Rodrigues, João Gabriel da SilveiraGonçalves, Dawit Albieiro PinheiroCorreia, Augusto de Souza AlvesOgando, Pedro Henrique MadureiraDelevatti, Rodrigo SudattiPires, WashingtonAleixo, Ivana Montandon SoaresSoares, Danusa Dias2023-09-292023-09-292022RODRIGUES, J. G. da S. et al. The volume and order of starting exercise modulates the glucose-lowering effect of a single session of combined exercise in middle-aged and older adults with type 2 diabetes. Journal of Physical Education and Sport, v. 22, n. 4, artigo 132, p. 1041-1050, 2022. Disponível em: <https://www.efsupit.ro/images/stories/aprilie2022/Art%20132.pdf>. Acesso em: 01 ago. 2023.2247 - 806Xhttp://www.repositorio.ufop.br/jspui/handle/123456789/17511Problem Statement: Although combined exercise (CE) is frequently prescribed for glycemic control of Type 2 Diabetes Mellitus (T2DM) subjects, beginning CE session with aerobic or resistance exercises can lead to distinct responses in capillary glucose, especially when training prescriptions differ in intensity and volume. Approach: This study aimed to evaluate the effect of exercise intensity, volume, and order within combined exercise sessions on glycemic response. Purpose: Forty T2DM subjects participated in this study. The subjects were divided into three different protocols: standard (S-P, n = 13), high intensity (HI-P, n = 16), and high volume (HV-P, n = 11) in two counter-balanced orders each [i.e., resistance exercise followed by aerobic exercise (R-A) or vice versa (A-R)]. The capillary glucose was evaluated before and after each CE session. Results: All protocols of combined exercise reduced glucose concentrations (p < .001). HV-P induced a glycemic reduction that was 2-fold higher than that observed in HI-P (34% vs. 18%; p < .05). Both exercise orders within combined exercise session reduced glucose concentrations (S-P: 25%, 28%; HI-P: 17%, 19%, and HV-P: 31%, 36% for A-R and R-A, respectively); however, R-A induced slightly larger (Cohen’s d was 13-33% higher in R-A compared to A-R), but clinically relevant, reductions in all combined exercise protocols. Pre- exercise glucose concentrations were correlated to exercise-induced glucose reduction only in the A-R order (r = 65 to .79, p < .05). Conclusion: All combined exercise protocols were effective in decreasing glucose concentrations. Nonetheless, a higher magnitude of glucose-lowering effect occurred when a higher exercise volume was performed and when performing resistance instead of aerobic exercise in the first place.en-USrestritoConcurrent exerciseBlood glucoseTraining workloadExercise volumeExercise intensityArtigo publicado em periodicohttps://www.efsupit.ro/images/stories/aprilie2022/Art%20132.pdfhttp://dx.doi.org/10.7752/jpes.2022.04132