A 16-Week Home-Based Progressive Resistance Tube Training Among Older Adults With Type-2 Diabetes Mellitus: Effect on Glycemic Control

Theng Choon Ooi, Arimi Fitri Mat Ludin, Seng Cheong Loke, Maria Antoinette Fiatarone Singh, Teck Wee Wong, Nathan Vytialingam, Muhammad Mikhail Joseph Anthony Abdullah, Ooi Chuan Ng, Norhaniza Bahar, Norliza Zainudin, Leong Chen Lew, Theng Choon Ooi, Arimi Fitri Mat Ludin, Seng Cheong Loke, Maria Antoinette Fiatarone Singh, Teck Wee Wong, Nathan Vytialingam, Muhammad Mikhail Joseph Anthony Abdullah, Ooi Chuan Ng, Norhaniza Bahar, Norliza Zainudin, Leong Chen Lew

Abstract

Research has proven that aerobic exercise improves glucose homeostasis among patients with type 2 diabetes mellitus (T2DM). Elastic resistance (tube or band) is suggested as a good alternative for home-based strength training among older adults including those with T2DM due to its low cost, simplicity, portability, and versatility. This study aimed to measure the effects of 16-week home-based progressive resistance training (PRT), using a resistance tube on glucose homeostasis and cardiovascular risk factors among older adults with T2DM. A total of 70 participants aged 61.68 (5.50) years with T2DM were assigned to the intervention (n = 35) and control (n = 35) groups in this quasi-experimental trial. The intervention group underwent 16 weeks of home-based PRT using a resistance tube. Significant improvements in HbA1c (-1.34% point, p < 0.001), fasting blood glucose (-1.30 mmol/L, p < 0.001), and systolic blood pressure (-1.42 mmHg, p < 0.05) were observed after 16 weeks of intervention. However, no significant changes were observed in lipid profile, diastolic blood pressure, resting heart rate, and ankle-brachial index. The finding suggests that 16 weeks of home-based PRT using a resistance tube has the potential to improve glycemic control and reduce systolic blood pressure among older adults with T2DM and caused no adverse events.

Keywords: glycemic control; older adults; progressive resistance training; resistance tube; type 2 diabetes mellitus.

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

© The Author(s) 2021.

Figures

Figure 1.
Figure 1.
Study consort flow.

References

    1. Aboyans V., Criqui M. H., Abraham P., Allison M. A., Creager M. A., Diehm C., Fowkes F. G. R., Hiatt W. R., Jönsson B., Lacroix P., Marin B., McDermott M. M., Norgren L., Pande R. L., Preux P.-M., Stoffers H. E. J., Treat-Jacobson D. (2012). Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association. Circulation, 126(24), 2890-2909. 10.1161/CIR.0b013e318276fbcb
    1. American Diabetes Association . (2003). Peripheral arterial disease in people with diabetes. Diabetes Care, 26(12), 3333-3341. 10.2337/diacare.26.12.3333
    1. American Diabetes Association . (2020. a). 12. Older adults: Standards of medical care in diabetes- 2020. Diabetes Care, 43(Supplement 1), S152-S162. 10.2337/dc20-S012
    1. American Diabetes Association . (2020. b). 6. Glycemic targets: Standards of medical care in diabetes-2020. Diabetes Care, 43(Suppl 1), S66-S76. 10.2337/dc20-S006
    1. Amnas S. A. M. F., Wijetunga W. M. U. A., Dissanayake H. A., Katulanda P. (2018). Home-based resistance training improves glycemic control and body fat content in patients with type 2 diabetes mellitus: Experience from a tertiary care hospital in Sri Lanka. Clinical Research in Diabetes and Endocrinology, 1(1), 1-4.
    1. Barone Gibbs B., Dobrosielski D. A., Althouse A. D., Stewart K. J. (2013). The effect of exercise training on ankle-brachial index in type 2 diabetes. Atherosclerosis, 230(1), 125-130. 10.1016/j.atherosclerosis.2013.07.002
    1. Barone Gibbs B., Dobrosielski D. A., Bonekamp S., Stewart K. J., Clark J. M. (2012). A randomized trial of exercise for blood pressure reduction in type 2 diabetes: Effect on flow-mediated dilation and circulating biomarkers of endothelial function. Atherosclerosis, 224(2), 446-453. 10.1016/j.atherosclerosis.2012.07.035
    1. Bethancourt H. J., Rosenberg D. E., Beatty T., Arterburn D. E. (2014). Barriers to and facilitators of physical activity program use among older adults. Clinical Medicine & Research, 12(1-2), 10-20. 10.3121/cmr.2013.1171
    1. Blair M. (2016). Diabetes mellitus review. Urologic Nursing, 36(1), 27-36. 10.7257/1053-816x.2016.36.1.27
    1. Borg G. (1998). Borg’s perceived exertion and pain scales . Human Kinetics.
    1. Bweir S., Al-Jarrah M., Almalty A.-M., Maayah M., Smirnova I. V, Novikova L., Stehno-Bittel L. (2009). Resistance exercise training lowers HbA1c more than aerobic training in adults with type 2 diabetes. Diabetology & Metabolic Syndrome, 1, 27. 10.1186/1758-5996-1-27
    1. Chen V. C. W., Lee C.-W., Lee T. V, Chikani G., Bui S., Riechman S. E. (2010). Blood pressure is decreased after resistance training in stage 1 hypertensive but not normo- or pre-hypertensive elderly men and women. Medicine and Science in Sports and Exercise, 42(5).
    1. Chew B. H., Ismail M., Lee P. Y., Taher S. W., Haniff J., Mustapha F. I., Bujang M. A. (2012). Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: The Malaysian Diabetes registry 2009. Diabetes Research and Clinical Practice, 96(3), 339-347. 10.1016/j.diabres.2012.01.017
    1. DeFronzo R. A., Ferrannini E., Groop L., Henry R. R., Herman W. H., Holst J. J., Hu F. B., Kahn C. R., Raz I., Shulman G. I., Simonson D. C., Testa M. A., Weiss R. (2015). Type 2 diabetes mellitus. Nature Reviews. Disease Primers, 1, 15019. 10.1038/nrdp.2015.19
    1. Dobrosielski D. A., Gibbs B. B., Ouyang P., Bonekamp S., Clark J. M., Wang N.-Y., Silber H. A., Shapiro E. P., Stewart K. J. (2012). Effect of exercise on blood pressure in type 2 diabetes: A randomized controlled trial. Journal of General Internal Medicine, 27(11), 1453-1459. 10.1007/s11606-012-2103-8
    1. Dunstan D. W., Daly R. M., Owen N., Jolley D., De Courten M., Shaw J., Zimmet P. (2002). High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care, 25(10), 1729-1736. 10.2337/diacare.25.10.1729
    1. Eskandary S., Rahimi E. (2017). Effects of eight weeks aerobic training, resistance training and concurrent training on the metabolic syndrome and HbA1c in men with type 2 diabetes. Journal of Physical Activity & Health, 1(2), 51-64.
    1. Ferrer-García J. C., Sánchez López P., Pablos-Abella C., Albalat-Galera R., Elvira-Macagno L., Sánchez-Juan C., Pablos-Monzó A. (2011). [Benefits of a home-based physical exercise program in elderly subjects with type 2 diabetes mellitus]. Endocrinologia y nutricion: organo de la Sociedad Espanola de Endocrinologia y Nutricion, 58(8), 387-394. 10.1016/j.endonu.2011.05.010
    1. Ferriolli E., Pessanha F. P. A. S., Marchesi J. C. L. S. (2014). Diabetes and exercise in the elderly. Medicine and Sport Science, 60(Dm), 122-129. 10.1159/000357342
    1. Hamasaki H., Kawashima Y., Tamada Y., Furuta M., Katsuyama H., Sako A., Yanai H. (2015). Associations of low-intensity resistance training with body composition and lipid profile in obese patients with type 2 diabetes. Plos One, 10(7), e0132959. 10.1371/journal.pone.0132959
    1. Hordern M. D., Marwick T. H., Wood P., Cooney L. M., Prins J. B., Coombes J. S. (2011). Acute response of blood glucose to short-term exercise training in patients with type 2 diabetes. Journal of Science and Medicine in Sport, 14(3), 238-242. 10.1016/j.jsams.2010.11.003
    1. Hughes C., Page P. (2003). Scientific basis of elastic resistance. In Page P., Ellenbecker T. S. (Eds.), Scientific and clinical application of elastic resistance (pp. 3-9). Human Kinetics.
    1. Jani C. K., Thekdi P. I., Thakore V. (2017). A comparative study of upper body strength training exercise vs. treadmill walking on patients with intermittent claudication. Archives of Clinical and Experimental Surgery, 7(2), 77-83
    1. Jorge M. L. M. P., de Oliveira V. N., Resende N. M., Paraiso L. F., Calixto A., Diniz A. L. D., Resende E. S., Ropelle E. R., Carvalheira J. B., Espindola F. S., Jorge P. T., Geloneze B. (2011). The effects of aerobic, resistance, and combined exercise on metabolic control, inflammatory markers, adipocytokines, and muscle insulin signaling in patients with type 2 diabetes mellitus. Metabolism: Clinical and Experimental, 60(9), 1244-1252. 10.1016/j.metabol.2011.01.006
    1. Kang S.-J., Ko K.-J., Baek U.-H. (2016). Effects of 12 weeks combined aerobic and resistance exercise on heart rate variability in type 2 diabetes mellitus patients. Journal of Physical Therapy Science, 28(7), 2088-2093. 10.1589/jpts.28.2088
    1. Lima F. F., Camillo C. A., Gobbo L. A., Trevisan I. B., Nascimento W. B. B. M., Silva B. S. A., Lima M. C. S., Ramos D., Ramos E. M. C. (2018). Resistance training using low cost elastic tubing is equally effective to conventional weight machines in middle-aged to older healthy adults: A quasi-randomized controlled clinical trial. Journal of Sports Science & Medicine, 17(1), 153-160.
    1. Liu Y., Ye W., Chen Q., Zhang Y., Kuo C.-H., Korivi M. (2019). Resistance exercise intensity is correlated with attenuation of HbA1c and insulin in patients with type 2 diabetes: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 16(1), 140. 10.3390/ijerph16010140
    1. Marques E., Carvalho J., Soares J. M. C., Marques F., Mota J. (2009). Effects of resistance and multicomponent exercise on lipid profiles of older women. Maturitas, 63(1), 84-88. 10.1016/j.maturitas.2009.03.003
    1. Mendes R., Sousa N., Reis V. M., Themudo-Barata J. L. (2017). Implementing low-cost, community-based exercise programs for middle-aged and older patients with type 2 diabetes: What are the benefits for glycemic control and cardiovascular risk? International Journal of Environmental Research and Public Health, 14(9), 1057. 10.3390/ijerph14091057
    1. Morais P. K., Campbell C. S. G., Sales M. M., Motta D. F., Moreira S. R., Cunha V. N. C., Benford R. E., Simões H. G. (2011). Acute resistance exercise is more effective than aerobic exercise for 24h blood pressure control in type 2 diabetics. Diabetes & Metabolism, 37(2), 112-117. 10.1016/j.diabet.2010.08.008
    1. Nelson M. E., Rejeski W. J., Blair S. N., Duncan P. W., Judge J. O., King A. C., Macera C. A., Castaneda-Sceppa C. (2007). Physical activity and public health in older adults: recommendation from the American college of sports medicine and the American heart association. Medicine and Science in Sports and Exercise, 39(8), 1435-1445. 10.1249/mss.0b013e3180616aa2
    1. Park B.-S., Khamoui A. V, Brown L. E., Kim D.-Y., Han K.-A., Min K.-W., An G.-H. (2016). Effects of elastic band resistance training on glucose control, body composition, and physical function in women with short- vs. long-duration type-2 diabetes. Journal of Strength and Conditioning Research, 30(6), 1688-1699. 10.1519/JSC.0000000000001256
    1. Parr B. M., Noakes T. D., Derman E. W. (2009). Peripheral arterial disease and intermittent claudication: Efficacy of short-term upper body strength training, dynamic exercise training, and advice to exercise at home. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 99(11), 800-804.
    1. Pedersen B. K., Saltin B. (2006). Evidence for prescribing exercise as therapy in chronic disease. Scandinavian Journal of Medicine & Science in Sports, 16 Suppl 1, 3-63. 10.1111/j.1600-0838.2006.00520.x
    1. Pesta D. H., Goncalves R. L. S., Madiraju A. K., Strasser B., Sparks L. M. (2017). Resistance training to improve type 2 diabetes: Working toward a prescription for the future. Nutrition and Metabolism, 14(1), 24. 10.1186/s12986-017-0173-7
    1. Potier L., Abi Khalil C., Mohammedi K., Roussel R. (2011). Use and utility of ankle brachial index in patients with diabetes. European Journal of Vascular and Endovascular Surgerys: The Official Journal of the European Society for Vascular Surgery, 41(1), 110-116. 10.1016/j.ejvs.2010.09.020
    1. Resnick H. E., Foster G. L. (2005). Prevalence of elevated ankle-brachial index in the United States 1999 to 2002. The American Journal of Medicine, 118(6), 676-679. 10.1016/j.amjmed.2004.11.025
    1. Schwingshackl L., Missbach B., Dias S., König J., Hoffmann G. (2014). Impact of different training modalities on glycaemic control and blood lipids in patients with type 2 diabetes: A systematic review and network meta-analysis. Diabetologia, 57(9), 1789-1797. 10.1007/s00125-014-3303-z
    1. Souza D., Barbalho M., Vieira C. A., Martins W. R., Cadore E. L., Gentil P. (2019). Minimal dose resistance training with elastic tubes promotes functional and cardiovascular benefits to older women. Experimental Gerontology, 115, 132-138. 10.1016/j.exger.2018.12.001
    1. Tan S., Li W., Wang J. (2012). Effects of six months of combined aerobic and resistance training for elderly patients with a long history of type 2 diabetes. Journal of Sports Science & Medicine, 11(3), 495-501.
    1. Tebbutt N., Robinson L., Todhunter J., Jonker L. (2011). A plantar flexion device exercise programme for patients with peripheral arterial disease: a randomised prospective feasibility study. Physiotherapy, 97(3), 244-249. 10.1016/j.physio.2010.08.009
    1. Thiebaud R. S., Funk M. D., Abe T. (2014). Home-based resistance training for older adults: A systematic review. Geriatrics & Gerontology International, 14(4), 750-757. 10.1111/ggi.12326
    1. Villareal D. T., Aguirre L., Gurney A. B., Waters D. L., Sinacore D. R., Colombo E., Armamento-Villareal R., Qualls C. (2017). Aerobic or resistance exercise, or both, in dieting obese older adults. New England Journal of Medicine, 376(20), 1943-1955. 10.1056/NEJMoa1616338
    1. World Health Organization . (2018). Diabetes.

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