Document Detail


Minimal difference between aerobic and progressive resistance exercise on metabolic profile and fitness in older adults with diabetes mellitus: a randomised trial.
MedLine Citation:
PMID:  20795922     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
QUESTION: Is progressive resistance training as effective as aerobic training of similar duration in sedentary older adults with diabetes mellitus?
DESIGN: A randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis.
PARTICIPANTS: Sixty people with Type 2 diabetes mellitus with glycosylated haemoglobin (HbA1c) between 8% and 10% in the past month.
INTERVENTION: One 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 MEASURES: HbA1c, 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.
RESULTS: Forty-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).
CONCLUSIONS: Progressive resistance exercise has similar effects to aerobic exercise and therefore offers a useful alternative for patients unable to participate in aerobic exercise.
TRIAL REGISTRATION: NCT01000519.
Authors:
Cindy L W Ng; Su-Yen Goh; Rahul Malhotra; Truls Østbye; E Shyong Tai
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of physiotherapy     Volume:  56     ISSN:  1836-9553     ISO Abbreviation:  J Physiother     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-27     Completed Date:  2010-10-07     Revised Date:  2012-08-22    
Medline Journal Info:
Nlm Unique ID:  101528691     Medline TA:  J Physiother     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  163-70     Citation Subset:  IM    
Affiliation:
Department of Physiotherapy, Singapore General Hospital, Singapore. cindy.ng.l.w@sgh.com.sg
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT01000519
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure / physiology
Body Mass Index
Diabetes Mellitus, Type 2 / metabolism*,  physiopathology*,  therapy
Exercise*
Female
Heart Rate / physiology
Hemoglobin A, Glycosylated / metabolism
Humans
Male
Metabolism / physiology*
Middle Aged
Outcome Assessment (Health Care)
Oxygen Consumption / physiology
Physical Fitness / physiology*
Resistance Training*
Chemical
Reg. No./Substance:
0/Hemoglobin A, Glycosylated

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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