Type 2 & other diabetes

Effects of concurrent aerobic and strength training in patients with type 2 diabetes: Bayesian pairwise and dose-response meta-analysis

BMJ Open Diabetes Res CarePublished Systematic review and meta-analysis of randomised trials

Pooled result · HbA1cResult — go to the resultMD −0.48 % 95% CrI −0.55 to −0.40

Authors' conclusion

CT significantly improves several health indicators in patients with type 2 diabetes. A non-linear dose-response relationship was observed between the training dose of CT and HbA1c

Study context

Population
Patients with T2D; 52/48 male/female ratio; mean age range 50–65 years
Participants
1,948 patients23 randomized controlled trials (RCTs)
Comparison
Concurrent aerobic and strength training vs control
Outcome
HbA1c
Methodological detailsBayesian hierarchical random-effects modeling, pairwise and dose-response meta-analysis, Search of PubMed, Embase, Web of Science and Cochrane Library to March 2024, Risk of bias assessed by two independent authors with Cochrane tools
  • Bayesian hierarchical random-effects modeling
  • Pairwise and dose-response meta-analysis
  • Search of PubMed, Embase, Web of Science and Cochrane Library to March 2024
  • Risk of bias assessed by two independent authors with Cochrane tools

Pooled result

As reported in the abstract

MD

−0.48 %

95% CrI −0.55 to −0.40

Concurrent aerobic and strength training (CT)vs control
MD −0.48 % (95% CrI −0.55 to −0.40)
Heterogeneity among different levels (SD)
0.31 (95% CrI: 0.17 to 0.51)

Further pooled results

Fasting blood glucose (FBG)

MD (mmol/L) (95% CrI)
CTCrI−0.48 (−0.55 to −0.40)

Dose-response of CT and HbA1c

MD (%) (95% CrI)
CT at optimal dose 1030 METs-min/weekCrI; SE=0.11−0.47 (−0.68 to −0.26)
FBG — Greater heterogeneity (SD)
17.73 (95% CrI: 11.23 to 28.09)
Dose-response of CT and HbA1c — Non-linear dose-response relationship; optimal dose (METs-min/week)
1030
  • FBG: 95% CrI
  • Dose-response of CT and HbA1c: 95% CrI

Original publication

Effects of concurrent aerobic and strength training in patients with type 2 diabetes: Bayesian pairwise and dose-response meta-analysis. BMJ Open Diabetes Res Care. Published 28 November 2024. doi:10.1136/bmjdrc-2024-004400

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