Effectiveness of resistance training to improve muscle strength and physical performance of patients with diabetes mellitus: a meta-analysis

Dublin Core

Title

Effectiveness of resistance training to improve muscle strength and physical performance of patients with diabetes mellitus: a meta-analysis

Subject

diabetes mellitus, muscle strength, physical performance, resistance training

Description

Introduction: Metabolic disorders in diabetes mellitus (DM) sufferers, caused by insulin resistance, chronic muscle
inflammation, and mitochondrial dysfunction, can affect muscle structure and function and reduce physical
performance (PP). Thus, rehabilitation in the form of resistance training (RT) is needed to overcome these problems.
This study aims to determine the effect of RT on muscle strength (MS; lower and upper limbs) and PP (primary outcome),
as well as body mass index (BMI), VO2 peak, lean muscle mass, HbA1c, blood pressure (BP), and adverse events
(secondary outcome) in patients with DM.
Methods: Six databases were used in a comprehensive search conducted from March to April 2025 to locate relevant
articles. We used Standard Mean Difference (SMD), Mean Difference (MD), and Risk Difference with a 95% Confidence
Interval (CI), to determine the effect of RT. We assess the quality of studies using the Joanna Briggs Institution checklist.
Results: 26 articles randomized controlled trial articles were included, showing that RT has a significant effect on
improving MS (lower and upper limbs), PP (primary outcome), and VO2 peak, LMM (secondary outcome); Additionally,
RT has a significant effect in lowering HbA1c and systolic blood pressure (SBP), but not significantly in reducing diastolic
blood pressure (DBP) (secondary outcome) between the intervention group and control group of patients with DM.
There were no RT-related adverse events.
Conclusions: RT is a rehabilitation recommendation to improve MS and PP and is also a rehabilitative effort for those
living with DM.

Creator

Priscilla Mary Ntim Babae1

, Awurabena Quayeba Dadzie1

, and Denny Maurits Ruku

Source

http://dx.doi.org/10.20473/jn.v20i3.72925

Date

19 August 2025

Contributor

peri irawan

Format

pdf

Language

english

Type

text

Files

Collection

Citation

Priscilla Mary Ntim Babae1 , Awurabena Quayeba Dadzie1 , and Denny Maurits Ruku, “Effectiveness of resistance training to improve muscle strength and physical performance of patients with diabetes mellitus: a meta-analysis,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11156.