Rehabilitación cardíaca en pacientes diabéticos durante la pandemia de COVID-19

Nelson A, Campos Vera, Eduardo Rivas Estany, Rosa M. Real Cancio

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El beneficio del ejercicio en la prevención y el tratamiento de la diabetes mellitus tipo 2 tiene una base sólida de evidencia. En este artículo se revisan los diversos aspectos de la atención centrada en el paciente a través de la educación para el autocontrol de esta enfermedad durante la pandemia de COVID-19. Se debe considerar seriamente una derivación a un programa de rehabilitación cardíaca o fisioterapeuta para asesoramiento y prescripción de ejercicios, ya que puede apoyar y basarse en el proceso de cambio de comportamiento iniciado en entornos de práctica general para mejorar los resultados del paciente. Un sistema de apoyo y educación para el autocontrol de la diabetes mellitus basado en equipos de rehabilitación cardíaca tiene un papel fundamental que desempeñar en el cuidado de esta enfermedad en medio de la pandemia de COVID-19. Se requiere una estrecha coordinación entre pacientes y médicos para lograr el éxito deseado.

Referencias

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708-20. DOI: https://doi.org/10.1056/nejmoa2002032

Gupta R, Ghosh A, Singh AK, Misra A. Clinical considerations for patients with diabetes in times of COVID-19 epidemic. Diabetes Metab Syndr. 2020;14(3):211-2. DOI: https://doi.org/10.1016/j.dsx.2020.03.002

Guan WJ, Liang WH, Zhao Y, Liang HR, Chen ZS, Li YM, et al. Comorbidity and its impact on 1590 patients with COVID-19 in China: a nationwide analysis. Eur Respir J [Internet]. 2020 [citado 13 Ene 2021];55(5):2000547. Disponible en: https://doi.org/10.1183/13993003.00547-2020

Pal R, Bhansali A. COVID-19, diabetes mellitus and ACE2: The conundrum. Diabetes Res Clin Pract [Internet]. 2020 [citado 14 Ene 2021];162:108132. Disponible en: https://doi.org/10.1016/j.diabres.2020.108132

World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Ginebra: OMS; 2009.

Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT; et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219-29. DOI: https://doi.org/10.1016/s0140-6736(12)61031-9

Pedersen BK, Saltin B. Exercise as medicine evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25(Suppl 3):1-72. DOI: https://doi.org/10.1111/sms.12581

Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-9. DOI: https://doi.org/10.1001/jama.2011.576

Lee J, Kim D, Kim C. Resistance Training for Glycemic Control, Muscular Strength, and Lean Body Mass in Old Type 2 Diabetic Patients: A Meta-Analysis. Diabetes Ther. 2017;8(3):459-73. DOI: https://doi.org/10.1007/s13300-017-0258-3

Snowling NJ, Hopkins WG. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes Care. 2006;29(11):2518-27. DOI: https://doi.org/10.2337/dc06-1317

Cai H, Li G, Zhang P, Xu D, Chen L. Effect of exercise on the quality of life in type 2 diabetes mellitus: a systematic review. Qual Life Res. 2017;26(3):515-30. DOI: https://doi.org/10.1007/s11136-016-1481-5

Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393-403. DOI: https://doi.org/10.1056/nejmoa012512

Church TS, LaMonte MJ, Barlow CE, Blair SN. Cardiorespiratory fitness and body mass index as predictors of cardiovascular disease mortality among men with diabetes. Arch Intern Med. 2005;165(18):2114-20. DOI: https://doi.org/10.1001/archinte.165.18.2114

Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065-79. DOI: https://doi.org/10.2337/dc16-1728

Borghouts LB, Keizer HA. Exercise and insulin sensitivity: a review. Int J Sports Med. 2000;21(1):1-12. DOI: https://doi.org/10.1055/s-2000-8847

The Royal Australian College of General Practitioners. Smoking, Nutrition, Alcohol, Physical Activity (SNAP): A Population Health Guide to Behavioral Risk Factors in General Practice. 2 Ed. Australia: RACGP, 2015.

Bornstein SR, Rubino F, Khunti K, Mingrone G, Hopkins D, Birkenfeld AL, et al. Practical recommendations for the management of diabetes in patients with COVID-19. Lancet Diabetes Endocrinol. 2020 Jun;8(6):546-50. DOI: https://doi.org/10.1016/s2213-8587(20)30152-2

Misra A, Nigam P, Hills AP, Chadha DS, Sharma V, Deepak KK, et al. Consensus physical activity guidelines for Asian Indians. Diabetes Technol Ther. 2012;14(1):83-98. DOI: https://doi.org/10.1089/dia.2011.0111

Telemedicine Practice Guidelines - Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine. Appendix 5 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics Regulation, 2002) [Internet]. 2020 [citado 21 Ene 2021]. Disponible en: https://www.mohfw.gov.in/pdf/Telemedicine.pdf

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