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01-03-2017 | Original Article

High-intensity aerobic interval training improves aerobic fitness and HbA1c among persons diagnosed with type 2 diabetes

Authors: Eva Maria Støa, Sondre Meling, Lill-Katrin Nyhus, Glenn Strømstad, Karl Magnus Mangerud, Jan Helgerud, Solfrid Bratland-Sanda, Øyvind Støren

Published in: European Journal of Applied Physiology | Issue 3/2017

Abstract

Purpose

It remains to be established how high-intensity aerobic interval training (HAIT) affects risk factors associated with type 2 diabetes (TD2). This study investigated effects of HAIT on maximal oxygen uptake (VO_2max), glycated Hemoglobin type A1C (HbA1c), insulin resistance (IR), fat oxidation (FatOx), body weight (BW), percent body fat (%BF), lactate threshold (LT), blood pressure (BP), and blood lipid profile (BLP) among persons with T2D. Results were compared to the effects after a moderate-intensity training (MIT) program.

Methods

Thirty-eight individuals with T2D completed 12 weeks of supervised training. HAIT consisted of 4 × 4 min of walking or running uphill at 85–95% of maximal heart rate, and MIT consisted of continuous walking at 70–75% of maximal heart rate.

Results

A 21% increase in VO_2max (from 25.6 to 30.9 ml kg⁻¹ min⁻¹, p < 0.001), and a reduction in HbA1c by −0.58% points (from 7.78 to 7.20%, p < 0.001) was found in HAIT. BW and body mass index (BMI) was reduced by 1.9% (p < 0.01). There was a tendency towards an improved FatOx at 60% VO_2max (14%, p = 0.065). These improvements were significant different from MIT. Both HAIT and MIT increased velocity at LT, and reduced %BF, waist circumference, hip circumference, and BP, with no significant differences between the two groups. Correlations were found between change in VO_2max and change in HbA1c when the two intervention groups were combined (R = −0.52, p < 0.01).

Conclusion

HAIT is an effective exercise strategy to improve aerobic fitness and reduce risk factors associated with T2D.

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Title: High-intensity aerobic interval training improves aerobic fitness and HbA1c among persons diagnosed with type 2 diabetes
Authors: Eva Maria Støa
Sondre Meling
Lill-Katrin Nyhus
Glenn Strømstad
Karl Magnus Mangerud
Jan Helgerud
Solfrid Bratland-Sanda
Øyvind Støren
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Applied Physiology / Issue 3/2017
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-017-3540-1

At a glance: The STEP trials

Springer Medicine

High-intensity aerobic interval training improves aerobic fitness and HbA1c among persons diagnosed with type 2 diabetes

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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