Effects of Different Modes of Exercise Training on Glucose Control and Risk Factors for Complications in Type 2 Diabetic Patients: a Meta-Analysis
Response to Snowling and Hopkins
- Stefano Balducci, MD1,
- Elena Alessi, MD1,
- Patrizia Cardelli, PHD2,
- Stefano Cavallo, PHD2,
- Francesco Fallucca, MD1 and
- Giuseppe Pugliese, MD, PHD1
- 1Diabetes Division, Department of Clinical Sciences, S. Andrea Hospital, 2nd Medical School, University of Rome, Rome Italy
- 2Department of Cellular Biotechnology and Hematology, Laboratory of Clinical Chemistry, St. Andrea Hospital, 2nd Medical School, La Sapienza University, Rome, Italy
- Address correspondence to Dr. Stefano Balducci, Clinical Science, University of Rome, viale del Policlinico, Rome, 00161, Italy. E-mail: sbalducci{at}esinet.it
We read with great interest the results of the meta-analysis by Snowling and Hopkins (1) on the effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients. This most recent meta-analysis of post-2000 randomized controlled trials is perhaps most important because of the size of the cohort (over 1,000 type 2 diabetic patients) and for the study of characteristics and magnitude of effects in more detail than in the previous Boulé meta-analyses (2). Snowling and Hopkins determined that an A1C reduction of 0.8 ± 0.3% is “small” and affirmed in their conclusion that “there are sufficient studies to allow us to conclude that aerobic, resistance, and combined exercise have …
