Effect of supervised exercise training on musculoskeletal symptoms and function in patients with type 2 diabetes: the Italian Diabetes Exercise Study (IDES)

2014 ◽  
Vol 51 (4) ◽  
pp. 647-654 ◽  
Author(s):  
Stefano Balducci ◽  
Maria Chiara Vulpiani ◽  
Luca Pugliese ◽  
Valeria D’Errico ◽  
Stefano Menini ◽  
...  
2020 ◽  
Vol 16 (6) ◽  
pp. 570-579 ◽  
Author(s):  
Trishan Gajanand ◽  
Shelley E. Keating ◽  
Wendy J. Brown ◽  
Matthew D. Hordern ◽  
Robert G. Fassett ◽  
...  

Background: Exercise training is vital for glycaemic control in patients with type 2 diabetes mellitus (T2D). While the positive effects of supervised exercise training are well established, unsupervised training may offer an alternative and more sustainable means of realising the benefits of exercise away from a resource-heavy supervised setting. Objective: To evaluate the available literature and compare the efficacy of supervised and unsupervised exercise training programs on glycemic control in patients with T2D. Methods: CINAHL, MEDLINE, PubMed, and EMBASE, searched from inception to 20 July 2018. Only studies that included both supervised and unsupervised training were included. Results: Four studies, involving 115 participants, were included. One compared supervised with unsupervised exercise training and three investigated the efficacy of unsupervised training following supervised training. While supervised training is effective for improving glycaemic control in patients with T2D, unsupervised training may not maintain these changes. Included studies lacked detail relating to the supervised and unsupervised training programs. Conclusion: Given that exercise is a critical component for maintenance of glycaemic control in patients with T2D, and because unsupervised training has been shown to be effective in improving clinical outcomes in other disease populations, further research is warranted to compare supervised and unsupervised exercise training in patients with T2D. It is important that future studies report standardised and detailed descriptions of key elements that form the basis of supervised and unsupervised exercise training groups.


Diabetes Care ◽  
2011 ◽  
Vol 35 (1) ◽  
pp. 39-41 ◽  
Author(s):  
S. Balducci ◽  
S. Zanuso ◽  
P. Cardelli ◽  
G. Salerno ◽  
S. Fallucca ◽  
...  

2019 ◽  
Vol 22 ◽  
pp. S70
Author(s):  
B. Coombes ◽  
K. Tucker ◽  
F. Hug ◽  
A. Scott ◽  
E. Cox ◽  
...  

2021 ◽  
Author(s):  
Rebecca L. Scalzo ◽  
Irene E. Schauer ◽  
Deirdre Rafferty ◽  
Leslie A. Knaub ◽  
Nina Kvaratskhelia ◽  
...  

Author(s):  
Xingyun Zhu ◽  
Fang Zhang ◽  
Jing Chen ◽  
Yingxi Zhao ◽  
Tianhao Ba ◽  
...  

Few studies have investigated the dose–response relationship between exercise and weight control. This study aimed to assess the effects of different types of supervised exercise training on weight control and other metabolic outcomes in patients with type 2 diabetes mellitus and explore the dose–response relationship between exercise volume/duration and these outcomes. PubMed/MEDLINE, Embase, and Cochrane databases were searched for studies between January 1980 and June 2019. Randomized control trials in type 2 diabetes mellitus patients with supervised exercise training versus control treatment were included. The primary outcome was changes in body weight (kg). The secondary outcomes included changes in waist circumference (cm) and total body fat percentage (%). Forty-two randomized control trials, including 3,625 patients with type 2 diabetes mellitus were included. Overall, exercise treatment was associated with significant reduction in body weight (weighted mean differences, −1.10 kg; 95% CI [−1.58, −0.62], p < .01), waist circumference (weighted mean differences, −2.51 cm; 95% CI [−3.25, −1.77], p < .01), and total body fat (weighted mean differences, −1.16%; 95% CI [−1.58%, −0.75%], p < .01). The percentage of total body fat was reduced by all types of exercise, with a significant difference between aerobic exercise and resistance exercise (p = .02) and a significant difference between combined exercise and resistance exercise (p < .01). A higher volume of aerobic exercise and a higher volume of resistance exercise were superior in reducing body weight. In conclusion, supervised exercise training improved metabolic outcomes in general, while different types and volume of exercises have their own merits.


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