Performance
A · High confidenceSupervised exercise or activity advice and blood sugar in type 2 diabetes
Subject: Physical activity advice only or structured exercise training and HbA1c in type 2 diabetes
What this means
Structured exercise was linked to a 0.67% lower HbA1c (long-term blood sugar), and 0.89% above 150 minutes per week. Activity advice alone showed no change, but did with dietary advice.
Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ, Gross JL, Ribeiro JP, Schaan BD · 2011 · JAMA 305(17):1790-1799
What does this rating mean?
Multiple consistent meta-analyses or a position stand. Sufficient basis for a fixed choice in the coaching.
Findings
Structured, supervised exercise training improves blood sugar control (HbA1c) in type 2 diabetes more than activity advice alone; resistance training also contributes independently.
Who this applies to
Patients with type 2 diabetes.
Size of the research
47 randomized controlled trials with a total of 8538 patients.
What to keep in mind
Results varied widely between the trials. The findings are associations, and all trials lasted at least 12 weeks.
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.
View method and source
Methodology
Systematic review with meta-regression
Limitations
The analysis covers planned training programmes and not a precise statement about free-living activity; individual medical guidance remains leading.
Original source
DOI: 10.1001/jama.2011.576 · PMID: 21540423
View on PubMed →This information is general education about scientific research. It is not personal medical advice and does not replace diagnosis or treatment by a doctor or other healthcare professional. If you have symptoms, a medical condition or take medication, consult your GP or treating professional before changing your training or nutrition.