Is a Long-Term Aerobic Plus Resistance Training Program Feasible for and Effective on Metabolic Profiles in Type 2 Diabetic Patients?

Balducci, Stefano; Leonetti, Frida; Mario, U. Di; Fallucca, F.

doi:10.2337/diacare.27.3.841

Cited by 106 publications

(108 citation statements)

References 9 publications

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“…In patients with type II diabetes, significantly improved glycemic control and declines in the hemoglobin A 1c have been observed following concurrent training programs (Balducci et al 2004;Church et al 2010). Moreover, a recent meta-analysis reported that strength, endurance, or concurrent training performed for a minimum of 12 weeks, with weekly exercise of more than 150 min, was associated with improved glycemic control and declines in the hemoglobin A 1c (Umpierre et al 2011).…”

Section: The Role Of Concurrent Training In Disease Treatmentmentioning

confidence: 99%

How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly: an update

Izquierdo

2013

AGE

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The purpose of the present study was to review the scientific literature that investigated concurrent training adaptations in elderly populations, with the aim of identifying the optimal combination of both training program variables (i.e., strength and endurance) to avoid or minimize the interference effect in the elderly. Scielo, Science Citation Index, MEDLINE, Scopus, SPORTDiscus, and ScienceDirect databases were searched. Concurrent training is the most effective strategy by which to improve neuromuscular and cardiorespiratory functions as well as functional capacity in the elderly. The volume and frequency of training appears to play a critical role in concurrent training-induced adaptations in elderly subjects. Furthermore, new evidence indicates that the intra-session exercise order may influence the magnitude of physiological adaptations. Despite the interference effect on strength gains that is caused by concurrent training, this type of training is advantageous in that the combination of strength and endurance training produces both neuromuscular and cardiovascular adaptations in the elderly. The interference phenomenon may be observed in elderly subjects when a moderate weekly volume of concurrent training (i.e., three times per week) is performed. However, even with the occurrence of this phenomenon, the performance of three concurrent training sessions per week appears to optimize the strength gains in relative brief periods of training (12 weeks). Moreover, performing strength prior to endurance exercise may optimize both neuromuscular and cardiovascular gains.

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Section: The Role Of Concurrent Training In Disease Treatmentmentioning

confidence: 99%

How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly: an update

Izquierdo

2013

AGE

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“…Whether combined resistance and aerobic training offers a synergistic and incremental effect on glycemic control in individuals with type 2 diabetes is an issue that has been addressed by a number of studies [33][34][35]. Moreover, if there is an incremental value to combined aerobic and resistance training-as opposed to separately-is another interesting research question that has been addressed in the studies by Cuff et al [36] and more recently by Sigal et al [37].…”

Section: Combined Aerobic and Resistance Exercisementioning

confidence: 99%

“…Concurrently, following training, peak oxygen uptake and exercise test duration increased, with a decrease in HbA 1c and fasting blood glucose. Balducci et al [34] demonstrated that even low-to moderate-intensity resistance training, combined with moderate aerobic exercise three times a week for a year significantly improved metabolic and lipidic profiles, adiposity and blood pressure. More specifically, compared with a non-exercising comparison group, HbA 1c and fat mass was significantly reduced while fat-free mass increased.…”

Section: Combined Aerobic and Resistance Exercisementioning

confidence: 99%

Exercise for the management of type 2 diabetes: a review of the evidence

et al. 2009

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The aim is to critically review the more relevant evidence on the interrelationships between exercise and metabolic outcomes. The research questions addressed in the recent specific literature with the most relevant randomized controlled trials, meta-analysis and cohort studies are presented in three domains: aerobic exercise, resistance exercise, combined aerobic and resistance exercise. From this review appear that the effects of aerobic exercise are well established, and interventions with more vigorous aerobic exercise programs resulted in greater reductions in HbA 1c , greater increase in VO 2max and greater increase in insulin sensitivity. Considering the available evidence, it appears that resistance training could be an effective intervention to help glycemic control, especially considering that the effects of this form of intervention are comparable with what reported with aerobic exercise. Less studies have investigated whether combined resistance and aerobic training offers a synergistic and incremental effect on glycemic control; however, from the available evidences appear that combined exercise training seems to determine additional change in HbA 1c that can be seen significant if compared with aerobic training alone and resistance training alone.

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“…In addition to the beneficial effects of exercise interventions on glycemic control (Umpierre et al 2011) and on the cardiovascular risk factors associated with type 2 diabetes (Balducci et al 2004;Figueira et al 2014), physical exercise is an effective intervention to improve muscle strength, power output, cardiovascular function, and functional capacity in elderly diabetic patients (Balducci et al 2012;Ibañez et al 2008;Geirsdottir et al 2012). In this regard, combined resistance and endurance training appears to serve as an effective exercise intervention to promote overall physical fitness in diabetic patients (Balducci et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

Cadore

Izquierdo

2015

AGE

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In elderly populations, diabetes is associated with reduced muscle strength, poor muscle quality, and accelerated loss of muscle mass. In addition, diabetes mellitus increases risk for accelerated aging and for the development of frailty syndrome. This disease is also associated with a polypathological condition, and its complications progressively affect quality of life and survival. Exercise interventions, including resistance training, represent the cornerstones of diabetes management, especially in patients at severe functional decline. This review manuscript aimed to describe the beneficial effects of different exercise interventions on the functional capacity of elderly diabetics, including those at polypathological condition. The SciELO, Science Citation Index, MEDLINE, Scopus, SPORTDiscus, and ScienceDirect databases were searched from 1980 to 2015 for articles published from original scientific investigations. In addition to the beneficial effects of exercise interventions on glycemic control, and on the cardiovascular risk factors associated with diabetes, physical exercise is an effective intervention to improve muscle strength, power output, and aerobic power and functional capacity in elderly diabetic patients. Thus, a combination of resistance and endurance training is the most effective exercise intervention to promote overall physical fitness in these patients. In addition, in diabetic patients with frailty and severe functional decline, a multicomponent exercise program including strength and power training, balance exercises, and gait retraining may be an effective intervention to reduce falls and improve functional capacity and quality of life in these patients.

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Is a Long-Term Aerobic Plus Resistance Training Program Feasible for and Effective on Metabolic Profiles in Type 2 Diabetic Patients?

Cited by 106 publications

References 9 publications

How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly: an update

How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly: an update

Exercise for the management of type 2 diabetes: a review of the evidence

Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

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