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The role of physical activity in the management of impaired glucose tolerance: a systematic review
Open accessAbstract
Although physical activity is widely reported to reduce the risk of type 2 diabetes in individuals with prediabetes, few studies have examined this issue independently of other lifestyle modifications. The aim of this review is to conduct a systematic review of controlled trials to determine the independent effect of exercise on glucose levels and risk of type 2 diabetes in people with prediabetes (IGT and/or IFG). A detailed search of MEDLINE (1966-2006) and EMBASE (1980-2006) found 279 potentially relevant studies, eight of which met the inclusion criteria for this review. All eight studies were controlled trials in individuals with impaired glucose tolerance. Seven studies used a multi-component lifestyle intervention that included exercise, diet and weight loss goals and one used a structured exercise training intervention. Four studies used the incidence of diabetes over the course of the study as an outcome variable and four relied on 2-h plasma glucose as an outcome measure. In the four studies that measured the incidence of diabetes as an outcome, the risk of diabetes was reduced by approximately 50% (range 42-63%); as these studies reported only small changes in physical activity levels, the reduced risk of diabetes is likely to be attributable to factors other than physical activity. In the remaining four studies, only one reported significant improvements in 2-h plasma glucose even though all but one reported small to moderate increases in maximal oxygen uptake. These results indicate that the contribution of physical activity independent of dietary or weight loss changes to the prevention of type 2 diabetes in people with prediabetes is equivocal.
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“Fewer RCTs solely targeted PA behavior in individuals with or at risk of developing type 2 diabetes ( 279 , 284 , 285 ).”
From Exercise and Type 2 Diabetes (2010) · cites this paper as [285]
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“Fewer RCTs solely targeted PA behavior in individuals with or at risk of developing type 2 diabetes (279,284,285).”
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Self-citation
Metadata
- Authors
- Yates, T., Khunti, K., Bull, F., Gorely, T., & Davies, M. J.
- Affiliations
- Loughborough University (GB)
- University of Leicester (GB)
- Corresponding author
- Yates, T.
- Venue
- Diabetologia
- Published
- 2007-04-06
- Volume
- 50
- Issue
- 6
- Pages
- 1116-1126
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- PMC
- PMC1871609
- OpenAlex
- W2021955902
- Cited by
- 161
- References
- 45
- Citations by year
- 2026: 2 · 2024: 6 · 2023: 3 · 2022: 8 · 2021: 10 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 11 · 2016: 7 · 2015: 7 · 2014: 9 · 2013: 5 · 2012: 8
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Diabetologia (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- physical activity, exercise training, impaired glucose tolerance, prediabetes, type 2 diabetes prevention, 2-hour plasma glucose, VO2max, lifestyle intervention
- MeSH terms
- Blood Glucose, Humans, Exercise, Randomized Controlled Trials as Topic, Treatment Outcome, Glucose Intolerance
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