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Low-intensity resistance training improves muscle strength, glycaemic control in diabetics

11 Oct 2018

Low-intensity resistance training with slow movements and tonic force generation (LST) is an effective approach to improving muscle size and strength, as well as glycaemic control, in patients with type 2 diabetes, reports a recent study.

Ten type 2 diabetes patients (mean age 68.2±9.7 years; 50 percent male) underwent twice-weekly LST training for 16 weeks. Dual-energy X-ray absorptiometry and ultrasound imaging were used to assess body composition and muscle thickness, and blood samples were drawn for the quantification of glycated haemoglobin (HbA1c) levels.

After the 16-week intervention, researchers observed a significant drop in body weight (65.00±8.7 to 64.1±8.4 kg; p=0.0499), fat mass (21.2±5.0 to 20.2±5.0 kg; p=0.012) and body fat percentage (32.8±6.8 percent to 31.5±6.6 percent; p=0.012).

In contrast, there were significant increases in muscle thickness in the front thigh (42.3±6.0 to 44.3±7.5 mm; p=0.021) and the ratio of lean body mass to body weight (63.6±6.6 to 64.7±6.5; p=0.012). There was a similar improvement in maximum leg press strength (62.4±19.9 to 101.2±22.7 kg; p=0.008).

In addition, there was a borderline significant reduction in HbA1c after the 16-week exercise regimen (7.06±0.46 percent to 6.82±0.41 percent; p=0.07).

Researchers also investigated the acute effects of LST on fasting plasma glucose by collecting measurements at rest, immediately after a single bout of exercise, and at 15 and 30 minutes after the exercise. They found that levels of fasting plasma glucose were significantly elevated immediately (128±21 mg/dl) and at 15 (130±23 mg/dL) and 30 (131±25 mg/dL) minutes after exercise than at rest (125±18 mg/dL; p<0.05).

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Most Read Articles
Stephen Padilla, 28 Nov 2017
A dietary pattern rich in fresh and dried fruits, nuts and seeds, vegetable oils, and low-fat dairy products appears to lower the incidence rate of insulin resistance, according to an Iran study.
Dr. Joseph Delano Fule Robles, 25 Jul 2018

Prior to considering pharmacotherapy or surgery, weight reduction can be achieved through dietary modification and management of meal habits, sleep hours and stress.