The effect of resistance versus aerobic training on metabolic control in patients with type-1 diabetes mellitus

Ramalho, Ana Claudia; Lima, Maria de Lourdes; Nunes, Fabiana; Cambuí, Zanine; Barbosa, C. M. C.; Andrade, A.; Viana, Adriana Backx Noronha; Martins, M. C. C.; Abrantes, Valter; Aragão, Crésio de; Temístocles, Marcos

doi:10.1016/j.diabres.2005.11.011

Cited by 103 publications

(112 citation statements)

References 17 publications

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“…We also observed significant differences in the HDL, TC, and HDL/TC post-test values of the two study groups, but there was no significant difference in the LDL, TG, and ApoB values between the two groups. These results are in line with some studies (8,(15)(16)(17) and inconsistent with a few other studies (18)(19)(20). Increased LDL level is an independent risk factor for coronary artery disease, and its reduction to 60 mg/dl will reduce the incidence of coronary artery disease by 50% within two years (21).…”

Section: Discussionsupporting

confidence: 63%

Effect of Six Months of Aerobic Exercise on Lipid Profile, Inflammatory Markers and Risk Factors of Cardiovascular Disease in Obese Women

Moazzami

Askari

2018

mljgoums

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Background and objectives: The aim of this study was to investigate the effects of six months of aerobic exercise on lipid profile, inflammatory markers, and risk factors of cardiovascular disease in middle-aged obese women.Methods: Fifteen obese woman (age range: 35 to 45 years) with BMI of ≥30 Kg/m 2 were enrolled via purposeful and convenience sampling. The participants were randomly divided into training (n=10) and control (n=5) groups. Blood samples (7 ml) were taken from all participants before the first training session and after the last training session. The women performed 60 minutes of aerobic exercise at 55-65% of heart rate reserve, three sessions a week, for six months. Data was analyzed using independent and paired t-tests and Mann-Whitney U and Wilcoxon tests at significance of 0.05.Results: After the six-month aerobic exercise, C-reactive protein, low-density lipoprotein, triglycerides, total cholesterol and high-density lipoprotein/total cholesterol decreased significantly. The exercise intervention also caused a significant increase in the concentrations of high-density lipoprotein and apolipoprotein A. Exercise, physical activity, and endurance training can act as therapeutic factors for patients with atherosclerosis (11). Recent studies show that regular exercise can lower LDL levels by 5% and subsequently increase HDL by 3 to 6% (12). Long-term exercise directly reduces CRP levels by decreasing cytokine production in adipose tissue, muscles, and mononuclear cells and increasing insulin sensitivity, all of which contribute to weight loss and improvement of endothelial function (13). In recent years, the protein component of lipoproteins has attracted the attention of researchers, and many studies have shown that serum levels of HDL and LDL depend on the production of ApoA and ApoB. In addition, ApoA and ApoB levels have a negative and positive correlation with risk of cardiovascular disease, respectively (14). Hence, this study evaluated the effects of six months of aerobic training on lipid profile, inflammatory markers, and cardiovascular risk factors in middle-aged obese women (with BMI of ≥30). Conclusion MATERIAL AND METHODSFifteen obese woman (age range: 35 to 45 years) with BMI of ≥30 Kg/m 2 were enrolled via purposeful and convenience sampling. After obtaining consent and completion of a health questionnaire, the participants were randomly divided into training (n=10) and control (n=5) groups. Exclusion criteria included drug use, menopause, smoking, and regular exercise in the last six months. First, anthropometric characteristics such as height, weight, and BMI of the women were recorded. Then, they participated in a briefing before the start of the training protocol. To evaluate the variables under study, fasting blood samples (7 ml) were taken from all participants in a sitting position before the first training session (pretest) and after complication of the last training session (post-test). The women performed 60 minutes of aerobic exercise, three sessions a week, for ...

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Section: Discussionsupporting

confidence: 63%

Effect of Six Months of Aerobic Exercise on Lipid Profile, Inflammatory Markers and Risk Factors of Cardiovascular Disease in Obese Women

Moazzami

Askari

2018

mljgoums

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“…However, physical activity and television viewing are poorly related in other studies in the general population (11,12,24). Furthermore, physical activity is not necessarily associated with good metabolic control in type 1 diabetic patients (25)(26)(27). Therefore, our results can probably not be explained as a result of little physical activity alone.…”

Section: Research Design and Methods -mentioning

confidence: 58%

Strong Association Between Time Watching Television and Blood Glucose Control in Children and Adolescents With Type 1 Diabetes

Margeirsdóttir

Larsen²,

Brunborg³

et al. 2007

Diabetes Care

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OBJECTIVE—To examine the relationship between blood glucose control and the time spent watching television in Norwegian children and adolescents with type 1 diabetes in a population-based study. RESEARCH DESIGN AND METHODS—A total of 538 children and adolescents from 9 hospitals in the eastern part of Norway participated in the study; 70% of eligible subjects participated. The time spent watching television and time using a computer was recorded separately by interview together with clinical data. Mean (±SD) age was 13.1 ± 3.7 years, mean diabetes duration was 5.4 ± 3.4 years, and mean A1C was 8.6 ± 1.3% (reference range 4.1–6.4). RESULTS—Sixty-two patients (11%) watched television <1 h daily (mean A1C 8.2 ± 0.9%), 189 patients (35%) watched television between 1 and 2 h daily (8.4 ± 1.2%), 166 patients (31%) watched television 2–3 h daily (8.7 ± 1.4%), 75 patients (14%) watched television 3–4 h daily (8.8 ± 1.2%), and 46 patients (9%) watched television ≥4 h daily (9.5 ± 1.6%). This trend was highly significant (P < 0.001). The association between television viewing and A1C remained significant, even after adjusting for age and BMI and insulin dose. No correlation between A1C and the use of a personal computer was observed. CONCLUSIONS—Extensive television watching is associated with poor blood glucose control in children and adolescents with type 1 diabetes.

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“…Although regular exercise potentially could improve HbA 1c , the majority of studies have failed to show this (31)(32)(33)(34). Exercise training improved aerobic capacity in this study without affecting glucose control in the participants with diabetes, suggesting that the effects of glycemic status and exercise training may work independently to improve aerobic capacity.…”

Section: Discussionmentioning

confidence: 99%

Exercise Training Improves but Does Not Normalize Left Ventricular Systolic and Diastolic Function in Adolescents With Type 1 Diabetes

et al. 2017

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OBJECTIVETo determine the impact of 20 weeks of exercise training in aerobic capacity on left ventricular function and glycemic control in adolescents with and without type 1 diabetes. RESEARCH DESIGN AND METHODSFifty-three adolescents with type 1 diabetes (aged 15.6 years) were divided into two groups: exercise training (n = 38) and nontraining (n = 15). Twenty-two healthy adolescents without diabetes (aged 16.7 years) were included and, with the 38 participants with type 1 diabetes, participated in a 20-week exercise-training intervention. Assessments included VO 2max and body composition. Left ventricular parameters were obtained at rest and during acute exercise using MRI. RESULTSExercise training improved aerobic capacity (10%) and stroke volume (6%) in both trained groups, but the increase in the group with type 1 diabetes remained lower than trained control subjects. Increased stroke volume in adolescents with type 1 diabetes resulted from greater left ventricular contractility (9% increase in ejection fraction and an 11% reduction in end-systolic volumes) and, to a lesser extent, improved left ventricular filling (6%), suggesting that impaired diastolic function can be affected by exercise training in adolescents with type 1 diabetes. Insulin use decreased by ∼10%, but no change in glycemic status was observed. CONCLUSIONSThese data demonstrate that in adolescents, the impairment in left ventricular function seen with type 1 diabetes can be improved, although not normalized, with regular intense physical activity. Importantly, diastolic dysfunction, a common mechanism causing heart failure in older subjects with diabetes, appears to be partially reversible in this age group.Regular physical activity has many potential health benefits, and there is strong evidence of its role in the primary and secondary prevention of chronic diseases such as cardiovascular disease and diabetes (1). In particular, exercise training improves exercise capacity and cardiac output by increasing left ventricular function (2-5). Training increases left ventricular stroke volume by enhancing intrinsic cardiac contractility

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The effect of resistance versus aerobic training on metabolic control in patients with type-1 diabetes mellitus

Cited by 103 publications

References 17 publications

Effect of Six Months of Aerobic Exercise on Lipid Profile, Inflammatory Markers and Risk Factors of Cardiovascular Disease in Obese Women

Effect of Six Months of Aerobic Exercise on Lipid Profile, Inflammatory Markers and Risk Factors of Cardiovascular Disease in Obese Women

Strong Association Between Time Watching Television and Blood Glucose Control in Children and Adolescents With Type 1 Diabetes

Exercise Training Improves but Does Not Normalize Left Ventricular Systolic and Diastolic Function in Adolescents With Type 1 Diabetes

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