Effects of resistance training on the glycemic control of people with type 1 diabetes: a systematic review and meta-analysis

Lima, Valderi de Abreu de; Menezes, Francisco José de; Celli, Luana da Rocha; Nesi-França, Suzana; Cordeiro, Gabriel Ribeiro; Mascarenhas, Luís Paulo Gomes; Leite, Neiva

doi:10.20945/2359-3997000000487

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…Still, it is not clear whether one type of exercise is more suitable than another [ 23 ]. Resistance exercise causes a smaller drop in glucose levels during the activity itself, yet larger reductions of glycemic levels in the post-exercise period were observed compared to aerobic training [ 22 , 24 ]. On the other hand, in some studies, resistance exercise was also associated with a modest increase in glycemia [ 18 ], while intense anaerobic workouts led to an increase in glucose levels [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Management of Glycemia during Acute Aerobic and Resistance Training in Patients with Diabetes Type 1: A Croatian Pilot Study

Ivandić

Berković

Ormanac

et al. 2023

IJERPH

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(1) Background: The increased risk of developing hypoglycemia and worsening of glycemic stability during exercise is a major cause of concern for patients with type 1 diabetes mellitus (T1DM). (2) Aim: This pilot study aimed to assess glycemic stability and hypoglycemic episodes during and after aerobic versus resistance exercises using a flash glucose monitoring system in patients with T1DM. (3) Participants and Methods: We conducted a randomized crossover prospective study including 14 adult patients with T1DM. Patients were randomized according to the type of exercise (aerobic vs. resistance) with a recovery period of three days between a change of groups. Glucose stability and hypoglycemic episodes were evaluated during and 24 h after the exercise. Growth hormone (GH), cortisol, and lactate levels were determined at rest, 0, 30, and 60 min post-exercise period. (4) Results: The median age of patients was 53 years, with a median HbA1c of 7.1% and a duration of diabetes of 30 years. During both training sessions, there was a drop in glucose levels immediately after the exercise (0′), followed by an increase at 30′ and 60′, although the difference was not statistically significant. However, glucose levels significantly decreased from 60′ to 24 h in the post-exercise period (p = 0.001) for both types of exercise. Glycemic stability was comparable prior to and after exercise for both training sessions. No differences in the number of hypoglycemic episodes, duration of hypoglycemia, and average glucose level in 24 h post-exercise period were observed between groups. Time to hypoglycemia onset was prolonged after the resistance as opposed to aerobic training (13 vs. 8 h, p = NS). There were no nocturnal hypoglycemic episodes (between 0 and 6 a.m.) after the resistance compared to aerobic exercise (4 vs. 0, p = NS). GH and cortisol responses were similar between the two sessions, while lactate levels were significantly more increased after resistance training. (5) Conclusion: Both exercise regimes induced similar blood glucose responses during and immediately following acute exercise.

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Section: Discussionmentioning

confidence: 99%

Management of Glycemia during Acute Aerobic and Resistance Training in Patients with Diabetes Type 1: A Croatian Pilot Study

Ivandić

Berković

Ormanac

et al. 2023

IJERPH

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“…In this context, predominantly aerobic physical exercises have beneficial effects on the amount of circulating lipids and lipoproteins, mainly on the increase in HDL cholesterol, decrease in VLDL cholesterol, and triglycerides, which are directly related to the control of body weight, BMI, and worsening of preexisting diseases [38]. In addition, resistance exercises (anaerobic predominance) are fundamental for the improvement of HbA1c reduction parameters, anti-inflammatory therapy, metabolism improvement, and decrease of C-reactive protein levels in T2DM, in addition to the reduction of HbA1c, insulin dose/day, improvement of the cardio capacity (when combined), increase in strength, and improvement of the lipid profile in T1DM [62][63][64][65][66].…”

Section: Level Of Physical Activity and Its Relationship With Mainten...mentioning

confidence: 99%

“Does Physical Exercise Promote Health Benefits for Diabetic Patients during the COVID-19 Pandemic?”: A Systematic Review

Souza,

Meneses-Santos,

Santos

et al. 2023

Sports

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Patients affected by COVID-19 are prone to facing disorders in multiple systems and organs, which can lead to deleterious diseases; in addition, people with pre-existing diseases may be more prone to the worst outcomes, and the most vulnerable are patients with type 1 and type 2 diabetes mellitus. The aim of this systematic review was to evaluate the effects of physical activity and/or physical exercise prescribed to individuals with diabetes on the maintenance of plasma glucose and glycated hemoglobin during the COVID-19 pandemic. Studies were found by searching PubMed, SCOPUS, Embase, Web of Science, SciELO, LILACS, SportDiscus, Bireme/BVS and Google Scholar databases. The inclusion criteria were articles that addressed only patients with type 1 or type 2 diabetes (T1D and T2D) who had evaluated the level of physical activity or physical exercise and described the effects on plasma glucose and/or glycated hemoglobin in cross-sectional, retrospective, and observational studies, meeting the main criteria established by GRADE. The PICO and GRADE strategies were used to select and assess the methodological quality of studies. Two reviewers searched and selected the articles in databases independently and blindly, during which oppositions and disagreements about the inclusion of articles were discussed and resolved by a third reviewer. Evidence corroborates that levels of physical activity were reduced due to the lockdown, leading to increased body weight and worse glycemic control. On the other hand, individuals with diabetes mellitus (DM) (T1D and T2D) who maintained and/or increased levels of physical activity or physical exercise showed reduced plasma glucose and glycated hemoglobin (HbA1c) levels. Adequate levels of physical exercise and physical activity are beneficial for glucose and HbA1c control in diabetic patients (type 1 or type 2). In addition, maintaining adequate levels of physical activity can contribute to reducing health problems when these patients are infected with COVID-19.

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“…All of the changes in diet and exercise management of patients with diabetes mellitus related to lockdown may cause worsening health and psychological status and glycemic control ( 10 ). Previous studies emphasize that physical activity and exercise training reduces levels of HbA1c and improves glycemic control ( 11 , 12 ). However, the data obtained from multidimensional studies on the status of patients with type 1 diabetes during the pandemic are not much compared to healthy controls.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of quality of life and physical activity in patients with type 1 diabetes mellitus during the COVID-19 pandemic

Çelik¹,

Törüner²,

Güçlü³

2022

Archives of Endocrinology and Metabolism

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Objective:The aim of the study is to compare the quality of life, physical activity, anxiety, depression, fear of hypoglycemia, loneliness perception in patients with type 1 diabetes mellitus and controls. Subjects and methods: Forty-four patients and 63 controls were included in this cross-sectional study. Quality of life (Short Form 36-SF-36), physical activity level (International Physical Activity Questionnaire-short form), anxiety and depression (Hospital Anxiety and Depression Scale), fear of hypoglycemia (Hypoglycemia Fear Survey), loneliness perception (UCLA Loneliness Scale) were evaluated. Results: Physical role limitations and general health perception subscale scores of SF-36 questionnaire in patients were significantly higher than the controls (p < 0.05). Conclusion: Role limitations due to physical problems and fear of hypoglycemia are increased, and general health perception is impaired in patients with type 1 diabetes mellitus. Physical inactivity is an important symptom in individuals in the pandemic period. In this regard, telerehabilitation approaches will be beneficial for all individuals in increasing physical activity, improving quality of life, and decreasing anxiety, depression and loneliness perception during the pandemic period for all individuals. The importance of a multidisciplinary approach in diabetes management and dealing with problems should be considered in pandemic.

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Effects of resistance training on the glycemic control of people with type 1 diabetes: a systematic review and meta-analysis

Cited by 3 publications

References 25 publications

Management of Glycemia during Acute Aerobic and Resistance Training in Patients with Diabetes Type 1: A Croatian Pilot Study

Management of Glycemia during Acute Aerobic and Resistance Training in Patients with Diabetes Type 1: A Croatian Pilot Study

“Does Physical Exercise Promote Health Benefits for Diabetic Patients during the COVID-19 Pandemic?”: A Systematic Review

Evaluation of quality of life and physical activity in patients with type 1 diabetes mellitus during the COVID-19 pandemic

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