Performance
APhysical activity advice only or structured exercise training and HbA1c in type 2 diabetes
Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ, Gross JL, Ribeiro JP, Schaan BD · 2011 · JAMA 305(17):1790-1799
REZA evidence rating A: High confidence — What does this rating mean?
Multiple consistent meta-analyses or a position stand. Sufficient basis for a fixed choice in the coaching.
Methodology
Systematic review with meta-regression
Findings
Structured, supervised exercise training improves blood sugar control (HbA1c) in type 2 diabetes more than activity advice alone; resistance training also contributes independently.
Limitations
The analysis covers planned training programmes and not a precise statement about free-living activity; individual medical guidance remains leading.
Practical conclusion for REZA
For people with type 2 diabetes, a supervised programme of both aerobic and resistance training is a meaningful part of management, alongside medical care.
Original source
DOI: 10.1001/jama.2011.576 · PMID: 21540423
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