Diabetes Metab J.  2011 Aug;35(4):418-426. 10.4093/dmj.2011.35.4.418.

Effects of Resistance Training and Aerobic Exercise on Insulin Sensitivity in Overweight Korean Adolescents: A Controlled Randomized Trial

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. JaeHyeonKim@paran.com
  • 2Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
  • 3Department of Physical Education, Seoul National University College of Education, Seoul, Korea.
  • 4Department of Laboratory Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
  • 5Seoul National University Hospital Healthcare System Gangnam Center, Healthcare Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Abstract

BACKGROUND
Data on the impact of resistance training on insulin resistance in overweight or obese children are inconclusive.
METHODS
Thirty overweight South Korean adolescents (mean age of 13.10 years) were divided by sex, and then randomly assigned to one of three treatment groups, which were the diet only (DO), diet with aerobic exercise (AE), or diet with resistance training (RT) group. Physiologic and metabolic parameters were assessed at baseline and after 12 weeks of exercise training and diet modification.
RESULTS
Both exercise groups (aerobic and resistance) showed significant improvements in their insulin area under the curve and insulin sensitivity index values when compared to their baseline values while the DO group showed no significant changes in these variables. Age-, sex-, and body mass index (BMI)-adjusted intergroup comparison analyses showed a marked reduction in BMI and a significant reduction in muscle mass in the AE group when compared to the RT group and the DO group, respectively.
CONCLUSION
A 12-week exercise training program of either resistance or aerobic activity improved insulin sensitivity in overweight adolescents, although it failed to show superiority over a DO program. Aerobic exercise decreased both body weight and BMI, and it was noted that this group also had a significant reduction in muscle mass when compared to the DO group.

Keyword

Adolescent; Aerobic exercise; Insulin sensitivity; Resistance training

MeSH Terms

Adolescent
Body Mass Index
Body Weight
Child
Diet
Exercise
Humans
Insulin
Insulin Resistance
Muscles
Overweight
Resistance Training
Insulin

Figure

  • Fig. 1 Individual changes in insulin area under the curve (AUC) of each group. DO, diet only; AE, diet with aerobic exercise; RT, diet with resistance training.


Cited by  1 articles

Role of exercise on insulin sensitivity and beta-cell function: is exercise sufficient for the prevention of youth-onset type 2 diabetes?
Joon Young Kim, Justin Y. Jeon
Ann Pediatr Endocrinol Metab. 2020;25(4):208-216.    doi: 10.6065/apem.2040140.070.


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