Cited by 250Diabetes Management and ResearchPhysical Activity and HealthCardiovascular and exercise physiology

Resistance Versus Aerobic Exercise

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Yardley, Jane E., Kenny, Glen P., Perkins, Bruce A., Riddell, Michael C., Balaa, Nadia, Malcolm, Janine, Boulay, Pierre, Khandwala, Farah +1 more·2013·Diabetes Care

Abstract

OBJECTIVE: In type 1 diabetes, small studies have found that resistance exercise (weight lifting) reduces HbA1c. In the current study, we examined the acute impacts of resistance exercise on glycemia during exercise and in the subsequent 24 h compared with aerobic exercise and no exercise. RESEARCH DESIGN AND METHODS: Twelve physically active individuals with type 1 diabetes (HbA1c 7.1 ± 1.0%) performed 45 min of resistance exercise (three sets of seven exercises at eight repetitions maximum), 45 min of aerobic exercise (running at 60% of Vo2max), or no exercise on separate days. Plasma glucose was measured during and for 60 min after exercise. Interstitial glucose was measured by continuous glucose monitoring 24 h before, during, and 24 h after exercise. RESULTS: Treatment-by-time interactions (P < 0.001) were found for changes in plasma glucose during and after exercise. Plasma glucose decreased from 8.4 ± 2.7 to 6.8 ± 2.3 mmol/L (P = 0.008) during resistance exercise and from 9.2 ± 3.4 to 5.8 ± 2.0 mmol/L (P = 0.001) during aerobic exercise. No significant changes were seen during the no-exercise control session. During recovery, glucose levels did not change significantly after resistance exercise but increased by 2.2 ± 0.6 mmol/L (P = 0.023) after aerobic exercise. Mean interstitial glucose from 4.5 to 6.0 h postexercise was significantly lower after resistance exercise versus aerobic exercise. CONCLUSIONS: Resistance exercise causes less initial decline in blood glucose during the activity but is associated with more prolonged reductions in postexercise glycemia than aerobic exercise. This might account for HbA1c reductions found in studies of resistance exercise but not aerobic exercise in type 1 diabetes.

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Authors
Yardley, J. E., Kenny, G. P., Perkins, B. A., Riddell, M. C., Balaa, N., Malcolm, J., Boulay, P., Khandwala, F., & Sigal, R. J.
Affiliations
  • University of Ottawa (CA)
  • University Health Network (CA)
  • York University (CA)
  • Champlain Diabetes Regional Coordination Centre, Ottawa, Ontario, Canada
  • Alberta Health Services (CA)
Corresponding author
Sigal, Ronald J.
Venue
Diabetes Care
Published
2013-02-13
Volume
36
Issue
3
Pages
537-542
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2050580643
Cited by
250
References
2
Citations by year
2026: 16 · 2025: 15 · 2024: 22 · 2023: 19 · 2022: 22 · 2021: 23 · 2020: 24 · 2019: 24 · 2018: 17 · 2017: 17 · 2016: 13 · 2015: 23 · 2014: 11 · 2013: 3
FWCI
9.50
Type
journal article
Language
en
Open access
Locations
  • Diabetes Care (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Keywords
type 1 diabetes, resistance training, aerobic exercise, glycemia, HbA1c, plasma glucose, interstitial glucose
MeSH terms
Blood Glucose, Diabetes Mellitus, Type 1, Female, Glycated Hemoglobin, Humans, Male, Exercise

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