Effects of Acute Resistance Exercise with and without Whole-Body Electromyostimulation and Endurance Exercise on the Postprandial Glucose Regulation in Patients with Type 2 Diabetes Mellitus: A Randomized Crossover Study

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Abstract

BACKGROUND: Long hyperglycemic episodes trigger complications in type 2 diabetes mellitus (T2DM) patients. Postprandial glucose excursions can be reduced by acute physical activity. However, it is not yet clear which type of exercise has the best effect on postprandial glucose levels.

METHODS: Six T2DM patients participated in three 20-min moderate-intensity exercise sessions after breakfast in a randomized order: resistance exercise with whole-body electromyostimulation (WB-EMS), resistance exercise without electromyostimulation (RES) and cycling endurance exercise (END). A continuous glucose monitoring system recorded glucose dynamics.

RESULTS: Postprandially-increased glucose levels decreased in all cases. Time to baseline (initial value prior to meal intake) was quite similar for WB-EMS, RES and END. Neither glucose area under the curve (AUC), nor time in range from the start of the experiment to its end (8 h later) differed significantly. A Friedman analysis of variance, however, revealed an overall significant difference for AUC in the post-exercise recovery phase (END seems to have superior effects, but post-hoc tests failed statistical significance).

CONCLUSIONS: There are no notable differences between the effects of the different types of exercise on glucose levels, especially when comparing values over a longer period of time.

Original languageEnglish
Article number4322
JournalNUTRIENTS
Volume13
Issue number12
Number of pages12
ISSN2072-6643
DOIs
Publication statusPublished - 29.11.2021

Research areas and keywords

  • Analysis of Variance
  • Area Under Curve
  • Bicycling/physiology
  • Blood Glucose/metabolism
  • Blood Glucose Self-Monitoring
  • Breakfast
  • Cross-Over Studies
  • Diabetes Mellitus, Type 2/blood
  • Electric Stimulation
  • Exercise/physiology
  • Exercise Therapy/methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Physical Endurance/physiology
  • Postprandial Period/physiology
  • Resistance Training
  • Time Factors

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