It’s difficult to assess a patient's fitness while sitting in a doctor’s office
"Type 2 diabetes is due to insulin resistance, so the exercise that is more effective to increase insulin sensitivity is more specific to the duration of the exercise than the intensity.
But overweight and obese people may not be able to do either of these without injuring themselves. The Hippocratic oath, whereby doctors pledge to first “do no harm,” gets lost with the prescription of exercise with most individuals. The risk of injury and noncompliance should be the first two things when discussing an exercise routine.
The risk of injury for all individuals, especially of the lower extremities, such as plantar fasciitis and knee pain, is up to four times greater doing high-intensity exercise, such as jogging, compared to moderate intensity such as walking. Obese individuals are at even greater risk."
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