The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes

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dc.creatorJoão G. Silveira-Rodrigues
dc.creatorDawit Albieiro Pinheiro Gonçalves
dc.creatorAugusto S. A. Correia
dc.creatorPedro H. M. Ogando
dc.creatorRodrigo S. Delevatti
dc.creatorWashington Pires
dc.creatorIvana M. S. Aleixo
dc.creatorDanusa Dias Soares
dc.date.accessioned2024-02-27T16:24:05Z
dc.date.accessioned2025-09-08T23:26:58Z
dc.date.available2024-02-27T16:24:05Z
dc.date.issued2022
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.7752/jpes.2022.04132
dc.identifier.issn2247-806X
dc.identifier.urihttps://hdl.handle.net/1843/64804
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Physical Education and Sport
dc.rightsAcesso Aberto
dc.subjectDiabetes Mellitus
dc.subjectExercício Físico
dc.subjectGlicemia
dc.subject.otherConcurrent exercise
dc.subject.otherBlood glucose
dc.subject.otherTraining workload
dc.subject.otherExercise volume
dc.subject.otherExercise intensity
dc.subject.otherDiabetes mellitus
dc.titleThe volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes
dc.typeArtigo de periódico
local.citation.epage1050
local.citation.issue4
local.citation.spage1041
local.citation.volume22
local.description.resumoProblem Statement: Although combined exercise (CE) is frequently prescribed for glycemic control of Type 2 Diabetes Mellitus (T2DM) subjects, beginning CE session with aerobic or resistance exercises can lead to distinct responses in capillary glucose, especially when training prescriptions differ in intensity and volume. Approach: This study aimed to evaluate the effect of exercise intensity, volume, and order within combined exercise sessions on glycemic response. Purpose: Forty T2DM subjects participated in this study. The subjects were divided into three different protocols: standard (S-P, n = 13), high intensity (HI-P, n = 16), and high volume (HV-P, n = 11) in two counter-balanced orders each [i.e., resistance exercise followed by aerobic exercise (R-A) or vice versa (A-R)]. The capillary glucose was evaluated before and after each CE session. Results: All protocols of combined exercise reduced glucose concentrations (p < .001). HV-P induced a glycemic reduction that was 2-fold higher than that observed in HI-P (34% vs. 18%; p < .05). Both exercise orders within combined exercise session reduced glucose concentrations (S-P: 25%, 28%; HI-P: 17%, 19%, and HV-P: 31%, 36% for A-R and R-A, respectively); however, R-A induced slightly larger (Cohen’s d was 13-33% higher in R-A compared to A-R), but clinically relevant, reductions in all combined exercise protocols. Preexercise glucose concentrations were correlated to exercise-induced glucose reduction only in the A-R order (r = 65 to .79, p < .05). Conclusion: All combined exercise protocols were effective in decreasing glucose concentrations. Nonetheless, a higher magnitude of glucose-lowering effect occurred when a higher exercise volume was performed and when performing resistance instead of aerobic exercise in the first place.
local.identifier.orcidhttps://orcid.org/0000-0003-2621-3330
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE EDUCAÇÃO FÍSICA
local.publisher.departmentEEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONAL
local.publisher.initialsUFMG
local.url.externahttp://www.efsupit.ro/images/stories/aprilie2022/Art%20132.pdf

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