Supervised exercise training reduces oxidative stress and cardiometabolic risk in adults with type 2 diabetes: a

Giovanni Vinetti1, Chiara Mozzini2, Paolo Desenzani3

  • 1Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Scientific Reports
|March 19, 2015
PubMed

Insights

Supervised exercise training (SET) significantly improved cardiorespiratory fitness, reduced cardiometabolic risk, and lowered oxidative stress in men with type 2 diabetes mellitus (T2DM) over 12 months.

Area of Science:

  • Exercise Physiology
  • Metabolic Health
  • Oxidative Stress Research

Background:

  • Type 2 diabetes mellitus (T2DM) is associated with impaired cardiorespiratory fitness, elevated cardiometabolic risk, and increased oxidative stress.
  • Lifestyle interventions, including exercise, are crucial for managing T2DM complications.

Purpose of the Study:

  • To evaluate the impact of a 12-month supervised exercise training (SET) program on cardiometabolic risk factors, cardiorespiratory fitness, and oxidative stress markers in male T2DM patients.

Main Methods:

  • Twenty male T2DM patients were randomized into SET and control groups. SET involved aerobic, resistance, and flexibility training.
  • Cardiorespiratory fitness (V'O₂max, gas exchange threshold), anthropometric measures, biochemical markers (lipids, insulin, HOMA-IR), and oxidative stress markers (POVPC, PGPC) were assessed at baseline and 12 months.

Main Results:

  • SET significantly improved V'O₂max (+14.4%) and gas exchange threshold (+23.4%).
  • SET reduced waist circumference (-1.4%), total cholesterol (-14.6%), LDL cholesterol (-20.2%), fasting insulinemia (-48.5%), and HOMA-IR (-52.5%).
  • SET significantly decreased plasma POVPC (-27.9%) and PGPC (-31.6%), normalizing levels compared to healthy controls post-intervention.

Conclusions:

  • Supervised exercise training is an effective intervention for improving cardiorespiratory fitness in T2DM.
  • SET positively impacts cardiometabolic risk factors and reduces oxidative stress in individuals with T2DM.
  • The findings support the integration of comprehensive SET programs into T2DM management strategies.

Related Concept Videos

Carbohydrate Metabolism01:36

Carbohydrate Metabolism

Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
15.2K
Exercise and Cardiovascular Response01:20

Exercise and Cardiovascular Response

Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
6.2K
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
5.9K
Exercise Stress Test01:26

Exercise Stress Test

Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
2.1K
Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.5K
Exercise and Cardiac Output01:17

Exercise and Cardiac Output

Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
3.4K