Title:Influence of Anaerobic Exercise in Type 1 Diabetes Mellitus Biomarkers: A
Systematic Review
Volume: 20
Issue: 9
Author(s): Renata Carmo de Assis, Roberta Freitas Celedonio, Ashley Brito Valentim, Gabrielly Rossi Monteiro, Antonia Mariza Herculino da Silva, Ana Cecília Pereira Dantas and Carla Soraya Costa Maia*
Affiliation:
- Department of Nutrition, State University Ceara, Fortaleza, Brazil
Keywords:
Glycemic control, diabetes mellitus type 1, exercise, glucose monitoring, glycated hemoglobin, skeletal muscle.
Abstract:
Aim: Physical exercise is part of the type 1 diabetes mellitus (T1DM) treatment. However,
this practice is still neglected due to the wide variety of glycemic responses under the influence
of anaerobic exercise. Therefore, this study aimed to investigate the influence of anaerobic
exercise on biomarkers of T1DM.
Methods: The systematic review was conducted on PubMed, Lilacs, and Embase, according to
PRISMA. For this purpose, three groups of descriptors were used: Adults with T1DM, anaerobic
physical exercise, and glycemic control. The search filter was set to human beings older than 18
years of age, longitudinal and cross-sectional studies, with studies published from 2000 to 2023 in
English, Spanish, or Portuguese. Titles and abstracts were read independently by two reviewers,
and then the articles were selected for this review. The Kappa coefficient was measured to evaluate
the selection.
Results: A total of 738 articles were identified, and five were selected to be part of the review after
applying the steps of the procedure. Some benefits were observed in fatigue reduction, absence of
diabetic ketoacidosis requiring hospitalization, and enhancement of glucose monitoring during exercise.
In the anaerobic workouts of the groups with T1DM, glycemic mean values ranged from
124.5-185.0 mg/dl, and glycated hemoglobin records ranged from 6.7-8.1%.
Conclusion: Anaerobic exercise improved the biomarkers of T1DM, especially glycemic control,
and the reduction of symptomatic hypoglycemic episodes. Anaerobic exercise can be performed
by individuals with T1DM, suggesting an individualized training prescription and encouraging its
practice associated with aerobic exercise.
