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Evid Based Nurs 11:48 doi:10.1136/ebn.11.2.48
  • Treatment

Aerobic plus resistance training was more effective than either alone for glycaemic control in type 2 diabetes

R J Sigal

Dr R J Sigal, University of Calgary, Calgary, Alberta, Canada; rsigal@ucalgary.ca

QUESTION

In patients with type 2 diabetes, how do aerobic (AT), resistance (RT), and combined training compare for reducing haemoglobin (Hb) A1c concentrations?

METHODS

Design:

randomised controlled trial (Diabetes Aerobic and Resistance Exercise [DARE] trial).

Allocation:

concealed.

Blinding:

blinded ({data collectors}* and outcome assessors).

Follow-up period:

6 months.

Setting:

8 community-based exercise facilities in Canada.

Patients:

251 patients (mean age 54 y, 64% men) who had type 2 diabetes for >6 months, had baseline HbA1c concentrations of 6.6% to 9.9%, were previously inactive, and attended 10–12 exercise sessions during a 4-week run-in phase. Exclusion criteria included insulin use; ⩾20 min/session of exercise ⩾2 times/wk or RT in the past 6 months; changes in antihypertensive, lipid-lowering, or hypoglycaemic medication; …

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