Resistance Versus Aerobic Exercise
Open accessAbstract
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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Compared with aerobic exercise, anaerobic exercise can cause a smaller drop in glucose [15].
“Anaerobic exercise can result in a less significant drop in glucose compared with aerobic exercise [15].”
From Design of a dual-hormone model predictive control for artificial pancreas with exercise model (2016) · cites this paper as [15]
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Self-citationExercise management in type 1 diabetes: a consensus statement
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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.
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2013-02-13
- Volume
- 36
- Issue
- 3
- Pages
- 537-542
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC3579339
- 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
- hybrid
- doi.org
- Licence
- 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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