Effect of Aerobic and Resistance Exercise for Patients with Type 2 Diabetes Mellitus / 中国康复理论与实践

ABSTRACT

@#Objective To explore the effects of individual aerobic and resistance training on the blood glucose, cardiopulmonary fitness, body composition and quality of life for patients with type 2 diabetes mellitus (T2DM). Methods From September, 2016 to December, 2017, 120 patients with T2DM were randomly assigned to control group (n = 40), aerobic training group (n = 40) and combined training group (n = 40). All the patients accepted routine medication, health education and diet guide, while the aerobic training group accepted target heart rate aerobic exercises according to the cardiopulmonary exercise test and the combined training group accepted resistance training based on the aerobic training group. They were measured the blood glucose, cardiopulmonary fitness, body composition and quality of life before and after three months of treatment. Results The fasting blood glucose (FBG), hemoglobin A1c (HbA1C), insulin resistance index (HOMA-IR), peak exercise load, anaerobic threshold, peak oxygen consumption, metabolic equivalent, oxygen pulse, carbon dioxide ventilation equivalent slope, fat mass (FM), lean body mass (LBM) and the scores of quality of life improved after treatment in both training groups (t > 2.422, P < 0.05), and FBG, HbA1C, HOMA-IR, peak exercise load, LBM and the scores of quality of life improved more in the combined training group than in the aerobic training group (P < 0.05). Conclusion Combining with resistance training based on aerobic training can further improve blood glucose, body composition and quality of life in patients with T2DM, but no more effect on the cardiopulmonary fitness.