%0 Journal Article %T Actividad f¨ªsica en la prevenci¨®n y tratamiento de la diabetes %A Nieto-Mart¨ªnez %A Ramfis %J Revista Venezolana de Endocrinolog¨ªa y Metabolismo %D 2010 %I Sociedad Venezolana de Endocrinolog¨ªa y Metabolismo %X physical activity is essential in the prevention and treatment of diabetes mellitus (dm). prospective studies in high risk patients have concluded that regular physical activity is associated with a lower risk of progression to dm. besides, when dm has been established, a training program improves glucose control and prevents micro and macrovascular complications. benefits can be observed after a single bout of exercise (acute effect) improving muscular glucose uptake until 48 hours after exercise; or with regular exercise (chronic effect) lowering both fasting and post-prandial glucose and glycated hemoglobin levels. although aerobic exercise has been traditionally prescribed in diabetics, resistance training has shown improve both strength, and insulin-sensitive muscle mass and decrease cardiovascular risk. a combination of aerobic and resistance exercise provide the greatest benefit to glycemic management in dm. this article discusses the acute and/or chronic benefits of aerobic, resistance o combined exercise in the prevention and treatment of dm. in addition, general recommendations on physical activity according to metabolic control and considerations in patients with diabetic specific complications are summarized. %K diabetes mellitus %K resistance %K cardiovascular prevention. %U http://www.scielo.org.ve/scielo.php?script=sci_abstract&pid=S1690-31102010000200003&lng=en&nrm=iso&tlng=en