生活習慣病治療の要：運動と実践

Lifestyle-related Diseases and Nutrition : An Important Aspect of Calcium/Mineral Management. FITT principle of exercise in the management of lifestyle-related diseases.

　生活習慣病治療の基本となる運動処方は，「中強度の有酸素運動を１日合計30分，ほぼ毎日行なう」というものである。観察研究，介入試験のメタアナリシス等からは，疾患ごとに有効なFITT（運動の頻度，強度，時間，種類）の条件が明らかになりつつある。本稿では，高血圧，糖尿病，脂質異常，肥満・メタボリックシンドロームに対する有効な運動の頻度・強度・時間（それらで規定される運動量）の条件，およびレジスタンス運動の効果について，エビデンスを概観する。

　FITT principle（frequency, intensity, time, and type）of exercise is a framework for exercise prescription. A general recommendation is to accumulate at least 30 minutes of moderate-intensity exercise on most days of the week（total of 150 minutes per week）. In this article, evidence was reviewed to clarify optimum exercise conditions for managing lifestyle-related diseases such as hypertension, diabetes, dyslipidemia, obesity and metabolic syndrome. The effect of resistance exercise was also reviewed.