Evidence map›Paper›PMID 26554457›Full record

Trial reportTrials2015

Graded Resistance Exercise And Type 2 Diabetes in Older adults (The GREAT2DO study): methods and baseline cohort characteristics of a randomized controlled trial.

Kylie A Simpson, Yorgi Mavros, Shelley Kay, Jacinda Meiklejohn, Nathan de Vos, Yi Wang, Qianyu Guo, Renru Zhao, Mike Climstein, Bernard T Baune and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Resistance Training for Glycemic Control, Muscular Strength, and Lean Body Mass in Old Type 2 Diabetic Patients: A Meta-Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 2 countries.

Kylie A SimpsonFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. kylie.simpson@sydney.edu.au.
Yorgi MavrosFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. yorgi.mavros@sydney.edu.au.
Shelley KayFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. shelley.jo.kay@gmail.com.
Jacinda MeiklejohnFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. jacinda.meiklejohn@sydney.edu.au.
Nathan de VosThe Center for STRONG Medicine, Balmain Hospital, 29 Booth St, Balmain, NSW, 2041, Australia. nath.devos@hotmail.com.
Yi WangSan Francisco, Diabetes Center, University of California, Box 0540, 513 Parnassus Ave 1119, San Francisco, CA, 94143-0540, USA. YWang@diabetes.ucsf.edu.
Qianyu GuoFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. qguo5002@uni.sydney.edu.au.
Renru ZhaoFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. rzha6475@uni.sydney.edu.au.
Mike ClimsteinFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. mike.climstein@sydney.edu.au.
Bernard T BauneDiscipline of Psychiatry, The University of Adelaide, Level 4, Eleanor Harrold Building, Royal Adelaide Hospital, Adelaide, SA, 5005, Australia. bernhard.baune@adelaide.edu.au.
Steven BlairDepartment of Exercise Science, Public Health Research Building, University of South Carolina, 921 Assembly St, Columbia, SC, 29208, USA. sblair@mailbox.sc.edu.
Anthony J O'SullivanDepartment of Medicine, University of New South Wales, St George and Sutherland Clinical School, St George Hospital, Gray St, Kogarah, NSW, 2217, Australia. a.osullivan@unsw.edu.au.
David SimarFaculty of Medicine, Metabolic Disorders Research Group, University of New South Wales, Sydney, NSW, 2052, Australia. D.Simar@unsw.edu.au.
Nalin SinghFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. singhnah@gmail.com.
Maria A Fiatarone SinghFaculty of Health Science, Exercise, Health and Performance Faculty Research Group, University of Sydney, 75 East St, Lidcombe, NSW, 2750, Australia. maria.fiataronesingh@sydney.edu.au.
University of Sydney · AURoyal Adelaide Hospital · AUSt George Hospital · AUUniversity of California, San Francisco · USUniversity of South Carolina · USUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes (T2D) is projected to affect 439 million people by 2030. Medical management focuses on controlling blood glucose levels pharmacologically in a disease that is closely related to lifestyle factors such as diet and inactivity. Physical activity guidelines include aerobic exercise at intensities or volumes potentially unreachable for older adults limited by many co-morbidities. We aim to show for the first time the efficacy of a novel exercise modality, power training (high-velocity, high-intensity progressive resistance training or PRT), in older adults with T2D as a means for improving glycemic control and targeting many associated metabolic and physiological outcomes. Eligibility criteria included community-dwelling men and women previously diagnosed with T2D who met the current definition of metabolic syndrome according to the International Diabetes Federation. Participants were randomized to a fully supervised power training intervention or sham exercise control group for 12 months. Intervention group participants performed whole body machine-based power training at 80%1RM, 3 days per week. The control group undertook the same volume of non-progressive, low-intensity training. Participants were assessed at baseline, 6 months and 12 months and followed for a further 5 years, during which time participants were advised to exercise at moderate-high intensity. Glycemic control (HbA1c) and insulin resistance as measured by the homeostatic model assessment 2 (HOMA2-IR) were the primary outcomes of the trial. Outcome assessors were blinded to group assignment and participants were blinded to the investigators' hypothesis regarding the most effective intervention.

resultsWe recruited 103 participants (48.5 % women, 71.6 ± 5.6 years). Participants had 5.1 ± 1.8 chronic diseases, had been diagnosed with T2D for 8 ± 6 years and had a body mass index (BMI) of 31.6 ± 4.0 kg/m(2). Fasting glucose and insulin were 7.3 ± 2.4 mmol/L and 10.6 ± 6.3 mU/L, respectively. HbA1c was 54 ± 12 mmol/mol. Eighty-six participants completed the 12-month assessment and follow-up is ongoing. This cohort had a lower-than-expected dropout (n = 14, 14 %) over the 12-month intervention period.

conclusionsPower training may be a feasible adjunctive therapy for improving glycemic control for the growing epidemic of T2D in older adults.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12606000436572 (24 September 2006).

Indexed as

Resistance TrainingAgedAge FactorsBiomarkersBlood GlucoseClinical ProtocolsDiabetes Mellitus, Type 2Double-Blind MethodFemaleGlycated HemoglobinHumansInsulin ResistanceMaleMiddle AgedNew South WalesPatient DropoutsBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID26554457
PMCPMC4640163
OpenAlexW2179774180

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.