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Effects of exercise training using resistance bands on glycaemic control and strength in type 2 diabetes mellitus: a meta-analysis of randomised controlled trials.

Abstract

Resistance exercise using free weights or weight machines improves glycaemic control and strength in people with type 2 diabetes. Resistance band training is potentially less expensive and more accessible, but the effects of resistance band training on glycaemic control and strength in this population are not well understood. This paper aims to systematically review and meta-analyse the effect of resistance band training on haemoglobin A1c (HbA1c) and strength in adults with type 2 diabetes. Database searches were performed in August 2013 (MEDLINE, SPORTDiscus, EMBASE, and CINAHL). Reference lists of eligible articles were hand-searched for additional studies. Randomised trials evaluating the effects of resistance band training in adults with type 2 diabetes on HbA1c or objectively measured strength were selected. Baseline and post-intervention HbA1c and strength were extracted for the intervention and control groups. Details of the exercise interventions and methodological quality were collected. Seven trials met inclusion criteria. Post-intervention-weighted mean HbA1c was nonsignificantly lower in exercise groups compared to control groups [weighted mean difference (WMD) = -0.18 percentage points (-1.91 mmol/mol); P = 0.27]. Post-intervention strength was significantly higher in the exercise groups compared to the control groups in the lower extremities (WMD = 21.90 kg; P < 0.0001), but not in the upper extremities (WMD = 2.27 kg; P = 0.13) or handgrip (WMD = 1.98 kg; P = 0.46). All trials were small and had methodological limitations. Resistance band training did not significantly affect HbA1c, upper extremity, or handgrip strength but significantly increased the strength of the lower extremities in people with type 2 diabetes.

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  • Authors+Show Affiliations

    ,

    Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

    , ,

    Source

    Acta diabetologica 52:2 2015 Apr pg 221-30

    MeSH

    Blood Glucose
    Diabetes Mellitus, Type 2
    Exercise Therapy
    Hand Strength
    Humans
    Randomized Controlled Trials as Topic
    Resistance Training

    Pub Type(s)

    Journal Article
    Meta-Analysis
    Research Support, Non-U.S. Gov't
    Review

    Language

    eng

    PubMed ID

    24845604

    Citation

    McGinley, Samantha K., et al. "Effects of Exercise Training Using Resistance Bands On Glycaemic Control and Strength in Type 2 Diabetes Mellitus: a Meta-analysis of Randomised Controlled Trials." Acta Diabetologica, vol. 52, no. 2, 2015, pp. 221-30.
    McGinley SK, Armstrong MJ, Boulé NG, et al. Effects of exercise training using resistance bands on glycaemic control and strength in type 2 diabetes mellitus: a meta-analysis of randomised controlled trials. Acta Diabetol. 2015;52(2):221-30.
    McGinley, S. K., Armstrong, M. J., Boulé, N. G., & Sigal, R. J. (2015). Effects of exercise training using resistance bands on glycaemic control and strength in type 2 diabetes mellitus: a meta-analysis of randomised controlled trials. Acta Diabetologica, 52(2), pp. 221-30. doi:10.1007/s00592-014-0594-y.
    McGinley SK, et al. Effects of Exercise Training Using Resistance Bands On Glycaemic Control and Strength in Type 2 Diabetes Mellitus: a Meta-analysis of Randomised Controlled Trials. Acta Diabetol. 2015;52(2):221-30. PubMed PMID: 24845604.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Effects of exercise training using resistance bands on glycaemic control and strength in type 2 diabetes mellitus: a meta-analysis of randomised controlled trials. AU - McGinley,Samantha K, AU - Armstrong,Marni J, AU - Boulé,Normand G, AU - Sigal,Ronald J, Y1 - 2014/05/21/ PY - 2014/02/19/received PY - 2014/05/02/accepted PY - 2014/5/22/entrez PY - 2014/5/23/pubmed PY - 2016/1/23/medline SP - 221 EP - 30 JF - Acta diabetologica JO - Acta Diabetol VL - 52 IS - 2 N2 - Resistance exercise using free weights or weight machines improves glycaemic control and strength in people with type 2 diabetes. Resistance band training is potentially less expensive and more accessible, but the effects of resistance band training on glycaemic control and strength in this population are not well understood. This paper aims to systematically review and meta-analyse the effect of resistance band training on haemoglobin A1c (HbA1c) and strength in adults with type 2 diabetes. Database searches were performed in August 2013 (MEDLINE, SPORTDiscus, EMBASE, and CINAHL). Reference lists of eligible articles were hand-searched for additional studies. Randomised trials evaluating the effects of resistance band training in adults with type 2 diabetes on HbA1c or objectively measured strength were selected. Baseline and post-intervention HbA1c and strength were extracted for the intervention and control groups. Details of the exercise interventions and methodological quality were collected. Seven trials met inclusion criteria. Post-intervention-weighted mean HbA1c was nonsignificantly lower in exercise groups compared to control groups [weighted mean difference (WMD) = -0.18 percentage points (-1.91 mmol/mol); P = 0.27]. Post-intervention strength was significantly higher in the exercise groups compared to the control groups in the lower extremities (WMD = 21.90 kg; P < 0.0001), but not in the upper extremities (WMD = 2.27 kg; P = 0.13) or handgrip (WMD = 1.98 kg; P = 0.46). All trials were small and had methodological limitations. Resistance band training did not significantly affect HbA1c, upper extremity, or handgrip strength but significantly increased the strength of the lower extremities in people with type 2 diabetes. SN - 1432-5233 UR - https://www.unboundmedicine.com/medline/citation/24845604/Effects_of_exercise_training_using_resistance_bands_on_glycaemic_control_and_strength_in_type_2_diabetes_mellitus:_a_meta_analysis_of_randomised_controlled_trials_ L2 - https://dx.doi.org/10.1007/s00592-014-0594-y DB - PRIME DP - Unbound Medicine ER -