Structured Exercise Training May Improve Glycemic Control

Laurie Barclay, MD

http://jama.ama-assn.org/content/305/17/1790.short

May 6, 2011 — Structured exercise training, including aerobic, resistance, or both, is linked to a greater reduction in hemoglobin A1c (HbA1c) levels in patients with diabetes, according to the results of a systematic review and meta-analysis reported in the May 4 issue of the Journal of the American Medical Association.

"Current guidelines recommend that patients with type 2 diabetes should perform at least 150 minutes per week of moderate-intensity aerobic exercise and should perform resistance exercise 3 times per week," write Daniel Umpierre, MSc, from the Hospital de Clinicas de Porto Alegre in Brazil, and colleagues. "Previous meta-analyses demonstrated that structured exercise training including aerobic and resistance exercises reduces ...HbA1c levels by approximately 0.6%. However, only 1 previous review separately analyzed associations of aerobic exercise, resistance training, and the combination of aerobic exercise and resistance training on change in HbA1c levels./.../

Physical Activity Advice Only or Structured Exercise Training and Association With HbA_1c Levels in Type 2 Diabetes

A Systematic Review and Meta-analysis

1. Daniel Umpierre, MSc; 
2. Paula A. B. Ribeiro, MSc; 
3. Caroline K. Kramer, MD, ScD;
4. Cristiane B. Leitão, MD, ScD; 
5. Alessandra T. N. Zucatti, PED; 
6. Mirela J. Azevedo, MD, ScD; 
7. Jorge L. Gross, MD, ScD; 
8. Jorge P. Ribeiro, MD, ScD; 
9. Beatriz D. Schaan, MD, ScD

[+] Author Affiliations