Related Experiment Video
Updated: Apr 16, 2026

Author Spotlight: Exploring the Impact of Reduced Resistance Exercise Volume on Metabolic Health
Published on: December 1, 2023
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.
Abstract:
To evaluate the effects of supervised exercise training (SET) on cardiometabolic risk, cardiorespiratory fitness and oxidative stress status in 2 diabetes mellitus (T2DM), twenty male subjects with T2DM were randomly assigned to an intervention group, which performed SET in a hospital-based setting, and to a control group. SET consisted of a 12-month supervised aerobic, resistance and flexibility training. A reference group of ten healthy male subjects was also recruited for baseline evaluation only. Participants underwent medical examination, biochemical analyses and cardiopulmonary exercise testing. Oxidative stress markers (1-palmitoyl-2-[5-oxovaleroyl]-sn-glycero-3-phosphorylcholine [POVPC]; 1-palmitoyl-2-glutaroyl-sn-glycero-3-phosphorylcholine [PGPC]) were measured in plasma and in peripheral blood mononuclear cells. All investigations were carried out at baseline and after 12 months. SET yielded a significant modification (p < 0.05) in the following parameters: V'O₂max (+14.4%), gas exchange threshold (+23.4%), waist circumference (-1.4%), total cholesterol (-14.6%), LDL cholesterol (-20.2%), fasting insulinemia (-48.5%), HOMA-IR (-52.5%), plasma POVPC (-27.9%) and PGPC (-31.6%). After 12 months, the control group presented a V'O₂max and a gas exchange threshold significantly lower than the intervention group. Plasma POVC and PGPC were significantly different from healthy subjects before the intervention, but not after. In conclusion, SET was effective in improving cardiorespiratory fitness, cardiometabolic risk and oxidative stress status in T2DM.
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.
More Related Videos
Related Concept Videos
Carbohydrate Metabolism
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...
Exercise and Cardiovascular Response
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...
Diabetes Mellitus: Type 2 and Gestational
Exercise Stress Test
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
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Exercise and Cardiac Output
Sustained exercise increases the muscles' oxygen demand, which can be...

