We conducted a 4-month randomised controlled trial of home-based resistance training using exercise bands, amongst people with type 2 diabetes and co-morbidities limiting aerobic exercise capacity. The intervention did not improve HbA1c, anthropometric variables or functional capacity. We conclude that short-term use of exercise bands does not improve glycaemic control.
"Other data suggest that progressive resistance exercise has benefits in the treatment of Type 2 diabetes (Neil and Ronald 2006, Irvine and Taylor 2009). However, two studies showed that a home-based resistance exercise program had no effect on glycaemic control (Dunstan et al 2005, Cheung et al 2009). Therefore, there is a need to further study the relative benefits of aerobic exercise and progressive resistance exercise in patients with Type 2 diabetes mellitus. "
[Show abstract][Hide abstract] ABSTRACT: Is progressive resistance training as effective as aerobic training of similar duration in sedentary older adults with diabetes mellitus?
A randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis.
Sixty people with Type 2 diabetes mellitus with glycosylated haemoglobin (HbA1c) between 8% and 10% in the past month.
One group undertook progressive resistance exercise and the other group undertook aerobic exercise. Both groups completed 18 sessions over 8 weeks. In each session, the progressive resistance exercise group did nine resistive exercises while the aerobic exercise group did 50 minutes of aerobic exercise.
HbA1c, blood glucose, lipid profile (total, high- and low-density cholesterol and triglycerides), weight, body mass index, body fat, waist circumference, waist:hip ratio, blood pressure, and peak oxygen consumption.
Forty-nine (82%) participants completed the intervention. HbA1c reduced by a similar amount in both groups (MD 0.1%, 95% CI -0.3 to 0.5). However, significant between-group differences occurred in change in waist circumference in favour of progressive resistance exercise (MD -1.8 cm, 95% CI -0.5 to -3.1), and in change in peak oxygen consumption in favour of aerobic exercise (MD 5.2 ml/kg, 95% CI 0.0 to 10.4).
Progressive resistance exercise has similar effects to aerobic exercise and therefore offers a useful alternative for patients unable to participate in aerobic exercise.
Journal of physiotherapy 09/2010; 56(3):163-70. DOI:10.1016/S1836-9553(10)70021-7 · 3.71 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: 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.
Twenty 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.
Both 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).
Ten weeks of resistance exercises were associated with a significantly better glycemic control in adults with type 2 diabetes compared to treadmill exercise.
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