Aerobic and strength training in concomitant metabolic syndrome and type 2 diabetes

Abstract

PURPOSE: Concomitant type 2 diabetes (T2D) and metabolic syndrome exacerbates mortality risk; yet, few studies have examined the effect of combining (AER+RES) aerobic (AER) and resistance (RES) training for individuals with T2D and metabolic syndrome.

METHODS:

We examined AER, RES, and AER+RES training (9-months) commensurate with physical activity guidelines in individuals with T2D (N=262, 63% female, 44% black). Primary outcomes were change in, and prevalence of, metabolic syndrome score at follow-up (mean, 95%CI). Secondary outcomes included maximal cardiorespiratory fitness (VO2peak and estimated METs from time-to-exhaustion (TTE), and exercise efficiency calculated as the slope of the line between ventilatory threshold, respiratory compensation, and maximal fitness. General linear models and bootstrapped Spearman correlations were used to examine changes in metabolic syndrome associated with training primary and secondary outcome variables.