Effectiveness of high-intensity interval training combined with resistance training versus continuous moderate-intensity training combined with resistance training in patients with type 2 diabetes: A one-year randomized controlled trial.


Journal

Diabetes, obesity & metabolism
ISSN: 1463-1326
Titre abrégé: Diabetes Obes Metab
Pays: England
ID NLM: 100883645

Informations de publication

Date de publication:
03 2019
Historique:
received: 08 08 2018
revised: 17 09 2018
accepted: 01 10 2018
pubmed: 5 10 2018
medline: 6 2 2020
entrez: 5 10 2018
Statut: ppublish

Résumé

To evaluate the impact of one-year high intensity interval training (HIIT) combined with resistance training (RT) vs continuous moderate intensity training (MCT) combined with RT on glycaemic control, body composition and cardiorespiratory fitness (CRF) in patients with type 2 diabetes. A randomized controlled trial included 96 participants with type 2 diabetes for a one-year supervised exercise intervention with three groups: Control, HIIT with RT and MCT with RT). The control group received standard counseling regarding general PA guidelines, with no structured exercise sessions. The main outcome variable was HbA1c (%). Secondary outcomes were other glycaemic variables, body composition, anthropometry measurements, CRF and enjoyment of exercise. Generalized estimating equations (GEE) were used to model outcomes. Among the 96 participants enrolled in the intervention, 80 were randomized, with a mean (SD) age of 58.5 years (7.7) and a mean HbA1c of 7.2% (1.6). After adjusting the model for sex and total moderate-to-vigorous physical activity (MVPA), we found that both the MCT with RT (β, 0.003; P, 0.921) and the HIIT with RT (β, 0.025; P, 0.385) groups had no effect on HbA1c. A favourable effect was observed in the MCT with RT group, with a reduction in whole body fat index (β, -0.062; P, 0.022), android fat index (β, -0.010; P, 0.010) and gynoid fat index (β, -0.013; P, 0.014). Additionally, CRF increased during the intervention, but only in the MCT with RT group (β, 0.185; P, 0.019). The results from this study suggest that there was no effect of either MCT with RT or HIIT with RT on glycaemic control in individuals with type 2 diabetes. However, the combination of MCT and RT improved body composition and CRF following a one-year intervention.

Identifiants

pubmed: 30284352
doi: 10.1111/dom.13551
doi:

Substances chimiques

Blood Glucose 0

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

550-559

Informations de copyright

© 2018 John Wiley & Sons Ltd.

Auteurs

João P Magalhães (JP)

Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.

Pedro B Júdice (PB)

Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.
Faculdade de Educação Física e Desporto, Universidade Lusófona, Lisbon, Portugal.

Rogério Ribeiro (R)

Education and Research Centre, APDP - Diabetes Portugal (APDP-ERC), Lisbon, Portugal.

Rita Andrade (R)

Education and Research Centre, APDP - Diabetes Portugal (APDP-ERC), Lisbon, Portugal.

João Raposo (J)

Education and Research Centre, APDP - Diabetes Portugal (APDP-ERC), Lisbon, Portugal.

Hélder Dores (H)

Military Forces Hospital, Lisbon, Portugal.
Light Hospital, Lisbon, Portugal.
NOVA Medical School, Lisbon, Portugal.

Manuel Bicho (M)

Genetics Laboratory Environmental Health Institute (ISAMB), Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
Institute of Scientific Research Bento da Rocha Cabral, Lisbon, Portugal.

Luís B Sardinha (LB)

Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.

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