title: Effect of a low-resource-intensive lifestyle modification program incorporating gymnasium-based and home-based resistance training on type 2 diabetes risk in Australian adults.
abstract: OBJECTIVE
  The purpose of this study was to assess the effectiveness of a low-resource-intensive lifestyle modification program incorporating resistance training and to compare a gymnasium-based with a home-based resistance training program on diabetes diagnosis status and risk.
  
  
  METHODS
  A quasi-experimental two-group study was undertaken with 122 participants with diabetes risk factors; 36.9% had impaired glucose tolerance (IGT) or impaired fasting glucose (IFG) at baseline. The intervention included a 6-week group self-management education program, a gymnasium-based or home-based 12-week resistance training program, and a 34-week maintenance program. Fasting plasma glucose (FPG) and 2-h plasma glucose, blood lipids, blood pressure, body composition, physical activity, and diet were assessed at baseline and week 52.
  
  
  RESULTS
  Mean 2-h plasma glucose and FPG fell by 0.34 mmol/l (95% CI -0.60 to -0.08) and 0.15 mmol/l (-0.23 to -0.07), respectively. The proportion of participants with IFG or IGT decreased from 36.9 to 23.0% (P = 0.006). Mean weight loss was 4.07 kg (-4.99 to -3.15). The only significant difference between resistance training groups was a greater reduction in systolic blood pressure for the gymnasium-based group (P = 0.008).
  
  
  CONCLUSIONS
  This intervention significantly improved diabetes diagnostic status and reduced diabetes risk to a degree comparable to that of other low-resource-intensive lifestyle modification programs and more intensive interventions applied to individuals with IGT. The effects of home-based and gymnasium-based resistance training did not differ significantly.
authors.affiliation: University of Ballarat, Ballarat, Victoria, Australia.
authors.forename: Warren R
authors.initials: WR
authors.lastname: Payne
authors.forename: Kerry J
authors.initials: KJ
authors.lastname: Walsh
authors.forename: Jack T
authors.initials: JT
authors.lastname: Harvey
authors.forename: Michelle F
authors.initials: MF
authors.lastname: Livy
authors.forename: Kylie J
authors.initials: KJ
authors.lastname: McKenzie
authors.forename: Alex
authors.initials: A
authors.lastname: Donaldson
authors.forename: Meredith G
authors.initials: MG
authors.lastname: Atkinson
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Keogh
authors.forename: Robert S
authors.initials: RS
authors.lastname: Moss
authors.forename: David W
authors.initials: DW
authors.lastname: Dunstan
authors.forename: Wendy A
authors.initials: WA
authors.lastname: Hubbard
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003151:Community Health Centers; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000517:prevention & control*; D015444:Exercise / Q000502:physiology; D006699:Home Care Services; D006801:Humans; D008875:Middle Aged; D055070:Resistance Training; D012307:Risk Factors; D040242:Risk Reduction Behavior
chemical_list: D001786:Blood Glucose
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