HEALTH – T2 DIABETES – STRENGTH & ENDURANCE TRAINING


1 RESEARCH ARTICLE


EFFECTS OF COMBINED AEROBIC-RESISTANCE EXERCISE ON GLYCEMIC CONTROL – 2015


Tomas-Carus P1, Ortega-Alonso A, Pietiläinen KH, Santos V, Gonçalves G, H H, Ramos J, Raimundo A.
AIM
Evaluate effects of 12-wks combined aerobic-resistance exercise therapy on fatigue and isokinetic muscle strength, glycemic control and health-related quality of life (HRQoL) in moderately affected type 2 diabetes (T2DM) patients
METHODS
– A randomized controlled trial design was employed. 43 T2DM patients were assigned to:
(1) Exercise group (n = 22), performing 3 weekly sessions of 60 minutes of combined aerobic resistance exercise for 12-wks
(2) No exercise control group (n = 21)
– Both groups were evaluated at a baseline and after 12-wks of exercise therapy for:
(1) muscle strength and fatigue by isokinetic dynamometry
(2) plasma glycated hemoglobin A1C (HbA1C)
(3) HRQoL utilizing the SF–36 questionnaire.
RESULTS
(1) The exercise therapy led to improvements in muscle fatigue in knee extensors (+55%) and increased muscle strength in knee flexors and extensors (+15 to +30%), while HbA1C decreased (-18%)
(2) The exercising patients showed sizeable improvements in HRQoL: physical function (+53%), vitality (+21%) and mental health (+40%)
CONCLUSION
– 12-wks of combined aerobic-resistance exercise was highly effective to improve muscle strength and fatigue, glycemic control and several aspects of HRQoL in T2DM patients
– These data encourage the use of aerobic and resistance exercise in the good clinical care of T2DM


 

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