Effects of concurrent aerobic and resistance training on vascular health in type 2 diabetes: a systematic review and meta-analysis

Frontiers in Endocrinology

Endocrinology

Linfeng Wu¹  Yu Chen¹  Mingyang Du¹  Shengju Chen²  Huayu Shang³  Kaixiang Zhou⁴ 

[1] College of Physical Education, Chongqing University, Chongqing, China;School of Physical Education, Liaoning Normal University, Dalian, China;School of Sports Medicine and Health, Chengdu Sport University, Chengdu, China;Sports Health College, Chengdu University of Traditional Chinese Medicine, Chengdu, China;

关键词: concurrent training;    aerobic and resistance training;    type 2 diabetes;    vascular structure;    vascular function;   

DOI  :  10.3389/fendo.2023.1216962

 received in 2023-05-04, accepted in 2023-08-29,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveTo determine the impacts of concurrent aerobic and resistance training on vascular structure (IMT) and function (PWV, FMD, NMD) in type 2 diabetes (T2D).MethodsThe electronic databases PubMed, Web of Science Core Collection, Cochrane Library, Embase, Scopus, CINAHL, and SPORTDiscus were systematically searched for articles on “type 2 diabetes” and “concurrent training” published from inception to August 2, 2022. We included randomized controlled trials that examined the effects of concurrent training versus passive controls on IMT, PWV, FMD and NMD in T2D.ResultsTen studies were eligible, including a total of 361 participants. For IMT, concurrent training showed a slight decrease by 0.05 mm (95% CI −0.11 to 0.01, p > 0.05). concurrent training induced an overall significant improvement in FMD by 1.47% (95% CI 0.15 to 2.79, p < 0.05) and PWV by 0.66 m/s (95% CI −0.89 to −0.43, p < 0.01) in type 2 diabetics. However, concurrent training seemed to exaggerate the impaired NMD (WMD = −2.30%, 95% CI −4.02 to −0.58, p < 0.05).ConclusionsConcurrent training is an effective method to improve endothelial function and artery stiffness in T2D. However, within 24 weeks concurrent training exacerbates vascular smooth muscle dysfunction. More research is needed to explore whether longer and/or higher-intensity concurrent training interventions could enhance the vascular structure and smooth muscle function in this population.Systematic review registrationwww.crd.york.ac.uk/PROSPERO/, identifier CRD42022350604.

【 授权许可】

Unknown   
Copyright © 2023 Chen, Zhou, Shang, Du, Wu and Chen