The effect of high-intensity power training on habitual, intervention and total physical activity levels in older adults with type 2 diabetes : Secondary outcomes of the GREAT2DO randomized controlled trial

Journal article


Mosalman Haghighi, Marjan, Mavros, Yorgi, Kay, Shelley, Simpson, Kylie A., Baker, Michael K., Wang, Yi, Zhao, Ren R., Meiklejohn, Jacinda, Climstein, Mike, O’Sullivan, Anthony J., De Vos, Nathan, Baune, Bernhard T., Blair, Steven N., Simar, David, Singh, Nalin, Schlicht, Jeffrey and Fiatarone Singh, Maria A.. (2021). The effect of high-intensity power training on habitual, intervention and total physical activity levels in older adults with type 2 diabetes : Secondary outcomes of the GREAT2DO randomized controlled trial. Geriatrics. 6(1), p. Article 15. https://doi.org/10.3390/geriatrics6010015
AuthorsMosalman Haghighi, Marjan, Mavros, Yorgi, Kay, Shelley, Simpson, Kylie A., Baker, Michael K., Wang, Yi, Zhao, Ren R., Meiklejohn, Jacinda, Climstein, Mike, O’Sullivan, Anthony J., De Vos, Nathan, Baune, Bernhard T., Blair, Steven N., Simar, David, Singh, Nalin, Schlicht, Jeffrey and Fiatarone Singh, Maria A.
Abstract

Background: We examined the effect of power training on habitual, intervention and total physical activity (PA) levels in older adults with type 2 diabetes and their relationship to metabolic control. Materials and Methods: 103 adults with type 2 diabetes were randomized to receive supervised power training or sham exercise three times/week for 12 months. Habitual, intervention, and total PA, as well as insulin resistance (HOMA2-IR) and glycosylated hemoglobin (HbA1c), were measured. Results: Participants were aged 67.9 ± 5.5 yrs, with well-controlled diabetes (HbA1c = 7.1%) and higher than average habitual PA levels compared to healthy peers. Habitual PA did not change significantly over 12 months (p = 0.74), and there was no effect of group assignment on change over time in habitual PA over 0–6 (p = 0.16) or 0–6–12 months (p = 0.51). By contrast, intervention PA, leg press tonnage and total PA increased over both 6- and 12-month timepoints (p = 0.0001), and these changes were significantly greater in the power training compared to the sham exercise group across timepoints (p = 0.0001). However, there were no associations between changes in any PA measures over time and changes in metabolic profile. Conclusion: Structured high-intensity power training may be an effective strategy to enhance overall PA in this high-risk cohort.

Keywordsphysical activity change behavior; metabolic profile; PASE score; HbA1c; HOMA-IR
Year2021
JournalGeriatrics
Journal citation6 (1), p. Article 15
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN2308-3417
Digital Object Identifier (DOI)https://doi.org/10.3390/geriatrics6010015
Scopus EID2-s2.0-85103142491
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-14
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online08 Feb 2021
Publication process dates
Accepted02 Feb 2021
Deposited28 Oct 2021
Grant IDNHMRC/512381
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Foroughi, Nasim, Smith, Richard, Lange, Angela, Baker, Michael, Fiatarone Singh, Maria and Vanwanseele, Benedicte. (2010). Dynamic alignment and its association with knee adduction moment in medial knee osteoarthritis. The Knee. 17(3), pp. 210 - 216. https://doi.org/10.1016/j.knee.2009.09.006
Resistive exercise for arthritic cartilage health (REACH): A randomized double-blind, sham-exercise controlled trial
Lange, Angela K., Vanwanseele, Benedicte, Foroughi, Nasim, Baker, Michael Kevin, Shnier, Ronald C., Smith, Richard M. and Singh, Maria Fiatarone. (2009). Resistive exercise for arthritic cartilage health (REACH): A randomized double-blind, sham-exercise controlled trial. BMC Geriatrics. 9(1), pp. 1 - 10. https://doi.org/10.1186/1471-2318-9-1
Obesity effects on depression: Systematic review of epidemiological studies
Atlantis, Evan and Baker, Michael Kevin. (2008). Obesity effects on depression: Systematic review of epidemiological studies. International Journal of Obesity. 32(6), pp. 881 - 891. https://doi.org/10.1038/ijo.2008.54
Multi-modal exercise programs for older adults
Baker, Michael, Atlantis, Evan and Fiatarone Singh, Maria. (2007). Multi-modal exercise programs for older adults. Age and Ageing. 36, pp. 375 - 381. https://doi.org/10.1093/ageing/afm054
Metabolic demands of "junkyard" training: Pushing and pulling a motor vehicle
Berning, Joseph, Ada, Kent, Climstein, Mike and Stamford, Bryant. (2007). Metabolic demands of "junkyard" training: Pushing and pulling a motor vehicle. Journal of Strength and Conditioning Research. 21(3), pp. 853 - 856. https://doi.org/10.1519/R-18335.1
Efficacy and feasibility of a novel tri-modal robust exercise prescription in a retirement community : A randomized, controlled trial
Baker, Michael, Kennedy, David, Bohle, Philip, Campbell, Deena, Knapman, Leona, Grady, Jodie, Wiltshire, James, McNamara, Maria, Evans, William and Fiatarone Singh, Maria. (2007). Efficacy and feasibility of a novel tri-modal robust exercise prescription in a retirement community : A randomized, controlled trial. Journal of the American Geriatrics Society. 55, pp. 1 - 10. https://doi.org/10.1111/j.1532-5415.2006.01031.x
Degenerative meniscus tears and mobility impairment in women with knee osteoarthritis
Lange, Angela, Fiatarone Singh, Maria, Smith, Richard, Foroughi, Nasim, Baker, Michael, Shnier, Ron and Vanwanseele, Benedicte. (2007). Degenerative meniscus tears and mobility impairment in women with knee osteoarthritis. Osteoarthritis and Cartilage. 15(6), pp. 701 - 708. https://doi.org/10.1016/j.joca.2006.11.004
Effectiveness of a 10 week 'heart moves' exercise program in Australian Vietnam veterans
Climstein, Mike, Currie, Janet, Otter, Leanne, De Beliso, M. and Ada, Kent. (2005). Effectiveness of a 10 week 'heart moves' exercise program in Australian Vietnam veterans. Sports Health (print version). 22(4), pp. 25 - 28.
The effects of anabolic-androgenic steroids upon resting and peak exercise left ventricular heart wall motion kinetics in male strength and power athletes
Climstein, Mike, O'Shea, Pat, Ada, Kent and DeBeliso, Mark. (2003). The effects of anabolic-androgenic steroids upon resting and peak exercise left ventricular heart wall motion kinetics in male strength and power athletes. Journal of Science and Medicine in Sport. 6(4), pp. 387 - 397. https://doi.org/10.1016/S1440-2440(03)80265-7