005081:Exercise Therapy; D006801:Humans; D008019:Life Style