Evidence map›Paper›PMID 39595646›Full record

ArticleBiomolecules2024

Effect of a Concurrent Training Program with and Without Metformin Treatment on Metabolic Markers and Cardiorespiratory Fitness in Individuals with Insulin Resistance: A Retrospective Analysis.

Jairo Azócar-Gallardo, Alex Ojeda-Aravena, Eduardo Báez-San Martín, Tomás Herrera-Valenzuela, Marcelo Tuesta, Luis González-Rojas, Bibiana Calvo-Rico, José Manuel García-García

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Article in Biomolecules, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

8 authors.

Jairo Azócar-GallardoFacultad de Ciencias del Deporte, Universidad de Castilla-La Mancha (UCLM), 45071 Toledo, Spain.ORCID 0000-0002-0552-2487
Alex Ojeda-AravenaDirección de Docencia, Universidad de Los Lagos, Osorno 5290000, Chile.ORCID 0000-0002-2406-9622
Eduardo Báez-San MartínCarrera de Entrenador Deportivo, Escuela de Educación, Universidad Viña del Mar, Viña del Mar 2580022, Chile.
Tomás Herrera-ValenzuelaSchool of Physical Activity, Sports and Health Sciences, Faculty of Medical Sciences, Universidad de Santiago, Santiago 7591538, Chile.ORCID 0000-0002-5219-5896
Marcelo TuestaExercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile.ORCID 0000-0002-5711-7520
Luis González-RojasCentro Tratamiento de la Obesidad, Pontificia Universidad Católica de Chile, Santiago 8320165, Chile.
Bibiana Calvo-RicoFacultad de Ciencias del Deporte, Universidad de Castilla-La Mancha (UCLM), 45071 Toledo, Spain.
José Manuel García-GarcíaFacultad de Ciencias del Deporte, Universidad de Castilla-La Mancha (UCLM), 45071 Toledo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus is a metabolic disorder characterized by insulin resistance (IR), which is prevalent worldwide and has significant adverse health effects. Metformin is commonly prescribed as a pharmacological treatment. Physical exercise is also recognized as an effective regulator of glycemia, independent of metformin. However, the effects of inter-day concurrent training (CT)-which includes both endurance and resistance exercises-combined with metformin treatment on metabolic markers and cardiorespiratory fitness in individuals with IR remain controversial.

objectiveThis study aimed to analyze the effects of a 12-week inter-day CT program on metabolic markers and cardiorespiratory fitness in overweight/obese individuals with IR, both with and without metformin treatment. Additionally, inter-individual responses to CT were examined. MATERIALS AND

methodsData from the 2022-2023 Obesity Center database were retrospectively analyzed. According to the eligibility criteria, 20 overweight/obese individuals diagnosed with IR participated in a 12-week CT program (three weekly sessions: two endurance and one resistance exercise session). Participants were divided into three groups: the exercise group (E-G: n = 7, 32.86 ± 8.32 years, 85.2 ± 19.67 kg), the exercise-metformin group (E-MG: n = 6, 34.83 ± 12.91 years, 88.13 ± 12.66 kg), and the metformin-only control group (M-G: n = 7, 34.43 ± 13.96 years, 94.23 ± 13.93 kg). The M-G did not perform physical exercise during the 12 weeks but continued pharmacological treatment. Body composition, metabolic markers, and cardiorespiratory fitness were assessed before and after the 12-week CT program.

resultsA group-by-time interaction was observed for fasting insulin (F

conclusionsThe 12-week inter-day concurrent training program, whether combined with metformin or not, was similarly effective in improving metabolic markers in patients with insulin resistance as metformin treatment alone. Both exercise groups demonstrated a significant reduction in insulin sensitivity and an increase in maximal fat oxidation. Meanwhile, exclusive pharmacological treatment with metformin markedly decreased cardiorespiratory fitness, and consequently, fat oxidation.

Indexed as

Cardiorespiratory FitnessDiabetes Mellitus, Type 2Insulin ResistanceMetforminAdultBiomarkersFemaleHumansHypoglycemic AgentsMaleMiddle AgedObesityOverweightResistance TrainingRetrospective StudiesBiomarkersHypoglycemic AgentsMetformincardiorespiratory fitnessinsulin sensitivitypharmacologic treatmentphysical and rehabilitation medicineretrospective studies

Identifiers

PMID39595646
PMCPMC11592327

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Registered trials

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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.