|
1
|
Huang YM, Liu Z, Fu J, Shan PF, Wang J, Wen X. Acute effects of a single bout structured resistance and combined exercise on blood glucose profile during exercise in patients with type 2 diabetes and healthy adults: A randomized crossover study. Diabetes Res Clin Pract 2025; 221:112031. [PMID: 39904458 DOI: 10.1016/j.diabres.2025.112031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2024] [Revised: 01/15/2025] [Accepted: 01/29/2025] [Indexed: 02/06/2025]
Abstract
AIMS The effects of postprandial resistance and combined exercise on blood glucose profiles, particularly in patients with type 2 diabetes, remain unclear. Comprehending these responses may aid in diabetes management. METHODS Three trials were conducted: trial A examined aerobic, resistance, and combined exercise; trials B and C focused on three intensities of resistance and combined exercise. Participants including patients with type 2 diabetes and healthy adults completed a randomized crossover experiment with two arrangements of three interventions and continuous glucose monitoring. Blood glucose iAUC and slope were analyzed via repeated measures two-way ANOVA. RESULTS A total of 21 patients with type 2 diabetes (47.81±11.88 years) and 26 healthy adults (31.77±6.66 years) were assigned. In trials A-C, the main effect of subject group on iAUC/min was significant (p＜0.001, p = 0.003, and p＜0.001). The exercise in trial A (p = 0.006) and subject group in trial C (p = 0.005) significantly impacted the blood glucose slope. CONCLUSIONS Resistance and combined exercise reduce postprandial hyperglycemia in type 2 diabetes patients. Monitoring glucose before exercise may help prevent extreme events.
Collapse
Affiliation(s)
- Yu-Min Huang
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou, Zhejiang, China
| | - Zijia Liu
- Department of Advanced Computing Sciences, Faculty of Science and Engineering, Maastricht University, Maastricht, The Netherlands.; Department of Nutrition and Movement Sciences, Institute of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
| | - Jing Fu
- Dinglan Street Community Health Services Center, Hangzhou, Zhejiang, China
| | - Peng-Fei Shan
- Department of Endocrinology and Metabolism, The Second Affiliated Hospital of Zhejiang University School of Medicine, 88 Jiefang Road, Hangzhou, Zhejiang, China
| | - Jian Wang
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou, Zhejiang, China.; Center for Psychological Sciences, Zhejiang University, Hangzhou, Zhejiang, China
| | - Xu Wen
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou, Zhejiang, China..
| |
Collapse
|
|
2
|
Radić J, Belančić A, Đogaš H, Vučković M, Đogaš T, Tandara L, Grubić M, Šolić Šegvić L, Novak I, Radić M. The Power of Movement: Linking Physical Activity with Nutritional Health and Blood Sugar Balance in a Dalmatian Type 2 Diabetic Population. Nutrients 2025; 17:187. [PMID: 39796621 PMCID: PMC11722635 DOI: 10.3390/nu17010187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2024] [Revised: 12/29/2024] [Accepted: 12/30/2024] [Indexed: 01/13/2025] Open
Abstract
BACKGROUND AND OBJECTIVES Regular physical activity (PA) and Mediterranean diet (MeDi) adherence independently improve glycemic control and clinical outcomes in type 2 diabetes mellitus (T2DM). This study examined the associations between PA, body composition (BC), MeDi adherence, and glycemic control in Dalmatian T2DM patients. MATERIALS AND METHODS A cross-sectional study was conducted at the University Hospital of Split (November-December 2023) during an open call for T2DM patients. Data collected included blood/urine samples, blood pressure, BC, and anthropometrics. MeDi adherence and PA were assessed via the Mediterranean Diet Service Score and the International PA Questionnaire-Short Form. RESULTS Among 252 participants (median age: 67 years, IQR: 60-73; 51.6% women; median T2DM duration: 10 years, IQR: 6-20), PA levels were low (31.4%, N = 79), moderate (45.2%, N = 114), and high (23.4%, N = 59), with uniformly low MeDi adherence across groups. Low PA was associated with higher body mass index (BMI) and lower phase angle (PhA). PA negatively correlated with fat mass (FM; %) and visceral adiposity. Positive BMI predictors included FM (kg), total body water, visceral fat level, and PhA, while fat-free mass, intracellular water, and FM (%) were negative predictors. The estimated glomerular filtration rate was the only positive predictor of the total metabolic equivalent of the task score. CONCLUSIONS PA enhances BC and metabolic health, but inadequate MeDi adherence limits these benefits in the T2DM population. To optimize glucose control and health outcomes, public health initiatives must emphasize MeDi adherence and a combination of aerobic and resistance training.
Collapse
Affiliation(s)
- Josipa Radić
- Department of Internal Medicine, Division of Nephrology, Dialysis and Arterial Hypertension, University Hospital of Split, 21000 Split, Croatia; (J.R.); (M.V.); (T.Đ.); (L.Š.Š.); (I.N.)
- Internal Medicine Department, School of Medicine, University of Split, 21000 Split, Croatia
| | - Andrej Belančić
- Department of Basic and Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia;
| | - Hana Đogaš
- Department of Neurology, University Hospital of Split, 21000 Split, Croatia;
| | - Marijana Vučković
- Department of Internal Medicine, Division of Nephrology, Dialysis and Arterial Hypertension, University Hospital of Split, 21000 Split, Croatia; (J.R.); (M.V.); (T.Đ.); (L.Š.Š.); (I.N.)
| | - Tina Đogaš
- Department of Internal Medicine, Division of Nephrology, Dialysis and Arterial Hypertension, University Hospital of Split, 21000 Split, Croatia; (J.R.); (M.V.); (T.Đ.); (L.Š.Š.); (I.N.)
| | - Leida Tandara
- Division of Medical Laboratory Diagnostic, University Hospital of Split, 21000 Split, Croatia
- Department of Medical Chemistry and Biochemistry, School of Medicine, University of Split, 21000 Split, Croatia
| | - Marina Grubić
- Institute for Emergency Medicine of Split-Dalmatia County, 21000 Split, Croatia;
| | - Lucija Šolić Šegvić
- Department of Internal Medicine, Division of Nephrology, Dialysis and Arterial Hypertension, University Hospital of Split, 21000 Split, Croatia; (J.R.); (M.V.); (T.Đ.); (L.Š.Š.); (I.N.)
| | - Ivana Novak
- Department of Internal Medicine, Division of Nephrology, Dialysis and Arterial Hypertension, University Hospital of Split, 21000 Split, Croatia; (J.R.); (M.V.); (T.Đ.); (L.Š.Š.); (I.N.)
| | - Mislav Radić
- Internal Medicine Department, School of Medicine, University of Split, 21000 Split, Croatia
- Department of Internal Medicine, Division of Rheumatology, Allergology and Clinical Immunology, University Hospital of Split, 21000 Split, Croatia
| |
Collapse
|
|
3
|
Chen B, Shen C, Sun B. Current landscape and comprehensive management of glycemic variability in diabetic retinopathy. J Transl Med 2024; 22:700. [PMID: 39075573 PMCID: PMC11287919 DOI: 10.1186/s12967-024-05516-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2024] [Accepted: 07/18/2024] [Indexed: 07/31/2024] Open
Abstract
Diabetic retinopathy (DR), a well-known microvascular complication of diabetes mellitus, remains the main cause of vision loss in working-age adults worldwide. Up to now, there is a shortage of information in the study regarding the contributing factors of DR in diabetes. Accumulating evidence has identified glycemic variability (GV), referred to fluctuations of blood glucose levels, as a risk factor for diabetes-related complications. Recent reports demonstrate that GV plays an important role in accounting for the susceptibility to DR development. However, its exact role in the pathogenesis of DR is still not fully understood. In this review, we highlight the current landscape and relevant mechanisms of GV in DR, as well as address the mechanism-based therapeutic strategies, aiming at better improving the quality of DR management in clinical practice.
Collapse
Affiliation(s)
- Bo Chen
- Department of Pharmacy, The Central Hospital of Yongzhou, Yongzhou, China
| | - Chaozan Shen
- Department of Clinical Pharmacy, The Second People's Hospital of Huaihua, Lulin Road, Huaihua, Hunan, 418000, China.
| | - Bao Sun
- Department of Pharmacy, The Second Xiangya Hospital, Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, China.
- Institute of Clinical Pharmacy, Central South University, Changsha, China.
| |
Collapse
|