Generic placeholder image

Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Mini-Review Article

Unraveling the Therapeutic Potential of Muscle Strengthening Exercises for Reversing Diabetes Mellitus

In Press, (this is not the final "Version of Record"). Available online 02 February, 2024
Author(s): Haajeera Samsudeen, Shree Pavithra De Varaj and Krishnaveni Kandasamy*
Published on: 02 February, 2024

Article ID: e020224226649

DOI: 10.2174/0115733998275876240125064716

Price: $95

Abstract

Background: Millions of people worldwide are affected by the serious consequences of diabetes mellitus, which is a major global health concern. We analyze the possibility of muscle- strengthening activities as an appropriate therapeutic strategy for controlling the progression of diabetes mellitus in this comprehensive review. In this review, we explore the molecular processes underlying the glucose uptake in skeletal muscle, revealing how exercise can improve insulin sensitivity and glucose homeostasis.

Methodology: Articles published between 2010 and 2023 were analyzed in detail by using bibliographic databases like PubMed, Medline, and Scopus. The most commonly searched terms were "muscle strengthening exercises," "diabetes mellitus," "insulin resistance," "glucose uptake," "skeletal muscle," and even "exercise therapy." The inclusion criteria were randomized controlled trials, observational studies, and systematic reviews. This allowed for the selection of sources that were related to the topic at hand and were reliable.

Results: This review highlights the benefits of exercise for diabetes mellitus, elucidating the positive effects of acute and regular exercise on glucose uptake in skeletal muscle. It also analyzes the impact of various exercise modalities, including aerobic and resistance exercises, on glucose metabolism in individuals with and without type 2 diabetes. Furthermore, this review examines the effectiveness of combining aerobic and resistance training for optimal diabetes management.

Conclusion: Our analysis reveals promising evidence supporting the role of resistance training in diabetes mellitus reversal. Regular resistance exercise has been shown to improve glycemic control, insulin sensitivity, and muscle function in individuals with type 2 diabetes. Combining aerobic and resistance exercises appears to be more effective than single-mode training in managing blood glucose levels and enhancing overall metabolic health. However, Resistance training implementation challenges, as well as potential exercise contraindications in diabetic patients, warrant further studies.

[1]
Diabetes. Available from: https://www.who.int/health-topics/diabetes(Accessed on: 03 August 2023).
[2]
BIO 461 Principles of Physiology. Available from: books.byui.edu Available from: https://books.byui.edu/bio_461_principles_o
[3]
Gregory GA, Robinson TIG, Linklater SE, et al. Global incidence, prevalence, and mortality of type 1 diabetes in 2021 with projection to 2040: A modelling study. Lancet Diabetes Endocrinol 2022; 10(10): 741-60.
[http://dx.doi.org/10.1016/S2213-8587(22)00218-2] [PMID: 36113507]
[4]
Why India is diabetes capital of the world. 2022. Available from: https://timesofindia.indiatimes.com/india/why-india-is-diabetes-capital-of-the-world/articleshow/95509990.cms(Accessed on: August 17, 2023).
[5]
Cho NH, Shaw JE, Karuranga S, et al. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract 2018; 138: 271-81.
[http://dx.doi.org/10.1016/j.diabres.2018.02.023] [PMID: 29496507]
[6]
Type 1 diabetes articles within Nature. Available from: https://www.nature.com/subjects/type-1-diabetes-mellitus/nature
[7]
Dabelea D, Mayer-Davis EJ, Saydah S, et al. Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. JAMA 2014; 311(17): 1778-86.
[http://dx.doi.org/10.1001/jama.2014.3201] [PMID: 24794371]
[8]
Wilde N. The relationship between diabetes and muscle mass 2021. Available from: https://www.openaccessgovernment.org/muscle-mass-diabetes/92582/(Accessed on: August 3, 2023).
[9]
Stanford KI, Goodyear LJ. Exercise and type 2 diabetes: Molecular mechanisms regulating glucose uptake in skeletal muscle. Adv Physiol Educ 2014; 38(4): 308-14.
[http://dx.doi.org/10.1152/advan.00080.2014] [PMID: 25434013]
[10]
Payne C. Increased frequency of diabetic foot publications. Diabet Med 1997; 14(5): 407-7.
[http://dx.doi.org/10.1002/(SICI)1096-9136(199705)14:5<407::AID-DIA374>3.0.CO;2-Z] [PMID: 9171262]
[11]
Richter EA, Hargreaves M. Exercise, GLUT4, and skeletal muscle glucose uptake. Physiol Rev 2013; 93(3): 993-1017.
[http://dx.doi.org/10.1152/physrev.00038.2012] [PMID: 23899560]
[12]
Goodpaster BH, Sparks LM. Metabolic flexibility in health and disease. Cell Metab 2017; 25(5): 1027-36.
[http://dx.doi.org/10.1016/j.cmet.2017.04.015] [PMID: 28467922]
[13]
Minuk HL, Vranic M, Marliss EB, Hanna AK, Albisser AM, Zinman B. Glucoregulatory and metabolic response to exercise in obese noninsulin-dependent diabetes. Am J Physiol 1981; 240(5): E458-64.
[PMID: 7015876]
[14]
Baynard T, Franklin RM, Goulopoulou S, Carhart R Jr, Kanaley JA. Effect of a single vs. multiple bouts of exercise on glucose control in women with type 2 diabetes. Metabolism 2005; 54(8): 989-94.
[http://dx.doi.org/10.1016/j.metabol.2005.02.015] [PMID: 16092046]
[15]
[16]
Black LE, Swan PD, Alvar BA. Effects of intensity and volume on insulin sensitivity during acute bouts of resistance training. J Strength Cond Res 2010; 24(4): 1109-16.
[http://dx.doi.org/10.1519/JSC.0b013e3181cbab6d] [PMID: 20093961]
[17]
Search NCBI databases - NLM. National Center for Biotechnology Information. Available from: https://www.ncbi.nlm.nih.gov/search (Accessed on: August 18, 2023)
[18]
Cuff DJ, Meneilly GS, Martin A, Ignaszewski A, Tildesley HD, Frohlich JJ. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diabetes Care 2003; 26(11): 2977-82.
[http://dx.doi.org/10.2337/diacare.26.11.2977] [PMID: 14578226]
[19]
Marcus RL, Smith S, Morrell G, et al. Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus. Phys Ther 2008; 88(11): 1345-54.
[http://dx.doi.org/10.2522/ptj.20080124] [PMID: 18801851]
[20]
Sigal RJ, Kenny GP, Boulé NG, et al. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: A randomized trial. Ann Intern Med 2007; 147(6): 357-69.
[http://dx.doi.org/10.7326/0003-4819-147-6-200709180-00005] [PMID: 17876019]
[21]
Innes KE, Vincent HK. The influence of yoga-based programs on risk profiles in adults with type 2 diabetes mellitus: A systematic review. Evid Based Complement Alternat Med 2007; 4(4): 469-86.
[http://dx.doi.org/10.1093/ecam/nel103] [PMID: 18227915]
[22]
Gordon LA, Morrison EY, McGrowder DA, et al. Effect of exercise therapy on lipid profile and oxidative stress indicators in patients with type 2 diabetes. BMC Complement Altern Med 2008; 8(1): 21.
[http://dx.doi.org/10.1186/1472-6882-8-21] [PMID: 18477407]
[23]
Egan B, Zierath JR. Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metab 2013; 17(2): 162-84.
[http://dx.doi.org/10.1016/j.cmet.2012.12.012] [PMID: 23395166]
[24]
Bergouignan A, Latouche C, Heywood S, et al. Frequent interruptions of sedentary time modulates contraction- and insulin-stimulated glucose uptake pathways in muscle: Ancillary analysis from randomized clinical trials. Sci Rep 2016; 6(1): 32044.
[http://dx.doi.org/10.1038/srep32044] [PMID: 27554943]
[25]
Thyfault JP. Setting the stage: Possible mechanisms by which acute contraction restores insulin sensitivity in muscle. Am J Physiol Regul Integr Comp Physiol 2008; 294(4): R1103-10.
[http://dx.doi.org/10.1152/ajpregu.00924.2007] [PMID: 18381969]
[26]
Yan Z, Okutsu M, Akhtar YN, Lira VA. Regulation of exercise-induced fiber type transformation, mitochondrial biogenesis, and angiogenesis in skeletal muscle. J Appl Physiol 2011; 110(1): 264-74.
[http://dx.doi.org/10.1152/japplphysiol.00993.2010] [PMID: 21030673]
[27]
Kim Y, Triolo M, Hood DA. Impact of aging and exercise on mitochondrial quality control in skeletal muscle. Oxid Med Cell Longev 2017; 2017: 1-16.
[http://dx.doi.org/10.1155/2017/3165396] [PMID: 28656072]
[28]
Lefai E, Blanc S, Momken I, et al. Exercise training improves fat metabolism independent of total energy expenditure in sedentary overweight men, but does not restore lean metabolic phenotype. Int J Obes 2017; 41(12): 1728-36.
[http://dx.doi.org/10.1038/ijo.2017.151] [PMID: 28669989]
[29]
Badin P-M, Langin D, Moro C. Dynamics of skeletal muscle lipid pools. Trends Endocrinol Metab 2013; 24(12): 607-15.
[30]
Colberg SR, Sigal RJ, Yardley JE, et al. Physical activity/exercise and diabetes: A position statement of the American Diabetes Association. Diabetes Care 2016; 39(11): 2065-79.
[http://dx.doi.org/10.2337/dc16-1728] [PMID: 27926890]
[31]
Dunstan DW, Daly RM, Owen N, et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care 2002; 25(10): 1729-36.
[http://dx.doi.org/10.2337/diacare.25.10.1729] [PMID: 12351469]
[32]
Shenoy S, Arunachalam M, Raja K, et al. Effectiveness of resistance training on glycemic control and muscle strength in type 2 diabetes mellitus: A systematic review and meta-analysis. Diabetes Metab Syndr 2018; 12(4): 581-8.
[33]
Ibañez J, Izquierdo M, Argüelles I, et al. Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care 2005; 28(3): 662-7.
[http://dx.doi.org/10.2337/diacare.28.3.662] [PMID: 15735205]
[34]
American Diabetes Association. 4. Lifestyle management: Standards of Medical Care in Diabetes—2018. Diabetes Care 2018; 41(S1): S38-50.
[http://dx.doi.org/10.2337/dc18-S004] [PMID: 29222375]
[35]
Snowling NJ, Hopkins WG. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: A meta-analysis. Diabetes Care 2006; 29(11): 2518-27.
[http://dx.doi.org/10.2337/dc06-1317] [PMID: 17065697]
[36]
Turner G, Quigg S, Davoren P, Basile R, McAuley SA, Coombes JS. Resources to guide exercise specialists managing adults with diabetes. Sports Med Open 2019; 5(1): 20.
[http://dx.doi.org/10.1186/s40798-019-0192-1] [PMID: 31161377]
[37]
American Diabetes Association. Standards of Medical Care in Diabetes—2015. Summary of Revisions Diabetes Care 2015; 38(S1): S4.
[38]
Colberg S. Exercise and Diabetes: A Clinician’s Guide to Prescribing Physical Activity 2013.
[http://dx.doi.org/10.2337/9781580404853]
[39]
Exercise and type 2 diabetes. Med Sci Sports Exerc 2010; 42(12): 2282-303.
[40]
Guidelines for implementing exercise programs for cancer patients. Available from: https://www.racgp.org.au/FSDEDEV/media/documents/Clinical%20Resources/HANDI/Guidelines-for-implementing-exercise.pdf(Accessed on: August 3, 2023).
[41]
Diabetes. Available from: https://www.physio-pedia.com/Diabetes(Accessed on: August 18, 2023).
[42]
U.K. Prospective Diabetes Study Group. U.K. prospective diabetes study 16. Overview of 6 years’ therapy of type II diabetes: a progressive disease. Diabetes 1995; 44(11): 1249-58.
[http://dx.doi.org/10.2337/diab.44.11.1249] [PMID: 7589820]
[43]
Bremer JP, Jauch-Chara K, Hallschmid M, Schmid S, Schultes B. Hypoglycemia unawareness in older compared with middle-aged patients with type 2 diabetes. Diabetes Care 2009; 32(8): 1513-7.
[http://dx.doi.org/10.2337/dc09-0114] [PMID: 19487634]
[44]
Smart N, Marwick TH. Exercise training for patients with heart failure: A systematic review of factors that improve mortality and morbidity. Am J Med 2004; 116(10): 693-706.
[http://dx.doi.org/10.1016/j.amjmed.2003.11.033] [PMID: 15121496]
[45]
Marwick TH, Hordern MD, Miller T, et al. Exercise training for type 2 diabetes mellitus: Impact on cardiovascular risk: A scientific statement from the American Heart Association. Circulation 2009; 119(25): 3244-62.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192521] [PMID: 19506108]
[46]
Lebrun C. Exercise and type 2 diabetes: American College of Sports Medicine and the American Diabetes Association: Joint position statement. Year Book Sports Med 2011; 2011: 162-3.
[http://dx.doi.org/10.1016/j.yspm.2011.03.038]
[47]
Adler AI, Stevens RJ, Neil A, Stratton IM, Boulton AJM, Holman RR. UKPDS 59: Hyperglycemia and other potentially modifiable risk factors for peripheral vascular disease in type 2 diabetes. Diabetes Care 2002; 25(5): 894-9.
[http://dx.doi.org/10.2337/diacare.25.5.894] [PMID: 11978687]
[48]
Armen J, Smith BW. Exercise considerations in coronary artery disease, peripheral vascular disease, and diabetes mellitus. Clin Sports Med 2003; 22(1): 123-33. [viii].
[http://dx.doi.org/10.1016/S0278-5919(02)00035-2] [PMID: 12613090]
[49]
Hordern MD, Dunstan DW, Prins JB, Baker MK, Singh MAF, Coombes JS. Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sport Science Australia. J Sci Med Sport 2012; 15(1): 25-31.
[http://dx.doi.org/10.1016/j.jsams.2011.04.005] [PMID: 21621458]
[50]
Hunter DJ, Eckstein F. Exercise and osteoarthritis. J Anat 2009; 214(2): 197-207.
[http://dx.doi.org/10.1111/j.1469-7580.2008.01013.x] [PMID: 19207981]
[51]
Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C, White RD. Physical activity/exercise and type 2 diabetes: A consensus statement from the American Diabetes Association. Diabetes Care 2006; 29(6): 1433-8.
[http://dx.doi.org/10.2337/dc06-9910] [PMID: 16732040]

Rights & Permissions Print Cite
© 2025 Bentham Science Publishers | Privacy Policy