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

Detalhes bibliográficos
Autor(a) principal: João G. Silveira-Rodrigues
Data de Publicação: 2022
Outros Autores: Dawit Albieiro Pinheiro Gonçalves, Augusto S. A. Correia, Pedro H. M. Ogando, Rodrigo S. Delevatti, Washington Pires, Ivana M. S. Aleixo, Danusa Dias Soares
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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spelling 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
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv repositorio@ufmg.br
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