Armaghane Danesh Bimonthly Journal (Aug 2020)

Effect of Endurance Training with Different Intensities on HBA1C in Type 2 Diabetes

  • M Ghafari,
  • M Faramarzi,
  • Z Hemati Farsani

Journal volume & issue
Vol. 25, no. 4
pp. 503 – 514

Abstract

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Background & aim: Numerous studies have investigated the effect of exercise on diabetes-related factors. Aerobic exercise is a central component in the management and treatment of type 2 diabetes. The aim of the present study was to determine the effect of endurance training with different intensities on HBA1C in patients with type 2 diabetes. Methods: This research is a systematic review and meta-analysis conducted in 2019.For the present study, databases from ScienceDirect, PubMed, Scopus, the science of the Web, SID, Magiran, and Google Scholar from years 2001 to 2019 were searched with keywords After initial screening, the full text of the articles was evaluated and the articles that met the inclusion criteria were analyzed. In total, 21articles were reviewed, of which 11coincided the criteria for systematic review and meta-analysis. Moreover, 381 diabetic patients divided into two groups of 169 and 237, respectively, in the experimental group (99 females, 134 males) and the control group (57 females, 81 males). The mean age of the subjects in the present study was 52.62 years. Intervention effects were evaluated as mean difference (MD) with a random effects model. Data were analyzed using effect size, bias and heterogeneity tests using STATA software. Results: The results of the meta-analysis indicated that both moderate and moderate aerobic exercise decreased HBAIC percentage. Endurance training in general reduced HBAIC levels significantly. In the subgroup analysis, endurance training was moderate (p = 0.001, SE= 0.27, V =0.07, CI =-1.51 -0.44 Z = -3.58) and high intensity (p= 0.001, SE= 0.22, V = 0.05, CI = -1.33 -0.46 Z = -4.05) Conclusion: Different intensities of endurance training have a significant effect on HBA1C levels in type 2 diabetic patients. Our study showed that there is no significant difference between moderate and high intensity aerobic exercise in the rate of improvement of HBA1C levels, which, of course, is felt to investigate the difference between intensities to more research and higher quality.

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