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.
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2022
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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. Pre-
exercise 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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Concurrent exercise, Blood glucose, Training workload, Exercise volume, Exercise intensity
Citação
RODRIGUES, J. G. da S. et al. 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. Journal of Physical Education and Sport, v. 22, n. 4, artigo 132, p. 1041-1050, 2022. Disponível em: <https://www.efsupit.ro/images/stories/aprilie2022/Art%20132.pdf>. Acesso em: 01 ago. 2023.