Quiz - Physical Activity and Diabetes

This quiz tests on some of the key issues from Chapter 10 – Physical Activity and Diabetes from the Diabetes Canada Guidelines. Hopefully this helps you prepare for the CDE exam.

1. BK is in to see his primary care healthcare professional today. He is recommended to increase his physical activity level. Which of the following statements regarding physical activity in diabetes is TRUE?

Only structured supervised exercise interventions have been found to improve A1C in type 2 diabetes

Physical activity could increase the development of peripheral neuropathy

The maximum benefit of exercise is seen at 150 minutes/week

Exercise interventions in adults with type 1 diabetes have not clearly demonstrated beneficial effects on glycemic control

Question 1 of 9

2. Mix and match the correct answers

Physical activity	Any bodily movement produced by skeletal muscles that results in energy expenditure above resting (basal) levels. This term broadly encompasses exercise, sport and physical activities done as a part of daily living, occupation, leisure and active transport. Unselect Planned, structured activity typically performed with the intent of improving health and/or fitness. Unselect A form of activity, such as lower back or hamstring stretching, that enhances the ability of joints to move through their full range of motion. Unselect Brief repetitive exercise using weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) to increase muscle strength and/or endurance. Unselect Exercise that involves continuous, rhythmic movements of large muscle groups. This type of exercise depends primarily on the aerobic energy-generating processes in the body Unselect
Exercise	Any bodily movement produced by skeletal muscles that results in energy expenditure above resting (basal) levels. This term broadly encompasses exercise, sport and physical activities done as a part of daily living, occupation, leisure and active transport. Unselect Planned, structured activity typically performed with the intent of improving health and/or fitness. Unselect A form of activity, such as lower back or hamstring stretching, that enhances the ability of joints to move through their full range of motion. Unselect Brief repetitive exercise using weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) to increase muscle strength and/or endurance. Unselect Exercise that involves continuous, rhythmic movements of large muscle groups. This type of exercise depends primarily on the aerobic energy-generating processes in the body Unselect
Aerobic exercise	Any bodily movement produced by skeletal muscles that results in energy expenditure above resting (basal) levels. This term broadly encompasses exercise, sport and physical activities done as a part of daily living, occupation, leisure and active transport. Unselect Planned, structured activity typically performed with the intent of improving health and/or fitness. Unselect A form of activity, such as lower back or hamstring stretching, that enhances the ability of joints to move through their full range of motion. Unselect Brief repetitive exercise using weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) to increase muscle strength and/or endurance. Unselect Exercise that involves continuous, rhythmic movements of large muscle groups. This type of exercise depends primarily on the aerobic energy-generating processes in the body Unselect
Resistance exercise	Any bodily movement produced by skeletal muscles that results in energy expenditure above resting (basal) levels. This term broadly encompasses exercise, sport and physical activities done as a part of daily living, occupation, leisure and active transport. Unselect Planned, structured activity typically performed with the intent of improving health and/or fitness. Unselect A form of activity, such as lower back or hamstring stretching, that enhances the ability of joints to move through their full range of motion. Unselect Brief repetitive exercise using weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) to increase muscle strength and/or endurance. Unselect Exercise that involves continuous, rhythmic movements of large muscle groups. This type of exercise depends primarily on the aerobic energy-generating processes in the body Unselect
Flexibility exercise	Any bodily movement produced by skeletal muscles that results in energy expenditure above resting (basal) levels. This term broadly encompasses exercise, sport and physical activities done as a part of daily living, occupation, leisure and active transport. Unselect Planned, structured activity typically performed with the intent of improving health and/or fitness. Unselect A form of activity, such as lower back or hamstring stretching, that enhances the ability of joints to move through their full range of motion. Unselect Brief repetitive exercise using weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) to increase muscle strength and/or endurance. Unselect Exercise that involves continuous, rhythmic movements of large muscle groups. This type of exercise depends primarily on the aerobic energy-generating processes in the body Unselect

Question 2 of 9

3. Mix and Match the correct answers

Aerobic training	Exercise training, involving brief repetitive exercises with weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) performed for the purpose of increasing muscle mass and strength. This type of exercise uses predominantly anaerobic energy-generating systems in skeletal muscle. Unselect A type of aerobic exercise training based on alternating between short periods of vigorous intensity exertion and periods of rest or lower-intensity exercise; commonly performed using a predominantly aerobic exercise modality, such as running or cycling. Unselect Exercise training involving periods of predominantly activities, such as running, cycling or swimming, performed for the purpose of enhancing cardiorespiratory fitness, performance and/or health. Unselect
Resistance training	Exercise training, involving brief repetitive exercises with weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) performed for the purpose of increasing muscle mass and strength. This type of exercise uses predominantly anaerobic energy-generating systems in skeletal muscle. Unselect A type of aerobic exercise training based on alternating between short periods of vigorous intensity exertion and periods of rest or lower-intensity exercise; commonly performed using a predominantly aerobic exercise modality, such as running or cycling. Unselect Exercise training involving periods of predominantly activities, such as running, cycling or swimming, performed for the purpose of enhancing cardiorespiratory fitness, performance and/or health. Unselect
High-intensity interval training	Exercise training, involving brief repetitive exercises with weights, weight machines, resistance bands or one's own body weight (e.g. push-ups) performed for the purpose of increasing muscle mass and strength. This type of exercise uses predominantly anaerobic energy-generating systems in skeletal muscle. Unselect A type of aerobic exercise training based on alternating between short periods of vigorous intensity exertion and periods of rest or lower-intensity exercise; commonly performed using a predominantly aerobic exercise modality, such as running or cycling. Unselect Exercise training involving periods of predominantly activities, such as running, cycling or swimming, performed for the purpose of enhancing cardiorespiratory fitness, performance and/or health. Unselect

Question 3 of 9

4. Which of the following statements regarding interval training is TRUE?

High-intensity interval training involves alternating between short periods of higher and lower-intensity exercise

High-intensity interval training leads to less gains in cardiorespiratory fitness in people with or without diabetes

In people with type 1 diabetes high-intensity training is associated with a higher risk of hyperglycemia than continuous aerobic exercise

The risks of high-intensity training in type 1 diabetes is much great than continuous aerobic exercise

Question 4 of 9

5. RW is performing aerobic physical activity daily. He wants to know if he must perform resistance exercise. Which of the following statements is TRUE?

Resistance training is associated with enhanced functional status

The optimal resistance program for diabetes is 8 reps at least 4 times per week

Twice weekly physical activity is insufficient to reduce A1C or body fat

Compared to aerobic exercise, resistance exercise is associated with a higher hypoglycemia risk for individuals with type 1 diabetes

Question 5 of 9

6. HP is 50 years of age with type 2 diabetes. He was told that he should not exercise due to his age and his health. Which of the following statements is TRUE?

Most people with diabetes who have no symptoms of coronary ischemia do not require medical clearance before starting a low-to-moderate intensity exercise program

Persons with severe peripheral neuropathy should avoid weight-bearing activity

A resting ECG is not required in people with diabetes prior to exercise

People who are symptomatic, either before or during exercise, should discontinue exercise as it is not appropriate for them

Question 6 of 9

7. Which of the following statements regarding exercise-related risks is TRUE?

Prolonged aerobic exercise increases insulin sensitivity in recovery for up to 10 hours and increases hypoglycemia during this time frame

All patients should consume 15 grams of carbohydrate prior to exercise

For activities less than 2 hours after a meal, reductions in prandial insulin by 25% to 75% are effective in limiting hypoglycemia

Sprinting and other brief intense exercise increases the risk of hypoglycemia greater than aerobic exercise

Question 7 of 9

8. KL is recommended to increase aerobic exercise. Which of the following is a recommendation from the Diabetes Canada guidelines for aerobic exercise?

Dancing is a vigorous aerobic exercise

To be effective, aerobic exercise must be done in sections of 30 minutes at a time

The minimum recommendation is 200 minutes per week, with at least 30 minutes a day on most days of the week

People can start by walking at a comfortable pace for as little as 5 to 15 minutes at one time

Question 8 of 9

9. KL wants to do resistance exercise. Which of the following statements is TRUE?

It must be done with free weights

It should primarily focus on upper body strength

A qualified exercise specialist should be consulted to maximize benefits, while minimizing risk of injury, at least for the initial sessions

Once an appropriate weight is found, the patient should stay at that weight

Question 9 of 9

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Quiz – Physical Activity and Diabetes

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