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Strength Training Increases Insulin-Mediated Glucose Uptake, GLUT4 Content, and Insulin Signaling in Skeletal Muscle in Patients With Type 2 Diabetes
Open accessAbstract
Strength training represents an alternative to endurance training for patients with type 2 diabetes. Little is known about the effect on insulin action and key proteins in skeletal muscle, and the necessary volume of strength training is unknown. A total of 10 type 2 diabetic subjects and 7 healthy men (control subjects) strength-trained one leg three times per week for 6 weeks while the other leg remained untrained. Each session lasted no more than 30 min. After strength training, muscle biopsies were obtained, and an isoglycemic-hyperinsulinemic clamp combined with arterio-femoral venous catheterization of both legs was carried out. In general, qualitatively similar responses were obtained in both groups. During the clamp, leg blood flow was higher (P < 0.05) in trained versus untrained legs, but despite this, arterio-venous extraction glucose did not decrease in trained legs. Thus, leg glucose clearance was increased in trained legs (P < 0.05) and more than explained by increases in muscle mass. Strength training increased protein content of GLUT4, insulin receptor, protein kinase B-α/β, glycogen synthase (GS), and GS total activity. In conclusion, we found that strength training for 30 min three times per week increases insulin action in skeletal muscle in both groups. The adaptation is attributable to local contraction-mediated mechanisms involving key proteins in the insulin signaling cascade.
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“Training can enhance the responsiveness of skeletal muscles to insulin with increased expression and/or activity of proteins involved in glucose metabolism and insulin signaling ( 39 , 110 , 204 , 270 ).”
From Exercise and Type 2 Diabetes (2010) · cites this paper as [110]
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Melo, K. C. B., Araújo, F. D. S., Júnior, C. C. M. C., de Andrade, K. T. P., & Moreira, S. R. (2018) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000002704 · Cited by 47
A Review of Exercise as Medicine in Cardiovascular Disease: Pathology and Mechanism
Gronek, P., Wieliński, D., Cygański, P., Rynkiewicz, A., Zając, A., Maszczyk, A., Gronek, J., Podstawski, R., Czarny, W., Balkó, Š., et al. (2020) · Aging and Disease · doi:10.14336/ad.2019.0516 · Cited by 53
“The main mechanisms include insulin-mediated glucose uptake [95, 96], post-receptor insulin signalling [97], increased transport of glucose to the muscles due to enlarged muscle capillary network and up-regulation of glucose transporter (GLUT4) [98, 99].”
BackgroundTraining-induced changes in membrane transport proteins of human skeletal muscle
Juel, C. (2006) · European Journal of Applied Physiology · doi:10.1007/s00421-006-0140-x · Cited by 46
“Functional tests demonstrate that leg glucose clearance increases with strength training in one study (Holten et al. 2004), whereas a decreased glucose clearance has been found in another study (Friedlander et al. 1997).”
BackgroundSelf-citationRoles of physical exercise-induced MiR-126 in cardiovascular health of type 2 diabetes
Ma, Y., Liu, H., Wang, Y., Xuan, J., Gao, X. H., Ding, H., Ma, C., Chen, Y., & Yang, Y. (2022) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-022-00942-6 · Cited by 48
Monleón, D., Garcia-Valles, R., Morales, J. M., Brioche, T., González, G. O., López-Grueso, R., Gómez‐Cabrera, M. C., & Viña, J. (2014) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00585.2014 · Cited by 45
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Does a Hypertrophying Muscle Fibre Reprogramme its Metabolism Similar to a Cancer Cell?
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“Other studies examined the effect of resistance training in insulin sensitivity in elderly subjects and reported that strength training induced improvement in insulin-stimulated glucose uptake promoted by glucose transporter type 4 (GLUT-4) in elderly [41].”
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Physical activity: the forgotten tool for type 2 diabetes management
Colberg, S. R. (2012) · Frontiers in Endocrinology · doi:10.3389/fendo.2012.00070 · Cited by 47
“, 2003), regular resistance work improves overall glycemic control and insulin sensitivity by increasing levels of muscle GLUT4, insulin receptors, protein kinase B, glycogen synthase, and glycogen synthase total activity following acute training (Holten et al., 2004).”
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Resistance Training Improves Insulin Signaling and Action in Skeletal Muscle
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Nutritional Strategies to Combat Type 2 Diabetes in Aging Adults: The Importance of Protein
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“This further leads to the regulation of GLUT-4 activity, increasing its translocation at the cellular level (Cheng and Kujala, 2012; Holten et al., 2004).”
BackgroundLi, J., Li, J., & Lu, Y. (2021) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2021.08.002 · Cited by 54
Impaired overload-induced hypertrophy in obese Zucker rat slow-twitch skeletal muscle
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mTOR function in skeletal muscle: a focal point for overnutrition and exercise
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“Endurance-type and resistance-type exercise has been shown to enhance insulin sensitivity and training-specific adaptation in skeletal muscle (Coffey and Hawley 2007; Hawley and Lessard 2008; Wojtaszewski and Richter 2006; Holten et al. 2004; Ishii et al. 1998; Yaspelkis 2006; Houmard et al. 2004).”
BackgroundImpact of exercise intensity and duration on insulin sensitivity in women with T2D
Segerström, Å. B., Glans, F., Eriksson, K., Holmbäck, A. M., Groop, L., Thorsson, O., & Wollmer, P. (2010) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2010.05.003 · Cited by 42
“The studies on resistance and combined exercise show consistently an increase in insulin sensitivity [5,7,8,46,47].”
BackgroundFluorescent protein-based detection of unconjugated bilirubin in newborn serum
Iwatani, S., Nakamura, H., Kurokawa, D., Yamana, K., Nishida, K., Fukushima, S., Koda, T., Nishimura, N., Nishio, H., Iijima, K., et al. (2016) · Scientific Reports · doi:10.1038/srep28489 · Cited by 40
Metadata
- Authors
- Holten, M. K., Zacho, M., Gaster, M., Juel, C., Wojtaszewski, J. F. P., & Dela, F.
- Affiliations
- University of Copenhagen (DK)
- Rigshospitalet (DK)
- Odense University Hospital (DK)
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2004-02-01
- Volume
- 53
- Issue
- 2
- Pages
- 294-305
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2153401503
- Cited by
- 615
- References
- 48
- Citations by year
- 2026: 36 · 2025: 24 · 2024: 18 · 2023: 20 · 2022: 32 · 2021: 38 · 2020: 30 · 2019: 22 · 2018: 35 · 2017: 29 · 2016: 25 · 2015: 32 · 2014: 25 · 2013: 37 · 2012: 39
- FWCI
- 7.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- Funders
- Sundhed og Sygdom, Det Frie Forskningsråd
- University of Cambridge
- National Research Foundation
- Danmarks Grundforskningsfond (504–14)
- Diabetesforeningen
- Medical Research Council
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Keywords
- resistance training, type 2 diabetes, insulin action, skeletal muscle, GLUT4, insulin signaling, glycogen synthase, Akt, insulin receptor, glucose uptake, glucose clearance, muscle blood flow, training volume
- MeSH terms
- Biological Transport, Capillaries, Denmark, Diabetes Mellitus, Type 2, Glucose, Glycogen, Humans, Insulin, Leg, Male, Monosaccharide Transport Proteins, Muscle Proteins, Physical Fitness, Reference Values, Tensile Strength, Exercise, Muscle, Skeletal, Muscle Fibers, Skeletal, White People, Glucose Transporter Type 4
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