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Health-related fitness benefits following concurrent high-intensity interval training and resistance training in patients with type-1 diabetes or type-2 diabetes.

Frontiers in physiology
May 5, 2024
Corentin Scoubeau et al. (6 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to determine whether concurrent HIIT and resistance training could similarly enhance cardiorespiratory fitness and metabolic health markers in patients with type-1 or type-2 diabetes compared to healthy individuals.

Results Summary

The study found that combined HIIT and resistance training improved cardiorespiratory fitness (VO2peak, ventilatory threshold, workload) in both T1D and T2D patients, with T1D patients showing similar improvements to healthy controls, while T2D patients exhibited additional benefits in insulin sensitivity, body composition, and visceral adipose tissue reduction, though their VO2peak improvements were lower than healthy controls.

Population

Adults with uncomplicated type-1 or type-2 diabetes and healthy normoglycemic controls matched for sex and age.

Effective Dosage

3 training sessions per week

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (19)
InterventionDirectionEndpointPopulationDosageImpactClaim #
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
VO2peak
patients with type-1 diabetes (T1D)
-
improved
#1
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
ventilatory threshold (VT1)
patients with type-1 diabetes (T1D)
-
improved
#2
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
maximal workload
patients with type-1 diabetes (T1D)
-
improved
#3
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
ventilation
patients with type-1 diabetes (T1D)
-
improved
#4
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
O2pulse
patients with type-1 diabetes (T1D)
-
improved
#5
concurrent high-intensity interval training (HIIT) and resistance training (RT)
no change
body composition
patients with type-1 diabetes (T1D)
-
without changes
#6
concurrent high-intensity interval training (HIIT) and resistance training (RT)
no change
glycemic profile
patients with type-1 diabetes (T1D)
-
without changes
#7
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
insulin sensitivity (HOMA-IR)
patients with type-2 diabetes (T2D)
-
improved
#8
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
lean mass
patients with type-2 diabetes (T2D)
-
improved
#9
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
VE/VCO2 slope
patients with type-2 diabetes (T2D)
-
improved
#10
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
VT1
patients with type-2 diabetes (T2D)
-
improved
#11
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
maximal O2pulse
patients with type-2 diabetes (T2D)
-
improved
#12
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
workload
patients with type-2 diabetes (T2D)
-
improved
#13
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
VO2peak
patients with type-2 diabetes (T2D)
+9%
improved
#14
concurrent high-intensity interval training (HIIT) and resistance training (RT)
decrease
fat mass
patients with type-2 diabetes (T2D)
-
reduction
#15
concurrent high-intensity interval training (HIIT) and resistance training (RT)
decrease
visceral adipose tissue (VAT)
patients with type-2 diabetes (T2D)
-
reduction
#16
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
VO2peak
healthy controls (HC2)
+18%
improved
#17
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
O2pulse
healthy controls (HC2)
+19%
improved
#18
concurrent high-intensity interval training (HIIT) and resistance training (RT)
increase
O2pulse
patients with type-2 diabetes (T2D)
+6%
improved
#19
Abstract

INTRODUCTION: Cardiorespiratory fitness (CRF), as assessed by VO2peak, along with metabolic and cardiovascular health indices, represents the strongest predictors of survival. However, it remains unclear whether concurrent high-intensity interval training (HIIT) and resistance training (RT) can similarly enhance these health markers in patients with type-1 diabetes (T1D) or type-2 diabetes (T2D) compared to healthy individuals. METHODS: Adults with uncomplicated T1D or T2D and healthy normoglycemic controls matched for sex and age (HC1 and HC2) performed 3 training sessions/week of concurrent HIIT and RT for 12 weeks. Pre- and post-intervention assessments included: lipids and glycemic profile, body composition (dual-energy x-ray absorptiometry) and a cyclo-ergometric cardio-pulmonary exercise test. RESULTS: Training improved VO2peak, the ventilatory threshold (VT1), maximal workload, ventilation and O2pulse, similarly in T1D in HC1 without changes in body composition or glycemic profile. In patients with T2D, training improved insulin sensitivity (HOMA-IR), lean mass, VE/VCO2 slope, VT1 and maximal O2pulse, workload and VO2peak with reduction in fat mass and visceral adipose tissue (VAT) (all, p < 0.05). However, improvements in VO2peak and O2pulse were lower than in healthy controls (respectively, T2D: +9%, HC2: +18% and T2D: +6%, HC2: +19%, p < 0.05). CONCLUSIONS: Both patients with T1D and T2D benefit from combined HIIT and RT by improving CRF with specific adaptations influenced by the presence and type of diabetes. While identical magnitude of achievements were observed in T1D and HC1, T2D patients exhibited lower VO2peak and maximal O2pulse improvements but associated with notable additional health benefits regarding insulin sensitivity, body composition, visceral adipose tissue and ventilatory efficiency.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Research Impact Scores
APT Score0.05
Weight Score1.22
Normalized Score0.70
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