Abstract

BackgroundThe aim of this study was to compare the effects of 10 weeks of resistance or treadmill exercises on glycemic indices levels prior to and immediately following exercise in adults with type 2 diabetes.Research Design and MethodTwenty inactive subjects (mean age 53.5 years) with type 2 diabetes enrolled in the study. Baseline HbA1c, blood glucose levels, heart rate, and blood pressure were measured for each subject prior to the initiation of the exercise program. Subsequently, subjects were matched to age, waist circumference and sex and assigned to either isocaloric resistance or treadmill exercise groups, which met 3 times per week for 10 weeks.ResultsBoth groups showed a reduction in pre and post-exercise blood glucose and HbA1c values. There was no change in resting blood pressure or heart rate in either group during the course of the 10 week intervention. The group receiving resistance exercises showed significant differences in the daily pre-exercise plasma glucose readings between the beginning and end of the exercise protocol (p < 0.001). There were significant improvements in the mean HbA1c reading pre and post training in both groups (p < 0.001). However, the greater reduction was noted in the resistance exercise group, and at 10 weeks their HbA1c levels were significantly lower than the group that received treadmill exercises (p < 0.006).ConclusionTen weeks of resistance exercises were associated with a significantly better glycemic control in adults with type 2 diabetes compared to treadmill exercise.

Highlights

  • Strict control of hyperglycemia is an essential part of the management of diabetes in order to prevent chronic progression of the complications

  • Ten weeks of resistance exercises were associated with a significantly better glycemic control in adults with type 2 diabetes compared to treadmill exercise

  • The subject's characteristics, collected prior to the exercise intervention, are shown in Table 2, illustrating no significant differences in the mean age, blood pressure, resting heart rate, waist circumference, or hemoglobin A1c (HbA1c) values of the participants in the resistance and treadmill exercise groups

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Summary

Introduction

Strict control of hyperglycemia is an essential part of the management of diabetes in order to prevent chronic progression of the complications. Given the controversy surrounding pharmacological interventions to maintain tight glycemic control in people with type 2 diabetes [9], it is important to examine alternative approaches with potentially less risk of mortality. The guidelines are written to be extremely general and they do not provide information on the intensity or most beneficial type of exercise for specific subpopulations of people with diabetes in order to maximize the benefit, while maintaining minimal risk [12,15,16]. The aim of this study was to compare the effects of 10 weeks of resistance or treadmill exercises on glycemic indices levels prior to and immediately following exercise in adults with type 2 diabetes. Subjects were matched to age, waist circumference and sex and assigned to either isocaloric resistance or treadmill exercise groups, which met 3 times per week for 10 weeks

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