High-intensity resistance training improves glycemic control in older patients with type 2 diabetes

Dunstan, David W., Daly, Robin, Owen, Neville, Jolley, Damien, De Courten, Maximilian, Shaw, Jonathan and Zimmet, Paul Z. 2002, High-intensity resistance training improves glycemic control in older patients with type 2 diabetes, Diabetes care, vol. 25, no. 10, pp. 1729-1736.

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Title High-intensity resistance training improves glycemic control in older patients with type 2 diabetes
Author(s) Dunstan, David W.
Daly, Robin
Owen, Neville
Jolley, Damien
De Courten, Maximilian
Shaw, Jonathan
Zimmet, Paul Z.
Journal name Diabetes care
Volume number 25
Issue number 10
Start page 1729
End page 1736
Publisher American Diabetes Association
Place of publication Alexandria, Va.
Publication date 2002-10
ISSN 0149-5992
1935-5548
Summary OBJECTIVE -- To examine the effect of high-intensity progressive resistance training combined with moderate weight loss on glycemic control and body composition in older patients with type 2 diabetes.

RESEARCH DESIGN AND METHODS -- Sedentary, overweight men and women with type 2 diabetes, aged 60-80 years (n = 36), were randomized to high-intensity progressive resistance training plus moderate weight loss (RT & WL group) or moderate weight loss plus a control program (WL group). Clinical and laboratory measurements were assessed at 0, 3, and 6 months.

RESULTS -- HbA.1c fell significantly more in RT & WL than WL at 3 months (0.6 ± or -] 0.7 vs. 0.07 ± 0.8%, P < 0.05) and 6 months (1.2 ±1.0 vs. 0.4 ±0.8, P < 0.05). Similar reductions in body weight (RT & WL 2.5 ±2.9 vs. WL 3.1±2.1 kg) and fat mass (RT & WL 2.4 ± 2.7 vs. WL 2.7±2.5 kg) were observed after 6 months. In contrast, lean body mass (LBM) increased in the RT & WL group (0.5 ±1.1 kg) and decreased in the WL group (0.4±1.0) after 6 months (P < 0.05). There were no between-group differences for fasting glucose, insulin, serum lipids and lipoproteins, or resting blood pressure.

CONCLUSIONS -- High-intensity progressive resistance training, in combination with moderate weight loss, was effective in improving glycemic control in older patients with type 2 diabetes. Additional benefits of improved muscular strength and LBM identify high-intensity resistance training as a feasible and effective component in the management program for older patients with type 2 diabetes.
Language eng
Field of Research 110602 Exercise Physiology
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2002, American Diabetes Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30006442

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