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Accepted for/Published in: JMIR Research Protocols

Date Submitted: Jul 13, 2024
Date Accepted: Jul 20, 2024

The final, peer-reviewed published version of this preprint can be found here:

The Effect of Effort During a Resistance Exercise Session on Glycemic Control in Individuals Living With Prediabetes or Type 2 Diabetes: Protocol for a Crossover Randomized Controlled Trial

Ramirez M, Gebauer M, Mermier C, Little J, Lin L, Palley G, Hsiao YY, Mota Alvidrez R, Mang ZA, Amorim FT, Tricoli V, De Castro Magalhães F

The Effect of Effort During a Resistance Exercise Session on Glycemic Control in Individuals Living With Prediabetes or Type 2 Diabetes: Protocol for a Crossover Randomized Controlled Trial

JMIR Res Protoc 2024;13:e63598

DOI: 10.2196/63598

PMID: 39499920

PMCID: 11576611

The Effect of Effort During a Resistance Exercise Session on Glycemic Control in Individuals Living With Prediabetes or Type 2 Diabetes: a Protocol for a Randomized-controlled, crossover, Clinical Trial

  • Marissa Ramirez; 
  • Maja Gebauer; 
  • Christine Mermier; 
  • Jonathan Little; 
  • Luotao Lin; 
  • Gabriel Palley; 
  • Yu Yu Hsiao; 
  • Roberto Mota Alvidrez; 
  • Zach A Mang; 
  • Fabiano Trigueiro Amorim; 
  • Valmor Tricoli; 
  • Flavio De Castro Magalhães

ABSTRACT

Background:

Type 2 diabetes (T2D) is preceded by prediabetes that places a great burden on patients and society. These conditions are significantly associated with poor glycemic control that is improved by resistance exercise. It has been suggested that resistance exercise should be performed with a high degree of effort for improving glucose metabolism, but this is associated with negative psychological responses that might lead to lower long-term adherence.

Objective:

To investigate the effect of the degree of effort during a resistance exercise session on glycemic control and psychological responses in individuals living with prediabetes or T2D.

Methods:

Fifteen participants will perform 3 randomized experimental conditions, lasting ~48-h each, separated by at least 4 washout days. In 2 of these, resistance exercise will be performed that will differ in the degree of effort in each set (high vs low), but equalized in total weight lifted and session duration. Participants will also complete a sedentary (control) condition. After each session, psychological responses will be assessed (exertion, affect, enjoyment, self-efficacy, and discomfort). Glycemic control will be assessed by a continuous glucose monitoring device throughout the ~48-h of each experimental situation. Food and drink will be provided to participants and physical activity levels will be assessed by accelerometry.

Results:

This study has been funded, and data collection is expected to take place between July 2024 and May 2025. Final manuscript submission should happen by August 2025.

Conclusions:

The results of this project might encourage individuals living with prediabetes and T2D to engage in resistance exercise while better informing exercise specialists on how to best incorporate resistance exercise in their client’s or patient’s routine. Clinical Trial: Clinical trial registry number: https://clinicaltrials.gov/study/NCT06208189


 Citation

Please cite as:

Ramirez M, Gebauer M, Mermier C, Little J, Lin L, Palley G, Hsiao YY, Mota Alvidrez R, Mang ZA, Amorim FT, Tricoli V, De Castro Magalhães F

The Effect of Effort During a Resistance Exercise Session on Glycemic Control in Individuals Living With Prediabetes or Type 2 Diabetes: Protocol for a Crossover Randomized Controlled Trial

JMIR Res Protoc 2024;13:e63598

DOI: 10.2196/63598

PMID: 39499920

PMCID: 11576611

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