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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2012 August;171(4):417-24
Effects of 13 weeks of aerobic and resistance training in adults with type 2 diabetes
Fiani C. 1, Monteiro L. 1, Foss Freitas M. C. 1, Zanetti M. L. 2, Foss M. 1
1 Divisions of Endocrinology and Metabolism, Department of Medicine, Ribeirão Preto Medical School, São Paulo University, Brazil;
2 Associate Professor, University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, Brazil
Aim. The study was designed to determine the effects of aerobic training alone and resistance alone on glycosylated hemoglobin (HbA1c), plasmatic glucose and blood pressure control in adults with type 2 diabetes (T2DM).
Methods. A quantitative, descriptive cross-sectional study of 26 subjects volunteered were divided into two groups: 13 subjects of Group Aerobic (G1) -female =53.8% and male=46.2%, age =61.5±8.1 years: carried out walking exercises and 13 of Group Resistance (G2) - female = 84.6% and male = 15.4%, age = 61.0 ± 9.1 years: strength training program consisted of bodybuilding sessions. HbA1c, blood pressure, and plasmatic glucose were measured before training and after 13 weeks of training period.
Results. The 13 weeks exercise training program had a decrease of blood pressure after training in the resistance group. The average differences of plasmatic glucose before and after training were higher in the both groups (P<0.05). In resistance group a decrease of HbA1c was observed (P<0.05). The participants had an improvement in capillary glycemia, blood pressure and HbA1c.
Conclusion. Our findings showed that aerobic training alone and resistance alone improves HbA1c, glucose and blood pressure control of individuals with T2DM. We propose that an optimal exercise program for individuals with diabetes should include a resistance training component to be effective in improving the overall glycemic profile, and thus reduce the risk for long term diabetic complications in T2DM.