Objectives: In this study, we aimed to determine the association between upper extremity muscle strength and insulin dose in patients with type 2 diabetes.
Methods: A total of 236 patients with type 2 diabetes under insulin treatment for at least 1 year were included in this cross-sectional study. Patients were divided into 3 groups based on their total daily insulin dose (TDID): group 1, TDID >2 U/kg/day or >200 units/day; group 2, TDID 1 to 2 U/kg/day or 51 to 199 U/day; and group 3, TDID <0.5 U/kg/day or 50 U/day. High-dose insulin use was defined as total daily insulin dose >2 U/kg or >200 U/day. Muscle strength was measured using a handgrip dynamometer.
Results: High-dose insulin users were younger and had higher measures of generalized and central obesity and glycated hemoglobin. There was no significant difference in muscle strength between the groups. Low muscle strength was seen in 26.7% of all patients. Patients with low muscle strength were older, had lower insulin dose treatment and had better glycemic control than patients with normal muscle strength. Handgrip strength was inversely correlated with age, body mass index and duration of diabetes, but not with TDID.
Conclusions: Patients with type 2 diabetes with high-dose insulin use had similar upper extremity muscle strength measurements with standard-dose insulin users. Studies with more patients are needed to determine the relationship between muscle mass, muscle strength and high-dose insulin use.
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http://dx.doi.org/10.1016/j.jcjd.2020.10.003 | DOI Listing |
Sensors (Basel)
December 2024
Department of Computer Engineering, Faculty of Engineering, University of Rijeka, Vukovarska 58, 51000 Rijeka, Croatia.
In the field of muscle fatigue models (MFMs), the prior research has demonstrated success in fitting data in specific contexts, but it falls short in addressing the diverse efforts and rapid changes in exertion typical of soccer matches. This study builds upon the existing model, aiming to enhance its applicability and robustness to dynamic demand shifts. The objective is to encapsulate the complexities of soccer dynamics with a streamlined set of parameters.
View Article and Find Full Text PDFSensors (Basel)
December 2024
Université de Lyon, UCBL1 Laboratoire Inter Universitaire de Biologie de la Motricité, EA 7424, 69100 Villeurbanne Cedex, France.
This study investigated muscle activation, shocks, and vibrations of the upper extremities during tennis serves between junior and adult tennis players. Thirty-five well-trained tennis players (15 juniors and 20 adults) performed 10 maximal successful tennis serves. Two triaxial accelerometers recorded the shock and vibration on the racket and the hand on the dominant side.
View Article and Find Full Text PDFNutrients
December 2024
Exerkine Corporation, McMaster University Medical Center, Hamilton, ON L8N 3Z5, Canada.
Background: Anabolic resistance accelerates muscle loss in aging and obesity, thus predisposing to sarcopenic obesity.
Methods: In this retrospective analysis of a randomized clinical trial, we examined baseline predictors of the adaptive response to three months of home-based resistance exercise, daily physical activity, and protein-based, multi-ingredient supplementation (MIS) in a cohort of free-living, older males ( = 32).
Results: Multiple linear regression analyses revealed that obesity and a Global Risk Index for metabolic syndrome (MetS) were the strongest predictors of Δ% gains in lean mass (TLM and ASM), LM/body fat ratios (TLM/%BF, ASM/FM, and ASM/%BF), and allometric LM (ASMI, TLM/BW, TLM/BMI, ASM/BW), with moderately strong, negative correlations to the adaptive response to polytherapy r = -0.
Nutrients
December 2024
ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, 28040 Madrid, Spain.
An optimal physical condition has beneficial effects in adults at risk of chronic diseases. However, research data on how adverse reactions to food (ARFSs) are linked to physical performance are lacking. The aims of this study were (a) to investigate the prevalence of ARFS according to age; (b) to analyze physical performance level according to the type of ARFS; and (c) to determine the probability of having a positive ARFS according to physical performance levels.
View Article and Find Full Text PDFNutrients
December 2024
Colorectal Service, Sengkang General Hospital, Singapore 544886, Singapore.
Background: Multimodal prehabilitation programs, which may incorporate nutritional supplementation and exercise, have been developed to combat sarcopenia in surgical patients to enhance post-operative outcomes. However, the optimal regime remains unknown. The use of beta-hydroxy beta-methylbutyrate (HMB) has beneficial effects on muscle mass and strength.
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