F inding the O ptimal volume and intensity of R esistance T raining E xercise for Type 2 Diabetes: The FORTE Study, a Randomized Trial

Yang, Pearl; Swardfager, Walter; Fernandes, Daniel; Laredo, Sheila; Tomlinson, George; Oh, Paul; Thomas, Scott

doi:10.1016/j.diabres.2017.05.019

Cited by 24 publications

(26 citation statements)

References 40 publications

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“…However, the majority of trials included in this study did not control for the total volume of exercise being performed. Indeed, a recent study in individuals with T2D demonstrated that, when matched for exercise volume, there was no significant difference in glycemic control with high- or low-intensity RET (75 vs. 50% of 1RM, respectively) (Yang et al, 2017). Further work is needed to confirm these results; nonetheless, this work provides rationale that older adults with T2D (or at high risk for developing T2D) should simply concentrate on performing RET without having to worry about the exercise intensity.…”

Section: Resistance Exercise Training and Type 2 Diabetesmentioning

confidence: 99%

“…The wide-ranging health benefits of regular RET are well established; however, adherence to RET in older adults remains low, and the most commonly cited barriers to participation of RET are: (1) risk of injury (from lifting heavy relative loads) and (2) required access to a gym facility (Burton et al, 2017). However, utilizing one’s own body weight as resistance, or light-to-moderate relative loads (30–69% of 1RM) is just as effective as lifting heavy relative loads (≥70% of 1RM) for exerting health benefits (Lira et al, 2010; Lustosa et al, 2011; Sheikholeslami Vatani et al, 2011; Cornelissen and Smart, 2013; Strasser et al, 2013; Csapo and Alegre, 2016; Yang et al, 2017; Stamatakis et al, 2018). Cognizant of these findings, RET recommendations have been formulated, which may aid older adults in adhering to and thus reducing chronic disease risk (Figure 1).…”

Section: Resistance Exercise Training Recommendations For Reducing Agmentioning

confidence: 99%

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Resistance Exercise Training as a Primary Countermeasure to Age-Related Chronic Disease

2019

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Age is a primary risk factor for a number of chronic diseases including mobility disability, cardiovascular disease (CVD), type 2 diabetes (T2D), and cancer. Most physical activity guidelines emphasize the performance of 150 min of moderate-to-vigorous or 75 min of vigorous aerobic exercise training (AET) weekly for reduction of chronic disease risk. Nonetheless, there is an emerging body of evidence showing that resistance exercise training (RET) appears to be as effective as AET in reducing risk of several chronic diseases. It may also be that RET is more effective than AET in some regards; the converse is likely also true. We posit that the perceived divergent exercise mode-dependent health benefits of AET and RET are likely small in most cases. In this short review, our aim is to examine evidence of associations between the performance of RET and chronic health disease risk (mobility disability, T2D, CVD, cancer). We also postulate on how RET may be influencing chronic disease risk and how it is a critical component for healthy aging. Accumulating evidence points to RET as a potent and robust preventive strategy against a number of chronic diseases traditionally associated with the performance of AET, but evidence favors RET as a potent countermeasure against declines in mobility. On the basis of this review we propose that the promotion of RET should assume a more prominent position in exercise guidelines particularly for older persons.

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Section: Resistance Exercise Training and Type 2 Diabetesmentioning

confidence: 99%

Section: Resistance Exercise Training Recommendations For Reducing Agmentioning

confidence: 99%

Resistance Exercise Training as a Primary Countermeasure to Age-Related Chronic Disease

2019

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“…Fasting glucose and HbA1c were most frequently reported; six (of 16) studies demonstrated a significant decrease in postintervention glucose levels, 22,24,25,30,32,36 and HbA1c significantly decreased in 12 studies. 12,20,22,23,28,30,[32][33][34][35]38 No significance in HOMA-IR (five significant of 14 reports) or fasting insulin (three of nine) was observed following high-intensity exercise in the majority of outcomes.…”

Section: Outcomes According To Intensity or Typementioning

confidence: 93%

“…The postintervention results by intensity in the remaining studies were increased or decreased, although nonsignificant. Three studies comparing high and moderate intensities found significant decreases in fasting glucose from high intensity 30,32,36 while three 30,32,38 reported a significant decrease following moderate intensity. For HbA1c, three studies observed a significantly greater decrease following high-intensity exercise versus MIE.…”

Section: Outcomes According To Intensity or Typementioning

confidence: 99%

“…Postintervention fasting glucose, HbA1c, fasting insulin, and HOMA-IR values and their significances were reported as indicated in Table 4. Three studies reported decreased HbA1c from moderate to sprint intensity resistance training, 21,30,38 and HbA1c and fasting glucose trended down across all resistance training intensities.…”

Section: Outcomes According To Intensity or Typementioning

confidence: 99%

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Exercise Intensities as Factors of Metabolic Outcomes in Type 2 Diabetes: A Systematic Review

Moxley

Bugaieski

2018

Home Health Care Management & Practice

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Exercise is effective to prevent and treat type 2 diabetes, although currently underutilized. This review analyzes the metabolic response to exercise performance at various intensities in individuals with type 2 diabetes. These findings provide insight into the development of safe and efficacious exercise prescriptions and education. We conducted a systemic review of the literature to examine the association of various exercise protocols with metabolic outcomes in type 2 diabetes. Between 1984 and 2018, 29 studies were categorized per exercise mode and intensity levels according to the American College of Sports Medicine standards. The most consistent improvement was found in HbA1c following moderate- to high-intensity exercise—post-exercise fasting glucose improved to a lesser extent. Low-intensity exercise improved HOMA-IR (homeostasis model assessment for insulin resistance) levels. Glucose and HbA1c improved most following interval compared with continuous exercise, irrespective of intensity. A comparison of high-intensity exercise with moderate-intensity exercise demonstrated few differences in HbA1c, fasting glucose, fasting insulin, and HOMA-IR. Irrespective of exercise intensity, HbA1c improvements were observed, suggesting a delayed progression to diabetes-related complications. Initial low-intensity exercise, with increased quantities when feasible, will contribute to metabolic improvements. The variability in methodology and measurement contributed to inconsistent outcomes; additional research with larger samples sizes is warranted.

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Exercise in the Prevention and Treatment of Type 2 Diabetes

Kirwan¹,

Heintz²,

Rebello³

et al. 2023

Comprehensive Physiology

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F inding the O ptimal volume and intensity of R esistance T raining E xercise for Type 2 Diabetes: The FORTE Study, a Randomized Trial

Cited by 24 publications

References 40 publications

Resistance Exercise Training as a Primary Countermeasure to Age-Related Chronic Disease

Resistance Exercise Training as a Primary Countermeasure to Age-Related Chronic Disease

Exercise Intensities as Factors of Metabolic Outcomes in Type 2 Diabetes: A Systematic Review

Exercise in the Prevention and Treatment of Type 2 Diabetes

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