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Efectos del ejercicio fisico intervalado en la mejora del control glicemico de adultos obesos con insulinorresistencia (Effects of interval exercise in the improvement of glycemic control of obese adults with insulin resistance) [Spanish]
Dalmazzo V, Ponce A, Delgado Floody PA, Carrasco Alarcon VC, Martinez Salazar C
Nutricion Hospitalaria 2019 May-Jul;36(3):578-582
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: BACKGROUND: Physical exercise presents evidence for the treatment of insulin resistance. However, it is necessary to deepen this knowledge. OBJECTIVE: To compare the effectiveness of a high intensity interval training program (HIIT) with one of resistance training (RT) to improve biochemical parameters of insulin/basal glycemia and post-load. MATERIAL AND METHODS: Twenty-eight (36 +/- 13 years old) non-medicated insulin-resistant individuals (age 36 +/- 13 years) were studied. Two groups were randomly formed: RT group (n = 14) and HIIT group (n = 14). Each group participated in 12 weeks of intervention (three sessions/week). Both groups were homogeneous (p > 0.05) in terms of age, weight, height and BMI. Basal glycemia/insulinemia and post-load were evaluated, pre and post intervention. RESULTS: After the intervention there were significant decreases in both groups in: fat (%) HIIT (pre 40.20 +/- 7.31 versus post 36.49 +/- 7.28%, p = 0.006), RT (pre 39.04 +/- 8.52 versus post 34.91 +/- 8.80%, p = 0.002); fasting insulin, HIIT (pre 20.64 +/- 9.44 versus post 15.20 +/- 6.47 uIU/ml, p = 0.0006), RT pre 18.50 +/- 8.24 versus post 13.59 +/- 6.11 uIU/ml, p = 0.015); insulin post load, HIIT (pre 127.57 +/- 71.73 versus post 69.25 +/- 39.42 uIU/ml, p < 0.0001), RT (pre 125.78 +/- 59.85 versus post 63.45 +/- 36.44 uIU/ml, p < 0.0001); and fasting glycemia, HIIT (pre 92.86 +/- 11.39 versus post 87.36 +/- 8.00, p = 0.031), RT (pre 90.79 +/- 11.26 versus post 85.26 +/- 7.88 mg/dl, p = 0.045). In relation to post-load glycemia only the HIIT group decreased significantly (pre 128.57 +/- 26.90 versus post 103.47 +/- 12.70 mg/dl, p < 0.001), reporting differences with the RT group (p < 0.042). CONCLUSION: Both programs showed similar results for the treatment of insulin resistance.

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