Article ID Journal Published Year Pages File Type
2621996 Journal of Physiotherapy 2010 8 Pages PDF
Abstract

QuestionIs progressive resistance training as effective as aerobic training of similar duration in sedentary older adults with diabetes mellitus?DesignA randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis.ParticipantsSixty people with Type 2 diabetes mellitus with glycosylated haemoglobin (HbA1c) between 8% and 10% in the past month.InterventionOne 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.Outcome measuresHbA1c, 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.ResultsForty-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).ConclusionsProgressive resistance exercise has similar effects to aerobic exercise and therefore offers a useful alternative for patients unable to participate in aerobic exercise.Trial registrationNCT01000519.

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