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Multicomponent, home-based resistance training for obese adults with type 2 diabetes: a randomized controlled trial

Abstract

Purpose:

To investigate whether a home-based resistance training (RT) program that supplied high-quality equipment and qualified exercise specialists could provide benefits to obese patients with type 2 diabetes.

Methods:

A total of 48 obese individuals with type 2 diabetes were randomly assigned to either an RT (n=27) or a control group (n=21). Those in the RT group received a multigym and dumbbells and performed RT 3 days per week for 16 weeks at home. A qualified exercise specialist supervised training, with supervision being gradually decreased throughout the study. Primary outcome measures included strength and hemoglobin-A1C, whereas secondary outcome measures included other cardiovascular risk markers, key social-cognitive constructs and health-related quality of life.

Results:

Intention-to-treat analyses indicated a significant increase in upper and lower body strength for the RT group compared with controls (20–37% mean increases in the RT group). No significant reduction in A1C levels was observed. The RT group had unchanged high-density lipoprotein cholesterol levels in comparison to declines in the control group. Significant reductions in fasting insulin, and increases in RT-related self-efficacy and intentions, were also observed in the RT group.

Conclusions:

Supervised home-based RT with high-quality equipment was effective for improving strength, along with other secondary outcomes in obese patients with type 2 diabetes.

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References

  1. Eves N, Plotnikoff RC . Resistance training and type 2 diabetes: considerations for implementation at the population level. Diabetes Care 2006; 29: 1933–1941.

    Article  Google Scholar 

  2. Sigal RJ, Kenny GP, Boule NG, Wells GA, Prud’homme D, Fortier M et al. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial. Ann Intern Med 2007; 147: 357–369.

    Article  Google Scholar 

  3. Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C . Physical activity/exercise and type 2 diabetes. Diabetes Care 2004; 27: 2518–2539.

    Article  Google Scholar 

  4. Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ . Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 2001; 286: 1218–1227.

    Article  Google Scholar 

  5. Willey KA, Singh MAF . Battling insulin resistance in elderly obese people with type 2 diabetes: bring on the heavy weights. Diabetes Care 2003; 26: 1580–1588.

    Article  Google Scholar 

  6. Diseases and Conditions Index, National Heart Lung and Blood Institute. Overweight and obesity. Available at: www.nhlbi.nih.gov/health/dci/Diseases/obe/obe_risks.html (Accessed 15 January 2010).

  7. Kaukua J, Pekkarinen T, Sane T, Mustajoki P . Health-related quality of life in obese outpatients losing weight with very-low-energy diet and behaviour modification: a 2-y follow-up study. Int J Obesity 2003; 27: 1233–1241.

    Article  CAS  Google Scholar 

  8. Plotnikoff RC . Physical activity in the management of diabetes: population-based perspectives and strategies. Can J Diabetes 2006; 30: 52–62.

    Article  Google Scholar 

  9. Jette AM, Lachman M, Giorgetti MM, Assmann SF, Harris BA, Levenson C et al. Exercise—it's never too late: the strong-for-life program. Am J Public Health 1999; 89: 66–72.

    Article  CAS  Google Scholar 

  10. Dunstan DW, Daly RM, Owen N, Jolley D, Vulikh E, Shaw J et al. Home-based resistance training is not sufficient to maintain improved glycemic control following supervised training in older individuals with type 2 diabetes. Diabetes Care 2005; 28: 3–9.

    Article  Google Scholar 

  11. Dunstan DW, Vulikh E, Owen N, Jolley D, Shaw J, Zimmet P . Community center-based resistance training for the maintenance of glycemic control in adults with type 2 diabetes. Diabetes Care 2006; 29: 2586–2591.

    Article  Google Scholar 

  12. Chyun DA, Melkus GD, Katten DM, Price WJ, Davey JA, Grey N et al. The association of psychological factors, physical activity, neuropathy, and quality of life in type 2 diabetes. Biol Res Nurs 2006; 7: 279–288.

    Article  Google Scholar 

  13. Maddigan SL, Majumdar SR, Johnson JA . Understanding the complex associations between patient-provider relationships, self-care behaviours, and health-related quality of life in type 2 diabetes: a structural equation modeling approach. Qual Life Res 2005; 14: 1489–1500.

    Article  Google Scholar 

  14. Segal RJ, Reid RD, Courneya KS, Sigal RJ, Kenny GP, Prud’Homme DG et al. Randomized controlled trial of resistance or aerobic exercise in men receiving radiation therapy for prostate cancer. J Clin Oncol 2009; 27: 344–351.

    Article  Google Scholar 

  15. American College of Sports Medicine. ACSM's Guidelines for Exercise Testing and Prescription, 6th edn. Lippincott Williams & Wilkins: Baltimore, 2000, pp 81–83.

  16. National Committee for Clinical Laboratory Standards. Procedures for the Handling and Processing of Blood Specimens. Approved Guideline NCCLS Publication H18-A: Villanova, PA, 1990, pp 1–80.

  17. Plotnikoff R, Blanchard C, Hotz S, Rhodes R . Validation of the decisional balance constructs of the transtheoretical model in the exercise domain: a longitudinal test in a population sample. Meas Phys Ed Exer Sci 2001; 5: 191–206.

    Article  Google Scholar 

  18. Courneya K, Plotnikoff R, Hotz S, Birkett N . Social support and the theory of planned behavior in the exercise domain. Am J Health Behav 2000; 24: 300–308.

    Article  Google Scholar 

  19. Ware Jr J, Kosinski M, Keller SD . A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34: 220–233.

    Article  Google Scholar 

  20. Cohen J . Statistical Power Analysis for the Behavioral Sciences. Erlbaum: Hillsdale, NJ, 1988.

    Google Scholar 

  21. Castaneda C, Layne JE, Munoz-Orians L, Gordon PL, Walsmith J, Foldvari M et al. A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes. Diabetes Care 2002; 25: 2335–2341.

    Article  Google Scholar 

  22. Godin G, Shephard RJ . A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 1985; 10: 141–146.

    CAS  PubMed  Google Scholar 

  23. Dunstan DW, Daly RM, Owen N, Jolley D, deCourten M, Shaw J et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care 2002; 25: 1729–1736.

    Article  Google Scholar 

  24. Honkola A, Forsen T, Eriksson J . Resistance training improves the metabolic profile in individuals with type 2 diabetes. Acta Diabetol 1997; 34: 245–248.

    Article  CAS  Google Scholar 

  25. Ibañez J, Izquierdo M, Argüelles I, Forga L, Larrión JL, García-Unciti M et al. Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care 2005; 28: 662–667.

    Article  Google Scholar 

  26. Harris SB, Ekoe JM, Zdanowicz Y, Webster-Bogaert S . Glycemic control and morbidity in the Canadian primary care setting (results of the Diabetes in Canada Evaluation Study). Diabetes Res Clin Pract 2005; 70: 90–97.

    Article  Google Scholar 

  27. Baldi JC, Snowling N . Resistance training improves glycaemic control in obese type 2 diabetic men. Int J Sports Med 2003; 24: 419–423.

    Article  CAS  Google Scholar 

  28. Dunstan DW, Puddey IB, Beilin LJ, Burke V, Morton AR, Stanton KG . Effects of a short-term circuit weight training program on glycaemic control in NIDDM. Diabetes Res Clin Pract 1998; 40: 53–61.

    Article  CAS  Google Scholar 

  29. Balducci S, Leonetti F, Di Mario U, Fallucca F . Is a long-term aerobic plus resistance training program feasible for and effective on metabolic profiles in type 2 diabetic patients? Diabetes Care 2004; 27: 841–842.

    Article  Google Scholar 

  30. Bryan AD, Rocheleau CA . Predicting aerobic versus resistance exercise using the theory of planned behavior. Am J Health Behav 2002; 226: 83–92.

    Article  Google Scholar 

  31. Bandura A . Health promotion by social cognitive means. Health Educ Behav 2004; 31: 143–164.

    Article  Google Scholar 

  32. Neutens JR, Rubinson L in: Susan Spivey (ed). Research Techniques for the Health Sciences. Benjamin Cummings: Boston, 1996, pp 69–70.

    Google Scholar 

  33. Johnson JA, Pickard AS . Alberta-Based SF-12 Summary Scores. Working Paper 98-2. Institute of Pharmaco-Economics: Edmonton, AB, 1998, pp 1–24.

    Google Scholar 

Download references

Acknowledgements

RCP was supported by Salary Awards from the Canadian Institutes of Health Research (Applied Public Health Chair Program). RJS was supported by a Health Senior Scholar award from the Alberta Heritage Foundation for Medical Research. This study was funded by the Canadian Institutes of Health Research. Strategic Initiative in Excellence, Innovation and Advancement for the Study of Obesity and Healthy Body Weight.

ClinicalTrials.gov Protocol Registation System—registration number: NCT00221208.

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Correspondence to R C Plotnikoff.

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Plotnikoff, R., Eves, N., Jung, M. et al. Multicomponent, home-based resistance training for obese adults with type 2 diabetes: a randomized controlled trial. Int J Obes 34, 1733–1741 (2010). https://doi.org/10.1038/ijo.2010.109

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