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Effects of combined resistance training and Tai Chi on oxidative stress, blood glucose and lipid metabolism and quality of life in elderly patients with type 2 diabetes mellitus.

Research in sports medicine (Print)
May 5, 2024
Shuwan Chang et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the effects of Tai Chi, resistance training, and their combination on oxidative stress, blood glucose, lipid metabolism, and quality of life in elderly patients with type 2 diabetes mellitus.

Results Summary

Tai Chi reduced oxidative stress, improved blood glucose and lipid control, and enhanced quality of life in elderly T2DM patients. The combination intervention further reduced oxidative stress but did not show additional benefits for blood glucose, lipids, or quality of life compared to single interventions.

Population

Elderly patients with type 2 diabetes mellitus (n=24 in Tai Chi group).

Effective Dosage

40 minutes per session, 3 times per week.

Duration

24 weeks.

Interactions

None mentioned.

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
resistance training (RT)
decrease
oxidative stress damage
elderly patients with type 2 diabetes mellitus (T2DM)
-
can reduce
#1
Tai Chi (TC)
decrease
oxidative stress damage
elderly patients with type 2 diabetes mellitus (T2DM)
-
can reduce
#2
combination intervention (RT & TC)
decrease
oxidative stress damage
elderly patients with type 2 diabetes mellitus (T2DM)
-
can reduce
#3
resistance training (RT)
decrease
levels of blood sugar and blood lipid
elderly patients with type 2 diabetes mellitus (T2DM)
-
control
#4
Tai Chi (TC)
decrease
levels of blood sugar and blood lipid
elderly patients with type 2 diabetes mellitus (T2DM)
-
control
#5
combination intervention (RT & TC)
decrease
levels of blood sugar and blood lipid
elderly patients with type 2 diabetes mellitus (T2DM)
-
control
#6
resistance training (RT)
increase
quality of life
elderly patients with type 2 diabetes mellitus (T2DM)
-
improve
#7
Tai Chi (TC)
increase
quality of life
elderly patients with type 2 diabetes mellitus (T2DM)
-
improve
#8
combination intervention (RT & TC)
increase
quality of life
elderly patients with type 2 diabetes mellitus (T2DM)
-
improve
#9
combination intervention (RT & TC)
decrease
level of oxidative stress
elderly patients with type 2 diabetes mellitus (T2DM)
-
can further reduce
#10
combination intervention (RT & TC)
no change
blood glucose and lipid control
elderly patients with type 2 diabetes mellitus (T2DM)
-
has no additional benefits
#11
combination intervention (RT & TC)
no change
quality of life
elderly patients with type 2 diabetes mellitus (T2DM)
-
has no additional benefits
#12
Abstract

This study examined the effects of resistance training (RT), Tai Chi (TC) and combination intervention (RT & TC) on the oxidative stress, blood glucose and lipid metabolism and quality of life of elderly patients with type 2 diabetes mellitus (T2DM). Ninety-four elderly patients with T2DM were randomly divided into an RT group (RTG, n = 23), TC group (TCG, n = 24), combination intervention group (CIG, n = 24) and control group (CG, n = 23). All participants were given nutrition and medication. On this basis, RTG, TCG and CIG were administered for 24 weeks (3 times/week, 40 minutes/time). Observation indicators were malondialdehyde (MDA), superoxide dismutase (SOD), 8-hydroxy-2 deoxyguanosine (8-OHdG), fasting plasma glucose (FPG), postprandial plasma glucose (PPG), haemoglobin A1c (HbA1c) and diabetes specific quality of life (DSQL). RT, TC and joint intervention can reduce the oxidative stress damage on elderly patients with T2DM to different degrees, control the levels of blood sugar and blood lipid and improve the quality of life. Compared with single intervention, combination intervention can further reduce the level of oxidative stress but has no additional benefits on blood glucose and lipid control and quality of life.

Medical Subject Headings (MeSH)
HumansTai JiDiabetes Mellitus, Type 2Quality of LifeOxidative StressResistance TrainingAgedBlood GlucoseMaleFemaleLipid MetabolismGlycated HemoglobinMalondialdehydeMiddle AgedSuperoxide Dismutase8-Hydroxy-2'-DeoxyguanosineCombined Modality Therapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations2
Citations/Year2.0
Research Impact Scores
APT Score0.25
Weight Score2.80
Normalized Score0.67
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