Effectiveness of resistance exercise compared to aerobic exercise without insulin therapy in patients with type 2 diabetes mellitus: a meta-analysis

Nery, Cybelle da Silva; Moraes, Sílvia Regina Arruda de; Novaes, Karyne Albino; Bezerra, Márcio Almeida; Silveira, Patrícia Verçoza de Castro; Lemos, Andréa

doi:10.1016/j.bjpt.2017.06.004

Cited by 51 publications

(31 citation statements)

References 38 publications

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“…Moderate-intensity (40–50%) high-volume resistance training had no effect on HbA1c levels in diabetic subjects [19]. Based on the duration of RE, a recent meta-analysis categorized seven trials into two subgroups, 8–20 weeks (four trials) and 21–48 weeks (three trials), and found no differences in HbA1c between the subgroups and also with overall RE [63]. None of these studies categorized RE based on its intensity, and compared intensity effects on change of HbA1c in diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis

Liu

Chen³

et al. 2019

IJERPH

131

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We investigated the influence of resistance exercise (RE) with different intensities on HbA1c, insulin and blood glucose levels in patients with type 2 diabetes (T2D). Diabetes trials that compared RE group with a control were included in meta-analysis. Exercise intensities were categorized into low-to-moderate-intensity and high-intensity subgroups. Intensity effect on glycemic control was determined by meta-regression analysis, and risk-of-bias was assessed using Cochrane Collaboration tool. 24 trials met the inclusion criteria, comprised of 962 patients of exercise (n = 491) and control (n = 471). Meta-regression analysis showed decreased HbA1c (p = 0.006) and insulin (p = 0.015) after RE was correlated with intensity. Subgroup analysis revealed decreased HbA1c was greater with high intensity (−0.61; 95% CI −0.90, −0.33) than low-to-moderate intensity (−0.23; 95% CI −0.41, −0.05). Insulin levels were significantly decreased only with high intensity (−4.60; 95% CI −7.53, −1.67), not with low-to-moderate intensity (0.07; 95% CI −3.28, 3.42). Notably, values between the subgroups were statistically significant for both HbA1c (p = 0.03) and insulin (p = 0.04), indicative of profound benefits of high-intensity RE. Pooled outcomes of 15 trials showed only a decreased trend in blood glucose with RE (p = 0.09), and this tendency was not associated with intensity. Our meta-analysis provides additional evidence that high-intensity RE has greater beneficial effects than low-to-moderate-intensity in attenuation of HbA1c and insulin in T2D patients.

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Section: Discussionmentioning

confidence: 99%

Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis

Liu

Chen³

et al. 2019

IJERPH

131

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“…Weightlifting exercise is well established as an exercise modality of resistance exercise to improve skeletal muscle mass [ 1 , 2 ], strength [ 3 , 4 , 5 ], endurance [ 6 , 7 ] and power [ 8 , 9 ]. These positive adaptations in skeletal muscle function translate into athletic performance [ 10 , 11 , 12 , 13 , 14 ] and health-related [ 15 , 16 , 17 , 18 , 19 ] benefits in a range of populations [ 20 , 21 , 22 ]. To achieve specific muscular adaptations, resistance exercise training programs can manipulate variables such as muscle action, loading and volume, exercise selection and order, free weights vs. resistance machines, rest periods, number of repetitions and sets, velocity of muscle action and frequency [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Dietary Nitrate Supplementation on Weightlifting Exercise Performance in Healthy Adults: A Systematic Review

et al. 2020

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Dietary nitrate (NO3−) supplementation has been evidenced to induce an ergogenic effect in endurance and sprint-type exercise, which may be underpinned by enhanced muscle contractility and perfusion, particularly in type II muscle fibers. However, limited data are available to evaluate the ergogenic potential of NO3− supplementation during other exercise modalities that mandate type II fiber recruitment, such as weightlifting exercise (i.e., resistance exercise). In this systematic review, we examine the existing evidence basis for NO3− supplementation to improve muscular power, velocity of contraction, and muscular endurance during weightlifting exercise in healthy adults. We also discuss the potential mechanistic bases for any positive effects of NO3− supplementation on resistance exercise performance. Dialnet, Directory of Open Access Journals, Medline, Pubmed, Scielo, Scopus and SPORT Discus databases were searched for articles using the keywords: nitrate or beetroot and supplement or nut*r or diet and strength or “resistance exercise” or “resistance training” or “muscular power”. Four articles fulfilling the inclusion criteria were identified. Two of the four studies indicated that NO3− supplementation could increase aspects of upper body weightlifting exercise (i.e., bench press) performance (increases in mean power/velocity of contraction/number of repetitions to failure), whereas another study observed an increase in the number of repetitions to failure during lower limb weightlifting exercise (i.e., back squat). Although these preliminary observations are encouraging, further research is required for the ergogenic potential of NO3− supplementation on weightlifting exercise performance to be determined.

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“…No total, o volume de tempo de exercícios físicos foi de (WEWEGE et al, 2018). Esse resultado vai de encontro com outra metanálise, publicada em 2017, que mostrou não haver diferença entre os níveis de HbA1c, índice de massa corporal (IMC), colesterol HDL e LDL, triglicerídeos após programas de treinamento resistido ou aeróbico, com duração maior que 8 semanas (NERY et al, 2017).…”

Section: Discussionunclassified

Abordagens E Tendências Da Educação Física Escolar Brasileira: Contexto Histórico E Formação Inicial De Professores

Queiroz¹

2020

Movimento Humano, Saúde E Desempenho

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. A Atena Editora não se responsabiliza por eventuais mudanças ocorridas nos endereços convencionais ou eletrônicos citados nesta obra. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.

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Effectiveness of resistance exercise compared to aerobic exercise without insulin therapy in patients with type 2 diabetes mellitus: a meta-analysis

Abstract: HighlightsResistance exercise (> 12 weeks) appears to increase in VO2max in diabetic patients.Resistance exercise didn’t decrease the glycemic level compared to aerobic exercises.The lipid profile of DM patients was the same in both types of exercise.

Cited by 51 publications

References 38 publications

Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis

Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis

Effects of Dietary Nitrate Supplementation on Weightlifting Exercise Performance in Healthy Adults: A Systematic Review

Abordagens E Tendências Da Educação Física Escolar Brasileira: Contexto Histórico E Formação Inicial De Professores

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