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Community center-based resistance training for the maintenance of glycemic control in adults with type 2 diabetes.
Diabetes Care. 2006 Dec; 29(12):2586-91.DC

Abstract

OBJECTIVE

The purpose of this study was to determine whether beneficial effects on glycemic control of an initial laboratory-supervised resistance training program could be sustained through a community center-based maintenance program.

RESEARCH DESIGN AND METHODS

We studied 57 overweight (BMI >or=27 kg/m2) sedentary men and women aged 40-80 years with established (>6 months) type 2 diabetes. Initially, all participants attended a twice-weekly 2-month supervised resistance training program conducted in the exercise laboratory. Thereafter, participants undertook a resistance training maintenance program (2 times/week) for 12 months and were randomly assigned to carry this out either in a community fitness and recreation center (center) or in their domestic environment (home). Glycemic control (HbA1c [A1C]) was assessed at 0, 2, and 14 months.

RESULTS

Pooling data from the two groups for the 2-month supervised resistance training program showed that compared with baseline, mean A1C fell by -0.4% [95% CI -0.6 to -0.2]. Within-group comparisons showed that A1C remained lower than baseline values at 14 months in the center group (-0.4% [-0.7 to -0.03]) but not in the home group (-0.1% [-0.4 to 0.3]). However, no between-group differences were observed at each time point. Changes in A1C during the maintenance period were positively associated with exercise adherence in the center group only.

CONCLUSIONS

Center-based but not home-based resistance training was associated with the maintenance of modestly improved glycemic control from baseline, which was proportional to program adherence. Our findings emphasize the need to develop and test behavioral methods to promote healthy lifestyles including increased physical activity in adults with type 2 diabetes.

Authors+Show Affiliations

International Diabetes Institute, 250 Kooyong Rd., Caulfield, Victoria, Australia 3162. ddunstan@idi.org.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17130189

Citation

Dunstan, David W., et al. "Community Center-based Resistance Training for the Maintenance of Glycemic Control in Adults With Type 2 Diabetes." Diabetes Care, vol. 29, no. 12, 2006, pp. 2586-91.
Dunstan DW, Vulikh E, Owen N, et al. Community center-based resistance training for the maintenance of glycemic control in adults with type 2 diabetes. Diabetes Care. 2006;29(12):2586-91.
Dunstan, D. W., Vulikh, E., Owen, N., Jolley, D., Shaw, J., & Zimmet, P. (2006). Community center-based resistance training for the maintenance of glycemic control in adults with type 2 diabetes. Diabetes Care, 29(12), 2586-91.
Dunstan DW, et al. Community Center-based Resistance Training for the Maintenance of Glycemic Control in Adults With Type 2 Diabetes. Diabetes Care. 2006;29(12):2586-91. PubMed PMID: 17130189.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Community center-based resistance training for the maintenance of glycemic control in adults with type 2 diabetes. AU - Dunstan,David W, AU - Vulikh,Elena, AU - Owen,Neville, AU - Jolley,Damien, AU - Shaw,Jonathan, AU - Zimmet,Paul, PY - 2006/11/30/pubmed PY - 2007/4/4/medline PY - 2006/11/30/entrez SP - 2586 EP - 91 JF - Diabetes care JO - Diabetes Care VL - 29 IS - 12 N2 - OBJECTIVE: The purpose of this study was to determine whether beneficial effects on glycemic control of an initial laboratory-supervised resistance training program could be sustained through a community center-based maintenance program. RESEARCH DESIGN AND METHODS: We studied 57 overweight (BMI >or=27 kg/m2) sedentary men and women aged 40-80 years with established (>6 months) type 2 diabetes. Initially, all participants attended a twice-weekly 2-month supervised resistance training program conducted in the exercise laboratory. Thereafter, participants undertook a resistance training maintenance program (2 times/week) for 12 months and were randomly assigned to carry this out either in a community fitness and recreation center (center) or in their domestic environment (home). Glycemic control (HbA1c [A1C]) was assessed at 0, 2, and 14 months. RESULTS: Pooling data from the two groups for the 2-month supervised resistance training program showed that compared with baseline, mean A1C fell by -0.4% [95% CI -0.6 to -0.2]. Within-group comparisons showed that A1C remained lower than baseline values at 14 months in the center group (-0.4% [-0.7 to -0.03]) but not in the home group (-0.1% [-0.4 to 0.3]). However, no between-group differences were observed at each time point. Changes in A1C during the maintenance period were positively associated with exercise adherence in the center group only. CONCLUSIONS: Center-based but not home-based resistance training was associated with the maintenance of modestly improved glycemic control from baseline, which was proportional to program adherence. Our findings emphasize the need to develop and test behavioral methods to promote healthy lifestyles including increased physical activity in adults with type 2 diabetes. SN - 0149-5992 UR - https://www.unboundmedicine.com/medline/citation/17130189/Community_center_based_resistance_training_for_the_maintenance_of_glycemic_control_in_adults_with_type_2_diabetes_ L2 - http://care.diabetesjournals.org/cgi/pmidlookup?view=long&pmid=17130189 DB - PRIME DP - Unbound Medicine ER -