Fact of the day

Pooling 34 randomised trials in 2461 adults aged 60 and over with type 2 diabetes, every exercise type beat control for HbA1c, but combined aerobic plus resistance training led the field with a 1.05% reduction and ranked first across glycaemic outcomes. Benefits on HbA1c appeared to start at roughly 520 MET-min per week.

Study design

Meta-analysis

Journal

Front Endocrinol (Lausanne)

Evidence

well supported

⚠What it shows: Systematic review and Bayesian network meta-analysis of 34 RCTs (2461 participants, mean age 60+); modality rankings rest on indirect comparisons, the 2-hour glucose evidence was sparse, and the dose-response curves need confirmation in purpose-built trials.Meta-analysis · Front Endocrinol (Lausanne)