595-P: Exercise Training Improves Cardiorespiratory Parameters but Not VO2peak in People with Type 2 Diabetes

Abstract

Maximal oxygen consumption (VO2peak), a measure of cardiorespiratory fitness (CRF), is a strong predictor of mortality. People with type 2 diabetes (T2D) have lower VO2peak compared to healthy controls, and unfortunately, studies suggest that training has limited effects to improve VO2peak in T2D. Although VO2peak is a key component, additional respiratory functions may also be important markers of cardio-metabolic fitness. Here, we determined the effects of a 10-week moderate-intensity exercise training program on VO2peak, power (indicator of muscle strength), VO2/work (index of the body’s efficiency at producing work), OUES (protective in heart failure), and ventilatory threshold (marker of aerobic endurance) in lean, obese, and T2D subjects. Training improved VO2peak in lean and obese, but not in T2D (Table 1). Likewise, training increased power, and tended to increase OUES in lean and obese, but not T2D. However, training was effective in increasing ventilatory threshold (VT) and VO2/Work in T2D, and also improved glycemic control (HbA1c). We hypothesize that the increased VT functions to improve training-induced muscular efficiency and capillary delivery, contributing to improved glycemic control. In conclusion, despite no change in VO2peak, exercise training increases multiple CRF and metabolic parameters in people with T2D, and should continue to be a mainstay in treatment of T2D. Disclosure R.Middelbeek: Research Support; Novo Nordisk. L.Simpson: None. G.A.Hansbury: None. N.P.Carbone: None. P.Nigro: None. S.J.Lessard: None. M.Vamvini: None. L.Goodyear: None. Funding National Institutes of Health (K23DK114550 to R.M.), (R01DK112283 to L.G.); Joslin Diabetes Center (T32DK07260-038, 5P30DK36836)