The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.7752/jpes.2022.04132 http://hdl.handle.net/1843/64804 https://orcid.org/0000-0003-2621-3330 |
Resumo: | Problem Statement: Although combined exercise (CE) is frequently prescribed for glycemic control of Type 2 Diabetes Mellitus (T2DM) subjects, beginning CE session with aerobic or resistance exercises can lead to distinct responses in capillary glucose, especially when training prescriptions differ in intensity and volume. Approach: This study aimed to evaluate the effect of exercise intensity, volume, and order within combined exercise sessions on glycemic response. Purpose: Forty T2DM subjects participated in this study. The subjects were divided into three different protocols: standard (S-P, n = 13), high intensity (HI-P, n = 16), and high volume (HV-P, n = 11) in two counter-balanced orders each [i.e., resistance exercise followed by aerobic exercise (R-A) or vice versa (A-R)]. The capillary glucose was evaluated before and after each CE session. Results: All protocols of combined exercise reduced glucose concentrations (p < .001). HV-P induced a glycemic reduction that was 2-fold higher than that observed in HI-P (34% vs. 18%; p < .05). Both exercise orders within combined exercise session reduced glucose concentrations (S-P: 25%, 28%; HI-P: 17%, 19%, and HV-P: 31%, 36% for A-R and R-A, respectively); however, R-A induced slightly larger (Cohen’s d was 13-33% higher in R-A compared to A-R), but clinically relevant, reductions in all combined exercise protocols. Preexercise glucose concentrations were correlated to exercise-induced glucose reduction only in the A-R order (r = 65 to .79, p < .05). Conclusion: All combined exercise protocols were effective in decreasing glucose concentrations. Nonetheless, a higher magnitude of glucose-lowering effect occurred when a higher exercise volume was performed and when performing resistance instead of aerobic exercise in the first place. |
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The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetesConcurrent exerciseBlood glucoseTraining workloadExercise volumeExercise intensityDiabetes mellitusDiabetes MellitusExercício FísicoGlicemiaProblem Statement: Although combined exercise (CE) is frequently prescribed for glycemic control of Type 2 Diabetes Mellitus (T2DM) subjects, beginning CE session with aerobic or resistance exercises can lead to distinct responses in capillary glucose, especially when training prescriptions differ in intensity and volume. Approach: This study aimed to evaluate the effect of exercise intensity, volume, and order within combined exercise sessions on glycemic response. Purpose: Forty T2DM subjects participated in this study. The subjects were divided into three different protocols: standard (S-P, n = 13), high intensity (HI-P, n = 16), and high volume (HV-P, n = 11) in two counter-balanced orders each [i.e., resistance exercise followed by aerobic exercise (R-A) or vice versa (A-R)]. The capillary glucose was evaluated before and after each CE session. Results: All protocols of combined exercise reduced glucose concentrations (p < .001). HV-P induced a glycemic reduction that was 2-fold higher than that observed in HI-P (34% vs. 18%; p < .05). Both exercise orders within combined exercise session reduced glucose concentrations (S-P: 25%, 28%; HI-P: 17%, 19%, and HV-P: 31%, 36% for A-R and R-A, respectively); however, R-A induced slightly larger (Cohen’s d was 13-33% higher in R-A compared to A-R), but clinically relevant, reductions in all combined exercise protocols. Preexercise glucose concentrations were correlated to exercise-induced glucose reduction only in the A-R order (r = 65 to .79, p < .05). Conclusion: All combined exercise protocols were effective in decreasing glucose concentrations. Nonetheless, a higher magnitude of glucose-lowering effect occurred when a higher exercise volume was performed and when performing resistance instead of aerobic exercise in the first place.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorUniversidade Federal de Minas GeraisBrasilEEF - DEPARTAMENTO DE EDUCAÇÃO FÍSICAEEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONALUFMG2024-02-27T16:24:05Z2024-02-27T16:24:05Z2022info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlepdfapplication/pdfhttps://doi.org/10.7752/jpes.2022.041322247-806Xhttp://hdl.handle.net/1843/64804https://orcid.org/0000-0003-2621-3330engJournal of Physical Education and SportJoão G. Silveira-RodriguesDawit Albieiro Pinheiro GonçalvesAugusto S. A. CorreiaPedro H. M. OgandoRodrigo S. DelevattiWashington PiresIvana M. S. AleixoDanusa Dias Soaresinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2024-02-27T16:24:05Zoai:repositorio.ufmg.br:1843/64804Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2024-02-27T16:24:05Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes |
title |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes |
spellingShingle |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes João G. Silveira-Rodrigues Concurrent exercise Blood glucose Training workload Exercise volume Exercise intensity Diabetes mellitus Diabetes Mellitus Exercício Físico Glicemia |
title_short |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes |
title_full |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes |
title_fullStr |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes |
title_full_unstemmed |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes |
title_sort |
The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes |
author |
João G. Silveira-Rodrigues |
author_facet |
João G. Silveira-Rodrigues Dawit Albieiro Pinheiro Gonçalves Augusto S. A. Correia Pedro H. M. Ogando Rodrigo S. Delevatti Washington Pires Ivana M. S. Aleixo Danusa Dias Soares |
author_role |
author |
author2 |
Dawit Albieiro Pinheiro Gonçalves Augusto S. A. Correia Pedro H. M. Ogando Rodrigo S. Delevatti Washington Pires Ivana M. S. Aleixo Danusa Dias Soares |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
João G. Silveira-Rodrigues Dawit Albieiro Pinheiro Gonçalves Augusto S. A. Correia Pedro H. M. Ogando Rodrigo S. Delevatti Washington Pires Ivana M. S. Aleixo Danusa Dias Soares |
dc.subject.por.fl_str_mv |
Concurrent exercise Blood glucose Training workload Exercise volume Exercise intensity Diabetes mellitus Diabetes Mellitus Exercício Físico Glicemia |
topic |
Concurrent exercise Blood glucose Training workload Exercise volume Exercise intensity Diabetes mellitus Diabetes Mellitus Exercício Físico Glicemia |
description |
Problem Statement: Although combined exercise (CE) is frequently prescribed for glycemic control of Type 2 Diabetes Mellitus (T2DM) subjects, beginning CE session with aerobic or resistance exercises can lead to distinct responses in capillary glucose, especially when training prescriptions differ in intensity and volume. Approach: This study aimed to evaluate the effect of exercise intensity, volume, and order within combined exercise sessions on glycemic response. Purpose: Forty T2DM subjects participated in this study. The subjects were divided into three different protocols: standard (S-P, n = 13), high intensity (HI-P, n = 16), and high volume (HV-P, n = 11) in two counter-balanced orders each [i.e., resistance exercise followed by aerobic exercise (R-A) or vice versa (A-R)]. The capillary glucose was evaluated before and after each CE session. Results: All protocols of combined exercise reduced glucose concentrations (p < .001). HV-P induced a glycemic reduction that was 2-fold higher than that observed in HI-P (34% vs. 18%; p < .05). Both exercise orders within combined exercise session reduced glucose concentrations (S-P: 25%, 28%; HI-P: 17%, 19%, and HV-P: 31%, 36% for A-R and R-A, respectively); however, R-A induced slightly larger (Cohen’s d was 13-33% higher in R-A compared to A-R), but clinically relevant, reductions in all combined exercise protocols. Preexercise glucose concentrations were correlated to exercise-induced glucose reduction only in the A-R order (r = 65 to .79, p < .05). Conclusion: All combined exercise protocols were effective in decreasing glucose concentrations. Nonetheless, a higher magnitude of glucose-lowering effect occurred when a higher exercise volume was performed and when performing resistance instead of aerobic exercise in the first place. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022 2024-02-27T16:24:05Z 2024-02-27T16:24:05Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.7752/jpes.2022.04132 2247-806X http://hdl.handle.net/1843/64804 https://orcid.org/0000-0003-2621-3330 |
url |
https://doi.org/10.7752/jpes.2022.04132 http://hdl.handle.net/1843/64804 https://orcid.org/0000-0003-2621-3330 |
identifier_str_mv |
2247-806X |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Physical Education and Sport |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil EEF - DEPARTAMENTO DE EDUCAÇÃO FÍSICA EEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONAL UFMG |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil EEF - DEPARTAMENTO DE EDUCAÇÃO FÍSICA EEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONAL UFMG |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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Universidade Federal de Minas Gerais (UFMG) |
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UFMG |
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UFMG |
reponame_str |
Repositório Institucional da UFMG |
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Repositório Institucional da UFMG |
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Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
repositorio@ufmg.br |
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1816829845174222848 |