Skip to main content
Top
Published in: Trials 1/2020

Open Access 01-12-2020 | Type 2 Diabetes | Study protocol

Protocol for a randomised controlled trial to investigate the effect of home- and gym-based resistance exercise training on glycaemic control, body composition and muscle strength

Authors: Ebaa Al Ozairi, Dalal Alsaeed, Dennis Taliping, Mohamad Jalali, Abeer El Samad, Anant Mashankar, Etab Taghadom, Nicola Guess, Jason M. R. Gill, Naveed Sattar, Cindy Gray, Paul Welsh, Stuart R. Gray

Published in: Trials | Issue 1/2020

Login to get access

Abstract

Background

Resistance exercise is known to be effective in reducing glycated haemoglobin (HbA1c) in people with type 2 diabetes. However, studies, so far, have employed supervised resistance exercise in a laboratory or gym facility which limits the future translation of such exercise in to clinical practice and recommendations. Our primary aim, therefore, is to test the hypothesis, in a randomized controlled trial, that home-based resistance exercise training and gym-based resistance exercise training both reduce HbA1c levels in people with type 2 diabetes compared to control. We will also investigate the effects of home- and gym-based resistance exercise training on muscle strength and body composition.

Methods

The current study is a three-arm randomised controlled trial which will be conducted with 150 eligible people with type 2 diabetes to compare home-and gym-based resistance exercise training with usual care in Kuwait. The interventions will be delivered by exercise specialists and last for 32 weeks. The primary outcomes are HbA1c with secondary outcomes measuring muscle function, body composition, physical activity and quality of life.

Discussion

Ethical approval has been granted by the Dasman Diabetes Institute ethical review committee (RA/197/2019). Study findings will be disseminated through presentation at scientific conferences and in scientific journals.

Trial registration

NCT04136730: Retrospectively registered on 21 October 2019
Literature
1.
go back to reference O’Loughlin JL, Robitaille Y, Boivin JF, Suissa S. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol. 1993;137:342–54.CrossRef O’Loughlin JL, Robitaille Y, Boivin JF, Suissa S. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol. 1993;137:342–54.CrossRef
2.
go back to reference Wolfe RR. The underappreciated role of muscle in health and disease. Am J Clin Nutr. 2006;84:475–82.CrossRef Wolfe RR. The underappreciated role of muscle in health and disease. Am J Clin Nutr. 2006;84:475–82.CrossRef
3.
go back to reference Winick M. Hunger disease. Studies by the Jewish physicians in the Warsaw Ghetto. New York and Chichester: Wiley; 1979. Winick M. Hunger disease. Studies by the Jewish physicians in the Warsaw Ghetto. New York and Chichester: Wiley; 1979.
4.
go back to reference Kotler DP, Tierney AR, Wang J, Pierson RN. Magnitude of body-cell-mass depletion and the timing of death from wasting in AIDS. Am J Clin Nutr. 1989;50:444–7.CrossRef Kotler DP, Tierney AR, Wang J, Pierson RN. Magnitude of body-cell-mass depletion and the timing of death from wasting in AIDS. Am J Clin Nutr. 1989;50:444–7.CrossRef
5.
go back to reference Park SW, Goodpaster BH, Strotmeyer ES, de Rekeneire N, Harris TB, Schwartz AV, et al. Decreased muscle strength and quality in older adults with type 2 diabetes: the health, aging, and body composition study. Diabetes. 2006;55:1813–8.CrossRef Park SW, Goodpaster BH, Strotmeyer ES, de Rekeneire N, Harris TB, Schwartz AV, et al. Decreased muscle strength and quality in older adults with type 2 diabetes: the health, aging, and body composition study. Diabetes. 2006;55:1813–8.CrossRef
6.
go back to reference Celis-Morales CA, Welsh P, Lyall DM, Steell L, Petermann F, Anderson J, et al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: prospective cohort study of half a million UK Biobank participants. BMJ. 2018;361:k1651.PubMedPubMedCentral Celis-Morales CA, Welsh P, Lyall DM, Steell L, Petermann F, Anderson J, et al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: prospective cohort study of half a million UK Biobank participants. BMJ. 2018;361:k1651.PubMedPubMedCentral
7.
go back to reference Celis-Morales CA, Petermann F, Hui L, Lyall DM, Iliodromiti S, McLaren J, et al. Associations between diabetes and both cardiovascular disease and all-cause mortality are modified by grip strength: Evidence from UK Biobank, a prospective population-based cohort study. Diabetes Care. 2017;40:1710–8.CrossRef Celis-Morales CA, Petermann F, Hui L, Lyall DM, Iliodromiti S, McLaren J, et al. Associations between diabetes and both cardiovascular disease and all-cause mortality are modified by grip strength: Evidence from UK Biobank, a prospective population-based cohort study. Diabetes Care. 2017;40:1710–8.CrossRef
8.
go back to reference Frederiksen H, Gaist D, Petersen HC, Hjelmborg J, McGue M, Vaupel JW, et al. Hand grip strength: a phenotype suitable for identifying genetic variants affecting mid- and late-life physical functioning. Genet Epidemiol. 2002;23:110–22.CrossRef Frederiksen H, Gaist D, Petersen HC, Hjelmborg J, McGue M, Vaupel JW, et al. Hand grip strength: a phenotype suitable for identifying genetic variants affecting mid- and late-life physical functioning. Genet Epidemiol. 2002;23:110–22.CrossRef
9.
go back to reference Mangano KM, Sahni S, Kiel DP, Tucker KL, Dufour AB, Hannan MT. Dietary protein is associated with musculoskeletal health independently of dietary pattern: the Framingham third generation study. Am J Clin Nutr. 2017;105(3):714–22.CrossRef Mangano KM, Sahni S, Kiel DP, Tucker KL, Dufour AB, Hannan MT. Dietary protein is associated with musculoskeletal health independently of dietary pattern: the Framingham third generation study. Am J Clin Nutr. 2017;105(3):714–22.CrossRef
10.
go back to reference Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ. High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA. 1990;263:3029–34.CrossRef Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ. High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA. 1990;263:3029–34.CrossRef
11.
go back to reference Westcott WL. Resistance training is medicine: effects of strength training on health. Curr Sports Med Rep. 2012;11:209–16.CrossRef Westcott WL. Resistance training is medicine: effects of strength training on health. Curr Sports Med Rep. 2012;11:209–16.CrossRef
12.
go back to reference Umpierre D, Kramer CK, Leita CB, Gross JL, Ribeiro JP, Schaan BD. Clinician’ s Corner physical activity advice only or structured with HbA 1c levels in type 2 diabetes. JAMA. 2011;306:607–10.CrossRef Umpierre D, Kramer CK, Leita CB, Gross JL, Ribeiro JP, Schaan BD. Clinician’ s Corner physical activity advice only or structured with HbA 1c levels in type 2 diabetes. JAMA. 2011;306:607–10.CrossRef
13.
go back to reference Strain T, Fitzsimons C, Kelly P, Mutrie N. The forgotten guidelines: cross-sectional analysis of participation in muscle strengthening and balance & co-ordination activities by adults and older adults in Scotland. BMC Public Health. 2016;16:1108 London: BioMed Central.CrossRef Strain T, Fitzsimons C, Kelly P, Mutrie N. The forgotten guidelines: cross-sectional analysis of participation in muscle strengthening and balance & co-ordination activities by adults and older adults in Scotland. BMC Public Health. 2016;16:1108 London: BioMed Central.CrossRef
14.
go back to reference Humphries B, Stanton R, Scanlan A, Duncan MJ. The prevalence and performance of resistance exercise training activities in an Australian population in relation to health authority guidelines. J Sci Med Sport. 2018;21:616–20.CrossRef Humphries B, Stanton R, Scanlan A, Duncan MJ. The prevalence and performance of resistance exercise training activities in an Australian population in relation to health authority guidelines. J Sci Med Sport. 2018;21:616–20.CrossRef
15.
go back to reference Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49:M85–94.CrossRef Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49:M85–94.CrossRef
Metadata
Title
Protocol for a randomised controlled trial to investigate the effect of home- and gym-based resistance exercise training on glycaemic control, body composition and muscle strength
Authors
Ebaa Al Ozairi
Dalal Alsaeed
Dennis Taliping
Mohamad Jalali
Abeer El Samad
Anant Mashankar
Etab Taghadom
Nicola Guess
Jason M. R. Gill
Naveed Sattar
Cindy Gray
Paul Welsh
Stuart R. Gray
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Type 2 Diabetes
Published in
Trials / Issue 1/2020
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-020-04480-2

Other articles of this Issue 1/2020

Trials 1/2020 Go to the issue