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Exercise Combo Best for Type 2 Diabetes
Date:11/23/2010

chers assigned 73 volunteers to resistance training, 72 to aerobic exercise, and 76 people to a combination of aerobic and resistance training. The remaining 41 people served as the control group and didn't exercise.

The people in the resistance-training group exercised three days per week, and each session consisted of two sets of four upper-body exercises, three sets of three leg exercises, and two sets of abdominal crunches and back extensions. Most of these exercises were done with weight machines.

The aerobic group did about 150 minutes a week of moderately paced walking on a treadmill.

The combination group had two resistance-training sessions a week that consisted of one set each of the exercises listed above. They also walked slightly less than the aerobic-only group, because the researchers wanted to make sure that the time each participant exercised each week was roughly the same, no matter which group they were in. The researchers supervised all of the exercise sessions. To help ensure safety, all of the participants also saw a certified diabetes educator once a month to check for blisters and other potential problems.

HbA1C levels are expressed as a percentage, and at the start of the study, the average level was 7.7 percent. The level indicates the amount of a substance in the blood called glycated hemoglobin, which builds up when excess sugar in the blood attaches to the hemoglobin in red blood cells. (Levels under 6 percent are generally considered normal in people without diabetes.)

At the end of the study, the combination group had lowered their HbA1C levels by 0.34 percent compared to the control group, while the aerobic group went down 0.24 percent and the resistance-only group went down 0.16 percent. However, the only change that was considered statistically significant, according to the study, was the combination group's change.

Participants in all exercise groups reduced their waist size compared to the
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