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2000
Volume 21, Issue 3
  • ISSN: 1573-3998
  • E-ISSN: 1875-6417

Abstract

Background

Millions of people worldwide are affected by the serious consequences of diabetes mellitus, which is a major global health concern. We analyze the possibility of muscle-strengthening activities as an appropriate therapeutic strategy for controlling the progression of diabetes mellitus in this comprehensive review. In this review, we explore the molecular processes underlying the glucose uptake in skeletal muscle, revealing how exercise can improve insulin sensitivity and glucose homeostasis.

Methodology

Articles published between 2010 and 2023 were analyzed in detail by using bibliographic databases like PubMed, Medline, and Scopus. The most commonly searched terms were “muscle strengthening exercises,” “diabetes mellitus,” “insulin resistance,” “glucose uptake,” “skeletal muscle,” and even “exercise therapy.” The inclusion criteria were randomized controlled trials, observational studies, and systematic reviews. This allowed for the selection of sources that were related to the topic at hand and were reliable.

Results

This review highlights the benefits of exercise for diabetes mellitus, elucidating the positive effects of acute and regular exercise on glucose uptake in skeletal muscle. It also analyzes the impact of various exercise modalities, including aerobic and resistance exercises, on glucose metabolism in individuals with and without type 2 diabetes. Furthermore, this review examines the effectiveness of combining aerobic and resistance training for optimal diabetes management.

Conclusion

Our analysis reveals promising evidence supporting the role of resistance training in diabetes mellitus reversal. Regular resistance exercise has been shown to improve glycemic control, insulin sensitivity, and muscle function in individuals with type 2 diabetes. Combining aerobic and resistance exercises appears to be more effective than single-mode training in managing blood glucose levels and enhancing overall metabolic health. However, potential contraindications for exercise in diabetes patients, along with barriers to implementing resistance training, warrant careful consideration.

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2024-02-02
2024-11-26
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References

  1. Diabetes.Available from: https://www.who.int/health-topics/diabetes(Accessed on: 03 August 2023).
  2. BIO 461 Principles of Physiology.Available from: books.byui.edu Available from: https://books.byui.edu/bio_461_principles_o
  3. GregoryG.A. RobinsonT.I.G. LinklaterS.E. Global incidence, prevalence, and mortality of type 1 diabetes in 2021 with projection to 2040: A modelling study.Lancet Diabetes Endocrinol.2022101074176010.1016/S2213‑8587(22)00218‑2 36113507
    [Google Scholar]
  4. Why India is diabetes capital of the world.2022 Available from: https://timesofindia.indiatimes.com/india/why-india-is-diabetes-capital-of-the-world/articleshow/95509990.cms(Accessed on: August 17, 2023).
  5. ChoN.H. ShawJ.E. KarurangaS. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045.Diabetes Res. Clin. Pract.201813827128110.1016/j.diabres.2018.02.023 29496507
    [Google Scholar]
  6. Type 1 diabetes articles within Nature.Available from: https://www.nature.com/subjects/type-1-diabetes-mellitus/nature
  7. DabeleaD. Mayer-DavisE.J. SaydahS. Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009.JAMA2014311171778178610.1001/jama.2014.3201 24794371
    [Google Scholar]
  8. WildeN. The relationship between diabetes and muscle mass.2021 Available from: https://www.openaccessgovernment.org/muscle-mass-diabetes/92582/(Accessed on: August 3, 2023).
    [Google Scholar]
  9. StanfordK.I. GoodyearL.J. Exercise and type 2 diabetes: Molecular mechanisms regulating glucose uptake in skeletal muscle.Adv. Physiol. Educ.201438430831410.1152/advan.00080.2014 25434013
    [Google Scholar]
  10. PayneC. Increased frequency of diabetic foot publications.Diabet. Med.1997145407710.1002/(SICI)1096‑9136(199705)14:5<407::AID‑DIA374>3.0.CO;2‑Z 9171262
    [Google Scholar]
  11. RichterE.A. HargreavesM. Exercise, GLUT4, and skeletal muscle glucose uptake.Physiol. Rev.2013933993101710.1152/physrev.00038.2012 23899560
    [Google Scholar]
  12. GoodpasterB.H. SparksL.M. Metabolic flexibility in health and disease.Cell Metab.20172551027103610.1016/j.cmet.2017.04.015 28467922
    [Google Scholar]
  13. MinukH.L. VranicM. MarlissE.B. HannaA.K. AlbisserA.M. ZinmanB. Glucoregulatory and metabolic response to exercise in obese noninsulin-dependent diabetes.Am. J. Physiol.19812405E458E464 7015876
    [Google Scholar]
  14. BaynardT. FranklinR.M. GoulopoulouS. CarhartR.Jr KanaleyJ.A. Effect of a single vs. multiple bouts of exercise on glucose control in women with type 2 diabetes.Metabolism200554898999410.1016/j.metabol.2005.02.015 16092046
    [Google Scholar]
  15. BrutsaertE.F. Diabetes Mellitus (DM).2023Available from: www.msdmanuals.com/en-in/home/hormonal-and-metabolic-disorders/diabetes-mellitus-dm-and-disorders-of-blood-sugar-metabolism/diabetes-mellitus-dm(Accessed on: August 18, 2023).
  16. BlackL.E. SwanP.D. AlvarB.A. Effects of intensity and volume on insulin sensitivity during acute bouts of resistance training.J. Strength Cond. Res.20102441109111610.1519/JSC.0b013e3181cbab6d 20093961
    [Google Scholar]
  17. Search NCBI databases - NLM. National Center for Biotechnology Information.Available from: https://www.ncbi.nlm.nih.gov/search (Accessed on: August 18, 2023)
  18. CuffD.J. MeneillyG.S. MartinA. IgnaszewskiA. TildesleyH.D. FrohlichJ.J. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes.Diabetes Care200326112977298210.2337/diacare.26.11.2977 14578226
    [Google Scholar]
  19. MarcusR.L. SmithS. MorrellG. Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus.Phys. Ther.200888111345135410.2522/ptj.20080124 18801851
    [Google Scholar]
  20. SigalR.J. KennyG.P. BouléN.G. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: A randomized trial.Ann. Intern. Med.2007147635736910.7326/0003‑4819‑147‑6‑200709180‑00005 17876019
    [Google Scholar]
  21. InnesK.E. VincentH.K. The influence of yoga-based programs on risk profiles in adults with type 2 diabetes mellitus: A systematic review.Evid. Based Complement. Alternat. Med.20074446948610.1093/ecam/nel103 18227915
    [Google Scholar]
  22. GordonL.A. MorrisonE.Y. McGrowderD.A. Effect of exercise therapy on lipid profile and oxidative stress indicators in patients with type 2 diabetes.BMC Complement. Altern. Med.2008812110.1186/1472‑6882‑8‑21 18477407
    [Google Scholar]
  23. EganB. ZierathJ.R. Exercise metabolism and the molecular regulation of skeletal muscle adaptation.Cell Metab.201317216218410.1016/j.cmet.2012.12.012 23395166
    [Google Scholar]
  24. BergouignanA. LatoucheC. HeywoodS. Frequent interruptions of sedentary time modulates contraction- and insulin-stimulated glucose uptake pathways in muscle: Ancillary analysis from randomized clinical trials.Sci. Rep.2016613204410.1038/srep32044 27554943
    [Google Scholar]
  25. ThyfaultJ.P. Setting the stage: Possible mechanisms by which acute contraction restores insulin sensitivity in muscle.Am. J. Physiol. Regul. Integr. Comp. Physiol.20082944R1103R111010.1152/ajpregu.00924.2007 18381969
    [Google Scholar]
  26. YanZ. OkutsuM. AkhtarY.N. LiraV.A. Regulation of exercise-induced fiber type transformation, mitochondrial biogenesis, and angiogenesis in skeletal muscle.J. Appl. Physiol.2011110126427410.1152/japplphysiol.00993.2010 21030673
    [Google Scholar]
  27. KimY. TrioloM. HoodD.A. Impact of aging and exercise on mitochondrial quality control in skeletal muscle.Oxid. Med. Cell. Longev.2017201711610.1155/2017/3165396 28656072
    [Google Scholar]
  28. LefaiE. BlancS. MomkenI. Exercise training improves fat metabolism independent of total energy expenditure in sedentary overweight men, but does not restore lean metabolic phenotype.Int. J. Obes.201741121728173610.1038/ijo.2017.151 28669989
    [Google Scholar]
  29. BadinP-M. LanginD. MoroC. Dynamics of skeletal muscle lipid pools.Trends Endocrinol. Metab.20132412607615
    [Google Scholar]
  30. ColbergS.R. SigalR.J. YardleyJ.E. Physical activity/exercise and diabetes: A position statement of the American Diabetes Association.Diabetes Care201639112065207910.2337/dc16‑1728 27926890
    [Google Scholar]
  31. DunstanD.W. DalyR.M. OwenN. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes.Diabetes Care200225101729173610.2337/diacare.25.10.1729 12351469
    [Google Scholar]
  32. ShenoyS. ArunachalamM. RajaK. Effectiveness of resistance training on glycemic control and muscle strength in type 2 diabetes mellitus: A systematic review and meta-analysis.Diabetes Metab. Syndr.2018124581588
    [Google Scholar]
  33. IbañezJ. IzquierdoM. ArgüellesI. Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes.Diabetes Care200528366266710.2337/diacare.28.3.662 15735205
    [Google Scholar]
  34. American Diabetes Association. 4. Lifestyle management: Standards of Medical Care in Diabetes—2018.Diabetes Care201841S1S38S5010.2337/dc18‑S004 29222375
    [Google Scholar]
  35. SnowlingN.J. HopkinsW.G. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: A meta-analysis.Diabetes Care200629112518252710.2337/dc06‑1317 17065697
    [Google Scholar]
  36. TurnerG. QuiggS. DavorenP. BasileR. McAuleyS.A. CoombesJ.S. Resources to guide exercise specialists managing adults with diabetes.Sports Med. Open2019512010.1186/s40798‑019‑0192‑1 31161377
    [Google Scholar]
  37. American Diabetes Association. Standards of Medical Care in Diabetes—2015.Summary of Revisions. Diabetes Care201538S1S4
    [Google Scholar]
  38. ColbergS. Exercise and Diabetes: A Clinician’s Guide to Prescribing Physical Activity201310.2337/9781580404853
    [Google Scholar]
  39. Exercise and type 2 diabetes.Med. Sci. Sports Exerc.2010421222822303
    [Google Scholar]
  40. Guidelines for implementing exercise programs for cancer patients.Available from: https://www.racgp.org.au/FSDEDEV/media/documents/Clinical%20Resources/HANDI/Guidelines-for-implementing-exercise.pdf(Accessed on: August 3, 2023).
  41. Diabetes.Available from: https://www.physio-pedia.com/Diabetes(Accessed on: August 18, 2023).
  42. U.K. Prospective Diabetes Study Group. U.K. prospective diabetes study 16. Overview of 6 years’ therapy of type II diabetes: a progressive disease.Diabetes199544111249125810.2337/diab.44.11.1249 7589820
    [Google Scholar]
  43. BremerJ.P. Jauch-CharaK. HallschmidM. SchmidS. SchultesB. Hypoglycemia unawareness in older compared with middle-aged patients with type 2 diabetes.Diabetes Care20093281513151710.2337/dc09‑0114 19487634
    [Google Scholar]
  44. SmartN. MarwickT.H. Exercise training for patients with heart failure: A systematic review of factors that improve mortality and morbidity.Am. J. Med.20041161069370610.1016/j.amjmed.2003.11.033 15121496
    [Google Scholar]
  45. MarwickT.H. HordernM.D. MillerT. Exercise training for type 2 diabetes mellitus: Impact on cardiovascular risk: A scientific statement from the American Heart Association.Circulation2009119253244326210.1161/CIRCULATIONAHA.109.192521 19506108
    [Google Scholar]
  46. LebrunC. Exercise and type 2 diabetes: American College of Sports Medicine and the American Diabetes Association: Joint position statement.Year Book Sports Med.2011201116216310.1016/j.yspm.2011.03.038
    [Google Scholar]
  47. AdlerA.I. StevensR.J. NeilA. StrattonI.M. BoultonA.J.M. HolmanR.R. UKPDS 59: Hyperglycemia and other potentially modifiable risk factors for peripheral vascular disease in type 2 diabetes.Diabetes Care200225589489910.2337/diacare.25.5.894 11978687
    [Google Scholar]
  48. ArmenJ. SmithB.W. Exercise considerations in coronary artery disease, peripheral vascular disease, and diabetes mellitus.Clin. Sports Med.2003221123133[viii].10.1016/S0278‑5919(02)00035‑2 12613090
    [Google Scholar]
  49. HordernM.D. DunstanD.W. PrinsJ.B. BakerM.K. SinghM.A.F. CoombesJ.S. Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sport Science Australia.J. Sci. Med. Sport2012151253110.1016/j.jsams.2011.04.005 21621458
    [Google Scholar]
  50. HunterD.J. EcksteinF. Exercise and osteoarthritis.J. Anat.2009214219720710.1111/j.1469‑7580.2008.01013.x 19207981
    [Google Scholar]
  51. SigalR.J. KennyG.P. WassermanD.H. Castaneda-SceppaC. WhiteR.D. Physical activity/exercise and type 2 diabetes: A consensus statement from the American Diabetes Association.Diabetes Care20062961433143810.2337/dc06‑9910 16732040
    [Google Scholar]
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