The Impact of Resistance Exercise Training on Glycemic Control Among Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

IF 1.9 4区 医学 Q2 NURSING Biological research for nursing Pub Date : 2024-04-16 DOI:10.1177/10998004241246272
Yuwen Wan, Zhanguo Su
{"title":"The Impact of Resistance Exercise Training on Glycemic Control Among Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","authors":"Yuwen Wan, Zhanguo Su","doi":"10.1177/10998004241246272","DOIUrl":null,"url":null,"abstract":"Background: The prevalence of type 2 diabetes mellitus (T2DM) presents a challenge for health organizations because of its high likelihood of morbidity and mortality. There is an increasing body of evidence exploring the efficacy of resistance training (RT) alone on glycemic control. Objective: To update the effectiveness of RT on glycosylated hemoglobin (HbA1c) and fasting glucose in adults diagnosed with T2DM. Methods: CINAHL (EBSDCO), PubMed, MEDLINE (Ovid), and EMBASE (Ovid) databases were searched from inception to 30 January 2024. Published randomized controlled trials (RCTs) of adult humans with T2DM assessing the impact of RT on HbA1c and fasting glucose compared with control condition were included. Data were pooled by the inverse-variance method and reported as mean differences (MDs) with 95% confidence intervals (CIs). Results: Forty-six RCTs totaling 2130 participants met the inclusion criteria. Meta-analysis demonstrated RT significantly reduced HbA1c (MD -0.50% [95% CI, −0.67, −0.34 %], p < .00,001) and fasting glucose (MD -12.03 mg/dl [95% CI, −19.36, −4.69 mg/dl], p = .001). Subgroup analyses found that exercise training durations, gender, and risk of bias had statistically significant effects on HbA1c levels and fasting glucose concentrations after resistance training. However, meta-regression analyses revealed that variables including year of publication, number of sessions per week, mean sample age, sample size, and study quality scores did not significantly affect the change in either HbA1c or glucose. Conclusion: Our meta-analysis with meta-regression delivers further evidence that RT programs are effective approach in attenuation of HbA1c and fasting glucose in individuals with T2DM.","PeriodicalId":8997,"journal":{"name":"Biological research for nursing","volume":"30 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biological research for nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10998004241246272","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The prevalence of type 2 diabetes mellitus (T2DM) presents a challenge for health organizations because of its high likelihood of morbidity and mortality. There is an increasing body of evidence exploring the efficacy of resistance training (RT) alone on glycemic control. Objective: To update the effectiveness of RT on glycosylated hemoglobin (HbA1c) and fasting glucose in adults diagnosed with T2DM. Methods: CINAHL (EBSDCO), PubMed, MEDLINE (Ovid), and EMBASE (Ovid) databases were searched from inception to 30 January 2024. Published randomized controlled trials (RCTs) of adult humans with T2DM assessing the impact of RT on HbA1c and fasting glucose compared with control condition were included. Data were pooled by the inverse-variance method and reported as mean differences (MDs) with 95% confidence intervals (CIs). Results: Forty-six RCTs totaling 2130 participants met the inclusion criteria. Meta-analysis demonstrated RT significantly reduced HbA1c (MD -0.50% [95% CI, −0.67, −0.34 %], p < .00,001) and fasting glucose (MD -12.03 mg/dl [95% CI, −19.36, −4.69 mg/dl], p = .001). Subgroup analyses found that exercise training durations, gender, and risk of bias had statistically significant effects on HbA1c levels and fasting glucose concentrations after resistance training. However, meta-regression analyses revealed that variables including year of publication, number of sessions per week, mean sample age, sample size, and study quality scores did not significantly affect the change in either HbA1c or glucose. Conclusion: Our meta-analysis with meta-regression delivers further evidence that RT programs are effective approach in attenuation of HbA1c and fasting glucose in individuals with T2DM.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
阻力运动训练对 2 型糖尿病成人血糖控制的影响:随机对照试验的系统回顾和元分析
背景:由于 2 型糖尿病(T2DM)发病率和死亡率较高,因此给医疗机构带来了挑战。越来越多的证据表明,单纯的阻力训练(RT)对血糖控制有一定的疗效。目的更新阻力训练对确诊为 T2DM 的成人糖化血红蛋白(HbA1c)和空腹血糖的有效性。研究方法检索了从开始到 2024 年 1 月 30 日的 CINAHL (EBSDCO)、PubMed、MEDLINE (Ovid) 和 EMBASE (Ovid) 数据库。纳入了已发表的针对成年 T2DM 患者的随机对照试验(RCT),这些试验评估了 RT 与对照组相比对 HbA1c 和空腹血糖的影响。采用逆方差法对数据进行汇总,并以平均差 (MD) 和 95% 置信区间 (CI) 的形式进行报告。研究结果符合纳入标准的有 46 项 RCT,共计 2130 名参与者。Meta 分析表明,RT 能显著降低 HbA1c(MD -0.50% [95% CI, -0.67, -0.34 %],p = .00,001)和空腹血糖(MD -12.03 mg/dl [95% CI, -19.36, -4.69 mg/dl],p = .001)。亚组分析发现,运动训练持续时间、性别和偏差风险对阻力训练后的 HbA1c 水平和空腹血糖浓度有显著的统计学影响。然而,元回归分析表明,发表年份、每周训练次数、平均样本年龄、样本大小和研究质量评分等变量对 HbA1c 或血糖的变化没有显著影响。结论我们的荟萃分析和荟萃回归提供了进一步的证据,证明 RT 计划是降低 T2DM 患者 HbA1c 和空腹血糖的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
5.10
自引率
4.00%
发文量
58
审稿时长
>12 weeks
期刊介绍: Biological Research For Nursing (BRN) is a peer-reviewed quarterly journal that helps nurse researchers, educators, and practitioners integrate information from many basic disciplines; biology, physiology, chemistry, health policy, business, engineering, education, communication and the social sciences into nursing research, theory and clinical practice. This journal is a member of the Committee on Publication Ethics (COPE)
期刊最新文献
Epigenetic Aging Associations With Psychoneurological Symptoms and Social Functioning in Adults With Sickle Cell Disease Caffeine and Sleep in Preventing Post-spinal Headache: Which One is More Effective? The Impact of Resistance Exercise Training on Glycemic Control Among Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials 2023 International Society of Nurses in Genetics (ISONG) World Congress: Meeting Overview Wii Fit-Based Biofeedback Rehabilitation Among Post-Stroke Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trial.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1