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High-Intensity Resistance Training Improves Glycemic Control in Older Patients With Type 2 Diabetes

Dunstan, David W, Daly, Robin M, Owen, Neville, Jolley, Damien, de Courten, Maximilian, Shaw, Jonathan and Zimmet, Paul (2002) High-Intensity Resistance Training Improves Glycemic Control in Older Patients With Type 2 Diabetes. Diabetes Care, 25 (10). pp. 1729-1736. ISSN 0149-5992 (print) 1935-5548 (online)

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Abstract

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—HbA1c fell significantly more in RT & WL than WL at 3 months (0.6 ± 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.

Item Type: Article
Uncontrolled Keywords: type 2 diabetes, glycemic control, muscle strength, resistance training, moderate weight loss, clinical trial, therapeutic management
Subjects: FOR Classification > 1103 Clinical Sciences
Faculty/School/Research Centre/Department > College of Health and Biomedicine
Depositing User: Ms Julie Gardner
Date Deposited: 14 Jul 2014 06:11
Last Modified: 10 Feb 2015 04:00
URI: http://vuir.vu.edu.au/id/eprint/25454
DOI: 10.2337/diacare.25.10.1729
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Citations in Scopus: 429 - View on Scopus

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