Type 2 & other diabetes

Effects of exercise training and physical activity advice on HbA1c in people with type 2 diabetes: A network meta-analysis of randomized controlled trials

Diabetes Res Clin PractPublished Network meta-analysis of randomised controlled trials

Authors' conclusion

HIIT was associated with the greatest reduction in HbA1c. Physical activity advice, which is easy to implement, accessible and unsupervised, should also be offered to people with type 2 diabetes to improve glycemic control.

Study context

Population
People with T2D
Participants
17,059 people158 studies
Comparison
Exercise modalities and physical activity advice vs control
Outcome
HbA1c (glycemic control)
Methodological details≥12 weeks' duration, 7 databases searched to May 2024
  • ≥12 weeks' duration
  • 7 databases searched to May 2024

Pooled result

As reported in the abstract

HbA1c

High-intensity interval training (HIIT)

82 %

SUCRA

Combined training (CT)

77 %

SUCRA

Aerobic training (AT)

76 %

SUCRA

Resistance training (RT)

37 %

SUCRA

Physical activity advice

29 %

SUCRA

CrI
Each group vs controlDifference, % (95 % CrI)
HIIT
−0.61(−0.84 to −0.37)
CT
−0.58(−0.73 to −0.42)
AT
−0.58(−0.70 to −0.45)
RT
−0.40(−0.59 to −0.21)
Physical activity advice
−0.35(−0.53 to −0.16)

Original publication

Effects of exercise training and physical activity advice on HbA1c in people with type 2 diabetes: A network meta-analysis of randomized controlled trials. Diabetes Res Clin Pract. Published 2 February 2025. doi:10.1016/j.diabres.2025.112027

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