PMID- 22496538 OWN - NLM STAT- MEDLINE DCOM- 20130110 LR - 20220408 IS - 1758-535X (Electronic) IS - 1079-5006 (Linking) VI - 67 IP - 11 DP - 2012 Nov TI - Effect of 12-week resistance exercise program on body composition, muscle strength, physical function, and glucose metabolism in healthy, insulin-resistant, and diabetic elderly Icelanders. PG - 1259-65 LID - 10.1093/gerona/gls096 [doi] AB - BACKGROUND: Insulin is a stimulator of skeletal muscle protein anabolism and insulin resistance might therefore negatively affect muscle protein metabolism. We investigated muscle mass and physical function before and after a resistance exercise program in participants with prediabetes or type 2 diabetes mellitus (T2DM) in comparison to healthy controls. METHODS: This was a secondary analysis of a randomized controlled intervention designed to investigate resistance training among older adults. Glucose metabolism status was not a selection criteria for the trial, and group designation was done retrospectively. Participants (N = 237, 73.7 +/- 5.7 y, 58.2% women) participated in a 12-week resistance exercise program (3 times/week; three sets, six to eight repetitions at 75%-80% of the one-repetition maximum), designed to increase strength and muscle mass of major muscle groups. Body composition, muscular strength, timed up and go test, 6-minute walk for distance, and blood chemical variables were measured at baseline and endpoint. RESULTS: Participants completing the study (n = 213) experienced significant changes in muscle strength or muscle function, which did not differ significantly between healthy (n = 198), prediabetic (n = 20), and T2DM participants (n = 17). Changes in serum glucose during the intervention differed by group: only glucose improved significantly in the prediabetic group, glucose and triacylglycerol improved significantly in the healthy group, whereas no serum parameter improved significantly in the T2DM group. CONCLUSIONS: A 12-week resistance exercise program improves muscle strength and muscle function to a similar extent in healthy, prediabetic, and T2DM elderly people. However, according to our data, T2DM participants do not experience favorable changes in fasting glucose or HbA(1C). FAU - Geirsdottir, O G AU - Geirsdottir OG AD - Unit for Nutrition Research, Eiriksgata 29, Landspitali National University Hospital, IS-101 Reykjavik, Iceland. olofgg@landspitali.is FAU - Arnarson, A AU - Arnarson A FAU - Briem, K AU - Briem K FAU - Ramel, A AU - Ramel A FAU - Jonsson, P V AU - Jonsson PV FAU - Thorsdottir, I AU - Thorsdottir I LA - eng SI - ClinicalTrials.gov/NCT01074879 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120410 PL - United States TA - J Gerontol A Biol Sci Med Sci JT - The journals of gerontology. Series A, Biological sciences and medical sciences JID - 9502837 RN - IY9XDZ35W2 (Glucose) SB - IM MH - Aged MH - Aged, 80 and over MH - Body Composition MH - Diabetes Mellitus, Type 2/diagnosis/*therapy MH - Female MH - Follow-Up Studies MH - Glucose/*metabolism MH - Humans MH - Iceland MH - Insulin Resistance/physiology MH - Linear Models MH - Male MH - Muscle Strength/*physiology MH - Physical Fitness/physiology MH - Prediabetic State/diagnosis/*therapy MH - Program Evaluation MH - Reference Values MH - Resistance Training/*organization & administration MH - Risk Assessment MH - Statistics, Nonparametric MH - Time Factors MH - Treatment Outcome EDAT- 2012/04/13 06:00 MHDA- 2013/01/11 06:00 CRDT- 2012/04/13 06:00 PHST- 2012/04/13 06:00 [entrez] PHST- 2012/04/13 06:00 [pubmed] PHST- 2013/01/11 06:00 [medline] AID - gls096 [pii] AID - 10.1093/gerona/gls096 [doi] PST - ppublish SO - J Gerontol A Biol Sci Med Sci. 2012 Nov;67(11):1259-65. doi: 10.1093/gerona/gls096. Epub 2012 Apr 10.