The Effect of High-Intensity Power Training on Habitual, Intervention and Total Physical Activity Levels in Older Adults with Type 2 Diabetes: Secondary Outcomes of the GREAT2DO Randomized Controlled Trial.

Marjan Mosalman Haghighi; Yorgi Mavros; Shelley Kay; Kylie A Simpson; Michael K Baker; Yi Wang; Ren Ru Zhao; Jacinda Meiklejohn; Mike Climstein; Anthony J O'Sullivan; Nathan De Vos; Bernhard T Baune; Steven N Blair; David Simar; Nalin Singh; Jeffrey Schlicht; Maria A Fiatarone Singh
Abstract
We examined the effect of power training on habitual, intervention and total physical activity (PA) levels in older adults with type 2 diabetes and their relationship to metabolic control.103 adults with type 2 diabetes were randomized to receive supervised power training or sham exercise three times/week for 12 months. Habitual, intervention, and total PA, as well as insulin resistance (HOMA2-IR) and glycosylated hemoglobin (HbA1c), were measured.Participants were aged 67.9 ± 5.5 yrs, with well-controlled diabetes (HbA1c = 7.1%) and higher than average habitual PA levels compared to healthy peers. Habitual PA did not change significantly over 12 months ( = 0.74), and there was no effect of group assignment on change over time in habitual PA over 0-6 ( = 0.16) or 0-6-12 months ( = 0.51). By contrast, intervention PA, leg press tonnage and total PA increased over both 6- and 12-month timepoints ( = 0.0001), and these changes were significantly greater in the power training compared to the sham exercise group across timepoints ( = 0.0001). However, there were no associations between changes in any PA measures over time and changes in metabolic profile.pStructured high-intensity power training may be an effective strategy to enhance overall PA in this high-risk cohort.
Journal GERIATRICS (BASEL, SWITZERLAND)
ISSN 2308-3417
Published 08 Feb 2021
Volume 6
Issue 1
Pages
DOI 10.3390/geriatrics6010015
Type Journal Article
Sponsorship