Effect of session order in combined aerobic and resistance training on glycemic control in older adults with type 2 diabetes: a crossover study

Autores

DOI:

https://doi.org/10.12820/rbafs.26e0222

Palavras-chave:

Glicose sanguínea, Diabetes mellitus, Treino aeróbio, Treinamento de força

Resumo

A ordem da sessão de treino aeróbio e resistido parece ser importante para a resposta glicêmica, uma vez que quando realizados isoladamente ajudam a reduzir a hemoglobina glicosilada. O objetivo do presente estudo foi comparar a ordem da sessão de treinamento aeróbio e resistido na resposta glicêmica agudo em idosos com diabetes tipo 2. A amostra foi composta por idosos, diagnosticados com diabetes do tipo 2, 13 homens e 5 mulheres, não tratados com insulina e betabloqueadores. Todos realizaram duas sessões de treinamentos com diferentes ordens: aeróbio + resistido (AER) e resistido + aeróbio (RES). As sessões foram separadas por sete dias. Na sessão AER, foi observado uma diminuição significativa (p < 0,001) da glicemia entre as sessões (ENTRE: p < 0,001) e após cada sessão (PÓS: p = 0,003) em comparação com a linha de base (PRÉ). Na sessão RES, nenhuma diferença (p > 0,731) foi encontrada no momento ENTRE em relação ao momento PRÉ, mas uma diminuição significativa (p < 0,001) da glicose no sangue foi observada no momento PÓS. Uma comparação das diferentes sessões de treinamento mostrou uma diferença significativa (p = 0,012) no momento ENTRE, enquanto a glicemia mostrou uma queda mais acentuada na sessão AER. Concluiu-se que o treinamento combinado, independente da ordem, foi eficaz na resposta glicêmica aguda em idosos com diabetes do tipo 2 e o treinamento aeróbico foi o principal responsável pela queda de glicose no sangue.

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Referências

Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, et al. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271-81.

Nocon M, Hiemann T, Müller-Riemenschneider F, Thalau F, Roll S, Willich SN. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil. 2008;15(3):239-46.

Colberg SR, Albright AL, Blissmer BJ, Braun B, Chasan-Taber L, Fernhall B, et al. Exercise and type 2 diabetes: American College of Sports Medicine and the American Diabetes Association: joint position statement. Exercise and type 2 diabetes. Med Sci Sports Exerc. 2010;42(12):2282-303.

Mitranun W, Deerochanawong C, Tanaka H, Suksom D. Continuous vs interval training on glycemic control and macro- and microvascular reactivity in type 2 diabetic patients. Scand J Med Sci Sports. 2014;24(2):e69-76. doi:10.1111/sms.12112.

Toledo FG, Menshikova EV, Ritov VB, Azuma K, Radikova Z, DeLany J, et al. Effects of physical activity and weight loss on skeletal muscle mitochondria and relationship with glucose control in type 2 diabetes. Diabetes. 2007;56(8):2142-7.

Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care. 2010;33(12):e147-67.

Castaneda C, Layne JE, Munoz-Orians L, Gordon PL, Walsmith J, Foldvari M, et al. A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes. Diabetes Care. 2002;25(12):2335-41.

Pan B, Ge L, Xun YQ, Chen YJ, Gao CY, Han X, et al. Exercise training modalities in patients with type 2 diabetes mellitus: a systematic review and network meta-analysis. Int J Behav Nutr Phys Act. 2018;15(1):72.

Schrauwen P, van Aggel-Leijssen DP, Hul G, Wagenmakers AJ, Vidal H, Saris WH, et al. The effect of a 3-month low-intensity endurance training program on fat oxidation and acetyl-CoA carboxylase-2 expression. Diabetes. 2002;51(7):2220-6.

Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C. Physical activity/exercise and type 2 diabetes. Diabetes Care. 2004;27(10):2518-39. doi:10.2337/diacare.27.10.2518.

Hansen D, Peeters S, Zwaenepoel B, Verleyen D, Wittebrood C, Timmerman N, et al. Exercise assessment and prescription in patients with type 2 diabetes in the private and home care setting: clinical recommendations from AXXON (Belgian Physical Therapy Association). Phys Ther. 2013;93(5):597-610.

Rydén L, Grant PJ, Anker SD, Berne C, Cosentino F, Danchin N, et al. ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: the Task Force on diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and developed in collaboration with the European Association for the Study of Diabetes (EASD). Eur Heart J. 2013;34(39):3035-87.

Cuff DJ, Meneilly GS, Martin A, Ignaszewski A, Tildesley HD, Frohlich JJ. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diabetes Care. 2003;26(11):2977-82.

Church TS, Blair SN, Cocreham S, Johannsen N, Johnson W, Kramer K, et al. Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: a randomized controlled trial. Jama. 2010;304(20):2253-62.

Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153-6.

Robertson RJ, Goss FL, Rutkowski J, Lenz B, Dixon C, Timmer J, et al. Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Med Sci Sports Exerc. 2003;35(2):333-41.

Faul F, Erdfelder E, Lang A, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.

Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41(1):3-13.

Moro ARP, Iop RR, Silva FC, Gutierres Filho PJB. Efeito do treinamento combinado e aeróbio no controle glicêmico no diabetes tipo 2. Fisioter Mov. 2012;25(2):399-409.

Boulé NG, Weisnagel SJ, Lakka TA, Tremblay A, Bergman RN, Rankinen T, et al. Effects of exercise training on glucose homeostasis: the HERITAGE Family Study. Diabetes Care. 2005;28(1):108-14.

Arora E, Shenoy S, Sandhu JS. Effects of resistance training on metabolic profile of adults with type 2 diabetes. Indian J Med Res. 2009;129(5):515-9.

Bacchi E, Negri C, Zanolin ME, Milanese C, Faccioli N, Trombetta M, et al. Metabolic effects of aerobic training and resistance training in type 2 diabetic subjects: a randomized controlled trial (the RAED2 study). Diabetes Care. 2012;35(4):676-82.

Najafipour F, Mobasseri M, Yavari A, Nadrian H, Aliasgarzadeh A, Mashinchi Abbasi N, et al. Effect of regular exercise training on changes in HbA1c, BMI and VO(2)max among patients with type 2 diabetes mellitus: an 8-year trial. BMJ Open Diabetes Res Care. 2017;5(1):e000414.

Dunstan DW, Daly RM, Owen N, Jolley D, De Courten M, Shaw J, et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care. 2002;25(10):1729-36.

Yardley JE, Kenny GP, Perkins BA, Riddell MC, Malcolm J, Boulay P, et al. Effects of performing resistance exercise before versus after aerobic exercise on glycemia in type 1 diabetes. Diabetes Care. 2012;35(4):669-75.

Carvalho FS, Pimazoni Netto A, Zach P, Sachs A, Zanella MT. Importance of nutritional counseling and dietary fiber content on glycemic control in type 2 diabetic patients under intensive educational intervention. Arq Bras Endocrinol Metabol. 2012;56(2):110-9.

Sigal RJ, Kenny GP, Boulé NG, Wells GA, Prud'homme D, Fortier M, et al. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial. Ann Intern Med. 2007;147(6):357-69.

Jorge ML, de Oliveira VN, Resende NM, Paraiso LF, Calixto A, Diniz AL, et al. The effects of aerobic, resistance, and combined exercise on metabolic control, inflammatory markers, adipocytokines, and muscle insulin signaling in patients with type 2 diabetes mellitus. Metabolism. 2011;60(9):1244-52.

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Publicado

2021-08-11

Como Citar

1.
Corrêa RF, Vieira JG, Dias MR. Effect of session order in combined aerobic and resistance training on glycemic control in older adults with type 2 diabetes: a crossover study. Rev. Bras. Ativ. Fís. Saúde [Internet]. 11º de agosto de 2021 [citado 27º de novembro de 2021];26:1-6. Disponível em: https://rbafs.org.br/RBAFS/article/view/14596

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