Objectives This study aimed to examine the effectiveness of resistance training on hemoglobin A1c (HbA1c) levels and body mass index in patients with diabetes mellitus, categorized by age.
Methods A comprehensive search of English-language literature published between 1997 and 2025 was performed across 6 databases (Embase, CINAHL, Medline, Cochrane, PubMed, and PEDro). Standardized mean differences and 95% confidence intervals were calculated, and publication bias was assessed using funnel plots and Egger’s test. The Joanna Briggs Institute checklist was applied to evaluate study quality.
Results Thirty randomized controlled trials met the inclusion criteria, comprising 620 participants in the older (<60 years of age) subgroup and 1,389 in the middle-aged (40–59 years of age) subgroup. In both subgroups, resistance training significantly reduced HbA1c levels and body mass index, while increasing muscle strength (primary outcome). It also significantly increased high-density lipoprotein, improved VO₂ peak, and reduced low-density lipoprotein (secondary outcomes). However, the effects of resistance training were significant only in the older-adult subgroup for total cholesterol and only in the middle-aged subgroup for triglycerides.
Conclusion Resistance training is a recommended rehabilitation exercise for patients with diabetes mellitus. Routine resistance training has been shown to help maintain optimal HbA1c and body mass index levels and improve muscle strength. In addition, it does not pose a risk of adverse events in either middle-aged or older patients. Nonetheless, patients are advised to monitor blood glucose levels and adhere to a proper diet to achieve optimal outcomes.
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<sec>
<title>Objectives</title>
<p>Different factors are responsible for the silent epidemic of diabetes mellitus in developing and developed countries. This study aimed to determine the role of demographic factors, lipid profile, family history (the estimation of genetic association) and anthropometric factors on diabetes onset.</p></sec>
<sec>
<title>Methods</title>
<p>Data from the enrolment phase of the Tabari Cohort study was applied for this study and included 10,255 participants aged between 35–70 years. Anthropometric variables were measured by trained staff using standard tools. Blood specimens were collected for lipid profile and blood glucose measurements. Data analyses were performed using SPSS version 24, with univariate and multivariate logistic regression.</p></sec>
<sec>
<title>Results</title>
<p>The prevalence of diabetes mellitus was estimated to be 17.2% in the cohort population, 15.6% in men, and 18.3% in women. The adjusted odds ratios (95% confidence intervals) for age groups 40–49, 50–59 and over 60 were 2.58 (2.20–3.69), 5.80 (4.51–7.48) and 8.72 (6.67–11.39), respectively. In addition, the odds ratios (95% confidence intervals) for 2 (or more), and 1 affected family member were 4.12 (3.55–4.90) and 2.34 (2.07–2.65), respectively. Triglyceride concentrations more than 500, and abnormal high-density lipoprotein levels increased the odds of diabetes mellitus by 3.29- and 1.18-fold, respectively.</p></sec>
<sec>
<title>Conclusion</title>
<p>The current study showed that old age and a family history were strong predictors for diabetes mellitus.</p></sec>
The association between smoking profile, leukocyte count, and inflammatory indices in males: a cross-sectional analysis of the TABARI cohort study at enrollment phase Erfan Ghadirzadeh, Mahmood Moosazadeh, Motahareh Kheradmand, Masoumeh Bagheri-Nesami, Sajad Ghafari-Cherati, Mobina Gheibi, Amirsaeed Hosseini Inhalation Toxicology.2025; 37(3): 146. CrossRef
Application of generalized linear mixed effects random forest for identifying risk factors of prediabetes in Tehran Lipid and Glucose Study Maryam Karimi Ghahfarokhi, Farid Zayeri, Davood Khalili, Chiara Masci, Ali Sheidaei, Yaser Mehrali, Fatemeh Masaebi, Yadollah Mehrabi Scientific Reports.2025;[Epub] CrossRef
The prevalence and determinants of diabetes mellitus and thyroid disorder comorbidity in Tabari cohort population Mahmood Moosazadeh, Saeedeh Khakhki, Adele Bahar, Akbar Hedayatizadeh-Omran, Motahareh Kheradmand, Reza Alizadeh-Navaei, Erfan Ghadirzadeh Scientific Reports.2024;[Epub] CrossRef
The relationship between spiritual intelligence and self-management in patients with diabetes type 1 Sima Rafiei, Saber Souri, Zahra Nejatifar, Mohammad Amerzadeh BMC Endocrine Disorders.2023;[Epub] CrossRef
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<sec>
<title>Objectives</title>
<p>The aim of this study was to evaluate whether the waist circumference of patients with chronic obstructive pulmonary disease (COPD), had an impact on lung function.</p></sec>
<sec>
<title>Methods</title>
<p>There were 180 patients with COPD recruited into this prospective cross-sectional study. The age, weight, body mass index and waist circumference (WC) were measured. Spirometry parameters including forced vital capacity (FVC), and forced expiratory volume in the first second (FEV1), were measured and FEV1/FVC calculated.</p></sec>
<sec>
<title>Results</title>
<p>The mean FEV1/FVC in both normal weight and overweight patients, did not statistically significantly correlate with WC. The COPD assessment test, positively correlated with WC ( <italic>p</italic> = 0.031). A positive correlation with body mass index ( <italic>p</italic> < 0.001), smoking ( <italic>p</italic> = 0.027), and global initiative for chronic obstructive lung disease score ( <italic>p</italic> = 0.009), were observed to positively associate with WC. WC, age, C-reactive protein, duration of disease, and gender (male), were observed to be statistically significant risk factors for the severity of COPD.</p></sec>
<sec>
<title>Conclusion</title>
<p>WC was not observed to impact upon lung function in this study but it was a predictive factor for COPD severity in patients.</p></sec>
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<sec>
<title>Objectives</title>
<p>The objective of this study was to examine the socio-demographic disparities in obesity among US adults across 130 metropolitan and micropolitan statistical areas.</p></sec>
<sec>
<title>Methods</title>
<p>This study used data from the 2015 Behavioral Risk Factor Surveillance System and Selected Metropolitan/Micropolitan Area Risk Trend of 159,827 US adults aged 18 years and older. Data were analyzed using the multilevel linear regression models.</p></sec>
<sec>
<title>Results</title>
<p>According to individual level analyses, socio-demographic disparities in obesity exist in the United States. Individuals with low socioeconomic status were associated with a higher body mass index. The participants from the Midwest United States tend to have higher body mass index than those who from the South. According to metropolitan and micropolitan statistical area level analyses, secondly, there were significant differences in obesity status between different areas and the relation of obesity with 5 socio-demographic factors varied across different areas. According to geospatial mapping analyses, even though obesity status by metropolitan and micropolitan statistical area level has improved overtime, differences in body mass index between United States regions are increasing from 2007 to 2015.</p></sec>
<sec>
<title>Conclusion</title>
<p>Socio-demographic and regional disparities in obesity status persist among US adults. Hence, these findings underscore the need to take socio-environmental factors into account when planning obesity prevention on vulnerable populations and areas.</p></sec>
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<sec>
<title>Objectives</title>
<p>To identify trends in percentage body fat (PBF) in adolescents to determine gender-specific classification thresholds for being overweight and obese.</p></sec>
<sec>
<title>Methods</title>
<p>A cross-sectional study of 899 adolescents (11 to 14.5 years) from Hanoi and Nam Dinh was conducted in Vietnam. PBF, subcutaneous fat and percentage of lean mass were measured directly using OMRON HBF 375 scales to measure bioelectrical impedance.</p></sec>
<sec>
<title>Results</title>
<p>PBF decreased in boys with increasing age (<italic>p</italic> < 0.001). The difference in PBF between boys and girls, significantly increased with age after 12.5 years (<italic>p</italic> < 0.001). There was a stronger correlation between PBF and fat content (Pearson’s <italic>r</italic> = <italic>0.860</italic>, <italic>p</italic> < <italic>0.0001</italic>) than that between (BMI) and fat content (Pearson’s <italic>r</italic> = <italic>0.521</italic>, <italic>p</italic> < <italic>0.0001</italic>). The prevalence of being overweight or obese in girls was similar when determined by PBF or BMI. Hanoi had higher rates of adolescents being overweight or obese compared with Nam Dinh.</p></sec>
<sec>
<title>Conclusion</title>
<p>PBF provides a more accurate body assessment for being overweight or obese in adolescents compared with BMI.</p></sec>
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<sec>
<title>Objectives</title>
<p>This study compared foot arch height, plantar fascia thickness, a range of motion assessments of the ankle joint, strength of the ankle joint, plantar pressure, and balance between obese and normal weight young adults.</p></sec>
<sec>
<title>Methods</title>
<p>Fifty-two participants were required for the present study design to achieve 80% power, 0.8 effect size (η2), and an alpha level of 0.05. The participants were categorized to normal weight or obese groups based on BMI (≤ 24 kg/m<sup>2</sup> and ≥ 25 kg/m<sup>2</sup>, respectively). The foot and ankle disability index and Sport survey were completed by the participants before the measurements. Foot arch height was measured using the navicular drop test, and plantar fascia thickness was measured using ultrasound. Plantar pressure and balance tests were also conducted, followed by ankle joint range of motion and strength tests.</p></sec>
<sec>
<title>Results</title>
<p>Foot arch height and plantar fascia thickness was significantly higher in the obese group compared with the normal weight group (<italic>p</italic> < 0.01). There were significant differences in eversion of ankle strength, plantar pressure in the big toe and heel and anterior-posterior balance between normal and obese weight groups (<italic>p</italic> < 0.05).</p></sec>
<sec>
<title>Conclusion</title>
<p>Obese young adults had more abnormalities in the medial longitudinal arch, plantar fascia, and plantar pressure as well as weakened ankle eversion strength and balance problems compared with the normal weight group.</p></sec>
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Standard reference values of weight and maximum pressure distribution in healthy adults aged 18–65 years in Germany D. Ohlendorf, K. Kerth, W. Osiander, F. Holzgreve, L. Fraeulin, H. Ackermann, D. A. Groneberg Journal of Physiological Anthropology.2020;[Epub] CrossRef
<sec>
<title>Objectives</title>
<p>To describe the distribution of social factors, lifestyle habits and anthropometric measurements according to hypertension and Type-2 diabetes.</p></sec>
<sec>
<title>Methods</title>
<p>A cross-sectional study was conducted in Gaza City, Palestine that included 379 patients (20–60 years) who had hypertension and/or diabetes. Three groups of patients were involved; 106 hypertensive (HT), 109 diabetic (T2DM) and 164 hypertensive diabetics (HT + T2DM).</p></sec>
<sec>
<title>Results</title>
<p>The HT + T2DM group were older and had a higher body mass index compared to HT and T2DM groups. There were 62.3% patients who were female, 49.2% were highly educated HT patients, and 49.3% patients had a low level of education and were HT + T2DM. There were 55.8% patients who lived in large families. Patients who were passive smokers or never smoked before were mostly HT + T2DM, while active smokers and past smokers had T2DM. There were 48.2% patients who were highly physically active who had HT, 40.9% whom were moderately active had T2DM, and 53.8% of patients who had a low level of activity were HT + T2DM. Multivariate linear regression showed that having a diseased mother, living in a large family, being a past or passive smoker, or never having smoked, having a low or moderate level of activity, and having HT or HT + T2DM, were significantly associated with an increased body mass index.</p></sec>
<sec>
<title>Conclusion</title>
<p>Parental health/disease conditions and environmental factors (social network and lifestyle habits) played the greatest role in the development of obesity and disease.</p></sec>
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<sec>
<title>Objectives</title>
<p>This study was designed to investigate factors affecting the discordance between body image and body mass index amongst Korean adults aged 19–39 years.</p></sec>
<sec>
<title>Methods</title>
<p>Data (<italic>N</italic> = 59,361) from the 2014 Korean Community Health Survey was analyzed using descriptive analysis, chi-square test, and logistic regression analysis.</p></sec>
<sec>
<title>Results</title>
<p>To examine the factors affecting body image discordance as observed in 43.1% of participants, the group was subdivided into underestimation and overestimation. There were 36.0% of participants that were body image discordant underestimators and 7.1% were overestimators. Multivariate logistic regression analysis showed that the underestimators tended to be men, graduated from high school, married, current/ex-smokers, ex-drinkers, had between 5 to 9 hours sleep (inclusive), had fair to good self-rated health, and demonstrated healthy weight control behavior, relative to the reference group. In comparison, overestimators tended to be in the 19–29 year group and had signs of depression. The OR of individuals who were men, married, and had healthy weight control behavior was significantly lower in the overestimators group.</p></sec>
<sec>
<title>Conclusion</title>
<p>These findings show that tailored interventions to promote accurate body awareness should be based on the type of body image discordance. In addition, it is necessary to develop and implement a program of body image improvement that considers the factors affecting body weight discordance.</p></sec>
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Weight underestimation linked to anxiety and depression in a cross-sectional study of overweight individuals in a Sami and non-Sami Norwegian population: the SAMINOR Study Kirsti Kvaløy, Marita Melhus, Anne Silviken, Ann Ragnhild Broderstad BMJ Open.2019; 9(11): e031810. CrossRef
<sec>
<title>Objectives</title>
<p>To investigate the effect of smoking upon cardiopulmonary function, maximal oxygen uptake, and obesity index, in middle-aged and older workers to propose guidelines on healthcare for these age groups.</p></sec>
<sec>
<title>Methods</title>
<p>This study analyzed medical data from 2,753 white-collar workers aged 50 years or older from workplaces located in Seoul, South Korea. Blood pressure (BP), resting heart rate, maximal oxygen uptake (VO<sub>2</sub>max), and body mass index (BMI) of each subject were measured. The collected data were analyzed using SPSS 21.0.</p></sec>
<sec>
<title>Results</title>
<p>In the smoking group BP and resting heart rate were significantly higher than in the non-smoking and smoking-cessation groups (<italic>p</italic> < 0.05). In addition, VO<sub>2</sub>max was lower in the smoking group compared to the other 2 groups. BP closely correlated with resting heart rate, abdominal fat ratio, and BMI. BMI was the highest in the group that stopped smoking and, BMI and abdominal fat ratio negatively correlated with VO<sub>2</sub>max.</p></sec>
<sec>
<title>Conclusion</title>
<p>Smoking increases the risk of cardiopulmonary disease but obesity may be caused by stopping smoking. Therefore, healthcare guidelines on smoking cessation should also include nutritional advice.</p></sec>
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Smoking Status on Bone Health and Osteoporosis Prevalence Vu H. Nguyen Osong Public Health and Research Perspectives.2018; 9(4): 213. CrossRef
<sec>
<title>Objectives</title>
<p>The purpose of this study was to evaluate hypertension with simple anthropometry data related to obesity in Korean adults and identify whether age specific waist circumference (WC) may be a useful screening tool for determining hypertension.</p></sec>
<sec>
<title>Methods</title>
<p>Subjects (<italic>n</italic> = 571) were classified into 3 groups by age; young (18–39 years), middle aged (40–64 years), and old aged (≥ 65 years). Correlations between demographic and anthropometric parameters and hypertension were performed using Spearman correlation analysis. Logistic regression analysis and ROC (receiver operating characteristics) curves were also analyzed for correlations with hypertension.</p></sec>
<sec>
<title>Results</title>
<p>Spearman correlation analyses, age, gender, WC, and body mass index were positively correlated with hypertension. When logistic regression analysis was performed, increased age and increased WC was associated with a higher incidence of hypertension, although gender and body mass index were not significantly related to hypertension. In ROC analysis of WC for hypertension demonstrated that patients in the old age group showed higher WC cutoff value than patients in the young and middle aged groups.</p></sec>
<sec>
<title>Conclusion</title>
<p>The findings of this study demonstrate that WC may be a useful predictor of hypertension incidence among demographic and anthropometric factors in Korean adults. In addition, WC in the young population was more sensitive to the incidence of hypertension than in the elderly population.</p></sec>
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Obesity and hypertension: the role of criteria D P Tsygankova, K E Krivoshapova, S A Maksimov, E V Indukaeva, E B Shapovalova, G V Artamonova, O L Barbarash Systemic Hypertension.2019; 16(1): 32. CrossRef
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