Oh yeah, increase in insulin sensitivity/glucose metabolism.
Abstract:
Battling insulin resistance in elderly obese people with type 2 diabetes: bring on the heavy weights.
Willey KA, Singh MA.
School of Exercise and Sport Science, the University of Sydney, Lidcombe, Australia.
Exercise improves insulin resistance and has beneficial effects in preventing and treating type 2 diabetes. However, aerobic exercise is hindered in many type 2 diabetic patients because of advancing age, obesity, and other comorbid conditions. Weight lifting or progressive resistance training (PRT) offers a safe and effective exercise alternative for these people. PRT promotes favorable energy balance and reduced visceral fat deposition through enhanced basal metabolism and activity levels while counteracting age- and disease-related muscle wasting. PRT improves insulin sensitivity and glycemic control; increases muscle mass, strength, and endurance; and has positive effects on bone density, osteoarthritic symptoms, mobility impairment, self-efficacy, hypertension, and lipid profiles. PRT also alleviates symptoms of anxiety, depression, and insomnia in individuals with clinical depression and improves exercise tolerance in individuals with cardiac ischemic disease and congestive heart failure; all of these aspects are relevant to the care of diabetic elders. Moreover, PRT is safe and well accepted in many complex patient populations, including very frail elderly individuals and those with cardiovascular disease. The greater feasibility of using PRT over aerobic exercise in elderly obese type 2 diabetic individuals because of concomitant cardiovascular, arthritic, and other disease provides a solid rationale for investigating the global benefits of PRT in the management of diabetes.
Publication Types:
Review
Review, Tutorial
PMID: 12716822 [PubMed - indexed for MEDLINE]
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Another one:
[Physical activity to delay the effects of aging on mobility]
[Article in French]
Lacour JR, Kostka T, Bonnefoy M.
Service de geriatrie, Centre hospitalier Lyon-sud.
lacour@univ-lyon1.fr
SARCOPENIA: Aging is accompanied by the progressive reduction in cardio-pulmonary capacity and muscular strength. These two phenomena are partly related to the decrease in muscle mass, or sarcopenia. CARDIO-PULMONARY CAPACITY: Measured by maximum oxygen consumption (VO2max), it demonstrates the individual's capacity for movement. It is also the principle marker of mortality due to cardiovascular events. VO2max decreases by around 0.8% each year, in close correlation with the evolution in muscle mass. These phenomena are partly related to reduced physical activity and, particularly, intense activity greater than 6 MET. Regular practice of moderately intense physical activity can maintain VO2max at a level 20 to 35% superior to that of the mean level in the same age range, and is associated with increased autonomic nervous system activity. DECREASED MUSCULAR STRENGTH: Sarcopenia and the proportional decrease in fast-twitch muscle fibers are related to a reduction in physical activity. The decrease in muscular strength is a handicapping factor and increases the risk of falls. Two sessions of training per week can increase by more than 30% the strength of the muscles concerned, by increasing the muscle volume and the maximum frequency of emission of motoneuron influx. The production of somatotropin, insulin-like growth factor-I and testosterone can also be increased. High-resistance exercises are themselves sufficient to increase bone density. In the light of these advantages, the practice of workouts in endurance and strength should be encouraged.
Publication Types:
Review
Review, Tutorial
PMID: 12192731 [PubMed - indexed for MEDLINE]