{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T02:12:09Z","timestamp":1794622329752,"version":"4.9.1"},"reference-count":101,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2024,12,12]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To evaluate the effects of resistance training on cardiometabolic health-related outcomes in patients with type 2 diabetes mellitus (T2DM) and overweight\/obesity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Systematic review and meta-analysis of randomised controlled trials (RCTs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Data sources<\/jats:title>\n                  <jats:p>PubMed, Web of Science, Scopus, Science Direct, Cochrane Library and Google Scholar databases were searched from inception up to May 2024. The search strategy included the following keywords: diabetes, resistance exercise and strength training.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Eligibility criteria for selecting studies<\/jats:title>\n                  <jats:p>RCTs published in English comparing resistance training alone with non-exercising standard treatment. Participants were adults diagnosed with T2DM and concurrent overweight\/obesity (body mass index (BMI) \u226525\u2009kg\/m<jats:sup>2<\/jats:sup>).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 18 RCTs qualified involving 1180 patients (48.6\/51.4 female\/male ratio; 63.3\u00b17.0 years; 29.3\u00b14.3\u2009kg\/m<jats:sup>2<\/jats:sup>). Waist circumference (standardised mean differences (SMD) \u22120.85\u2009cm, 95% CI \u22121.66 to \u22120.04), waist-to-hip ratio (SMD \u22120.72, 95%\u2009CI \u22121.30 to \u22120.15), high-density lipoprotein cholesterol (SMD +0.40\u2009mg\/dL, 95%\u2009CI 0.07 to \u22120.72), triglycerides (SMD \u22120.54\u2009mg\/dL, 95%\u2009CI \u22121.06 to \u22120.02), fasting blood glucose (SMD \u22120.65\u2009mmol\/L, 95%\u2009CI \u22121.19 to \u22120.12), fasting insulin (SMD \u22120.74 uIU\/mL, 95%\u2009CI \u22121.12 to \u22120.36) and glycated haemoglobin (SMD \u22120.32%, 95%\u2009CI \u22120.63 to \u22120.01) improved compared with standard treatment. The risk of bias was low to unclear, and the quality of evidence was very low to moderate.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Resistance training as a standalone exercise intervention in the management and treatment of T2DM with concurrent overweight\/obesity is associated with many cardiometabolic benefits when compared with standard treatment without exercise.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>PROSPERO registration number<\/jats:title>\n                  <jats:p>CRD42022355612.<\/jats:p>\n               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