Abstract

Type 2 diabetes mellitus (T2DM) represents a growing global challenge, driven by physical inactivity and rising obesity—factors that increase the risk of severe complications and uncontrolled glycemic levels. Although physical activity is essential for glucose metabolism, patient adherence to exercise remains low. This study, an integrative review, proposes the stratification of diabetics into three physical profiles based on the IPAQ and functionality: 1) physically active; 2) physically inactive with functional capacity; and 3) physical-functional inactive, represented by individuals with severe limitations, such as amputees. The analysis highlights that active static stretching emerges as a viable therapeutic alternative for low-adherence groups, demonstrating both acute and chronic efficacy in reducing blood glucose and improving glycated hemoglobin (HbA1c). It is concluded that recognizing these profiles allows for more precise clinical guidance, utilizing stretching as a gateway to regular exercise practice.

Keywords

type 2 diabetes, IPAQ, physical activity, glycemic control, stretching