Dallas Chiropractor Best Practices

Research Commentary;

Avoid Diabetes and Reduce Pain with

Resistance Training

A review of

Davy BM, Winett RA, Savla J, Marinik EL, Baugh ME, Flack KD, Halliday TM, Kelleher SA, Winett SG, Williams DM, Boshra S. Resist diabetes: A randomized clinical trial for resistance training maintenance in adults with prediabetes. PLoS One. 2017 Feb 23;12(2):e0172610. doi: 10.1371/journal.pone.0172610. PMID: 28231265; PMCID: PMC5322950.

Reviewed by Dr. Justin Thompson

Summarized Review of Conclusion

We all know that exercise can help you stay healthy and reduce pain but did you know resistance training can help you avoid diabetes? This research also concluded that resistance training is a cost effective and legitimate intervention for reducing prediabetes prevalence. The retention rate was 76%. After 3 months of training, 34% of participants were no longer prediabetic. There was an 18% increase in the odds of being evident at month 3 and maintained through month 15. This study further solidifies the effectiveness of resistance training as an intervention tool and preventative solution.


Quotes from the Article

“Regular resistance training engagement (1–2 sessions per week) is associated with lower odds of impaired glucose metabolism and all-cause mortality, and with improved physical functioning.”


“Overall, a significant reduction in prediabetes prevalence was demonstrated among previously sedentary overweight and obese older adults with prediabetes.”


“Our findings suggest that RT alone may represent an effective single-component strategy to reduce prediabetes prevalence and thus, type 2 diabetes risk.”


Introduction to the Research

Diabetes is unfortunately, one of the most common conditions in the United States. In the case of Type II diabetes, it is due to an individual not moving or eating well. The prevalence is almost 13% of the population and almost ¼ of the population that is older than 65. A cultural shift around lifestyle factors and decision is needed for these numbers to decrease. We are a part of said culture. This kind of research is the research needed to show individuals that what we do works. Making the small changes of moving well aka resistance training reduces your risk of diabetes and it even can reverse prediabetes!


Research Methodology

Resist Diabetes was a 15-month randomized controlled trial including 170 men and women aged 50–69 years with prediabetes, defined as exhibiting either IFG (fasting glucose = 95–125 mg/dl) and/or IGT (2-hour glucose = 140–199 mg/dl). Following screening and baseline testing, participants first completed a 3-month initiation phase. Resistance training sessions were completed two times per week on nonconsecutive days and were supervised by an American College of Sports Medicine-certified Personal Trainer in a laboratory/gym. To progress to the next phase of the study, participants were required to attend at least 17 of the 24 scheduled RT sessions (70% minimum adherence). After the initial phase, participants were randomly assigned to one of two transition and maintenance conditions for 6 months: 1) a Social Cognitive Theory (SCT)-based intervention delivered over nine transition sessions and nine brief maintenance sessions using interactive, self-regulation procedures with tailored in-person and web-based feedback, 2) a standard, usual care condition consisting of four transition and two brief maintenance sessions with SCT content (e.g., didactic instruction in problem solving) and generic web-based tracking of sessions. The study principal investigators and statistician co-investigator, and participants were blinded to group assignment. Participants transitioned from supervised training to training alone at a self-selected community facility during the maintenance phase and paid associated membership fees. In both conditions, contact ended after 6 months, but participants were expected to continue RT at their respective facilities and all participants continued to have access to the web-based RT tracking system. Assessments occurred at baseline and months 3 (post-initiation), 9 (post-maintenance intervention), and 15 (after 6 months of no contact). Primary outcomes were prevalence of normoglycemia and muscular strength.


Research Findings

After 3 months of RT, 34% of participants were no longer prediabetic. This prevalence of normoglycemia was maintained through month 15 (30%), with no group difference. There was an 18% increase in the odds of being normoglycemic for each % increase in fat-free mass. Increases in muscular strength were evident at month 3 and maintained through month 15 (P<0.001), which represented improvements of 21% and 14% for chest and leg press, respectively. Results did not demonstrate a greater reduction in prediabetes prevalence in the SCT condition.


Research References

As always with these reviews, these are my takeaways from the article and I encourage you to read the article in its entirety.  The references used in this article by the authors of this article are listed here.

Our Message

When you are looking for a Chiropractor near you that you can trust, choose one who will not only get rid of your back pain, neck pain, or headaches but who will also guide you to living a healthier lifestyle to keep you out of pain. Our Chiropractors located in Dallas, near the corner of Mockingbird Ln. and Abrams Rd., will teach you what the research says about how and why we should eat a better diet, move more and have more positive thoughts. By improving these areas of our lives we can become healthier, reduce pain and avoid diabetes and other diseases!