Body Composition

Effectiveness of community-based Baduanjin combined with resistance training on cardiometabolic risk factors in older adults with type 2 diabetes: a 16-week randomized controlled trial.

TL;DR

A 16-week program combining Baduanjin with resistance training improved glycemic control, muscle strength, and body composition in older adults with type 2 diabetes, though secondary outcomes including blood pressure and lipid levels showed no statistically significant differences between groups.

Key Findings

The combined Baduanjin and resistance training intervention significantly reduced fasting plasma glucose compared to the control group.

  • Group-by-time interaction: B = -0.81, 95% CI [-1.43, -0.20], p = 0.010
  • 123 participants total: 60 in intervention group, 63 in control group
  • Intervention consisted of 2-3 sessions/week, 60 min/session over 16 weeks
  • Control group received traditional health education without structured exercise and maintained usual daily activities

The combined intervention significantly reduced HbA1c levels compared to the control group.

  • Group-by-time interaction: B = -0.39, 95% CI [-0.64, -0.14], p = 0.003
  • HbA1c was a primary outcome measure assessed at baseline and 4-month follow-up
  • The intervention group received supervised BDJ combined with resistance training

The intervention significantly improved both left and right handgrip strength in the intervention group compared to controls.

  • Left handgrip strength: B = 2.02, 95% CI [0.98, 3.05], p < 0.001
  • Right handgrip strength: B = 3.75, 95% CI [2.46, 5.05], p < 0.001
  • Handgrip strength was a primary outcome measure
  • Assessments performed at baseline and at 4-month follow-up

The combined intervention significantly reduced body weight and BMI compared to the control group.

  • Weight group-by-time interaction: B = -1.30, 95% CI [-2.17, -0.44], p = 0.003
  • BMI group-by-time interaction: B = -0.49, 95% CI [-0.82, -0.17], p = 0.003
  • Body composition was a primary outcome measure
  • Control group participants maintained usual daily activities and attended monthly health education talks

The intervention significantly reduced waist circumference compared to the control group.

  • Group-by-time interaction: B = -1.21, 95% CI [-2.09, -0.32], p = 0.008
  • Waist circumference was assessed as part of body composition outcomes
  • This was among the primary outcome measures evaluated at baseline and 4-month follow-up

None of the secondary outcome measures, including blood pressure and lipid levels, showed statistically significant differences between groups at 4-month follow-up.

  • Secondary endpoints included blood pressure and lipid levels
  • No statistically significant group-by-time interactions were observed for any secondary outcomes
  • Assessments were performed at baseline and at 4-month follow-up
  • The study was assessor-blinded and randomized controlled in design

What This Means

This research suggests that combining Baduanjin (a traditional Chinese qigong exercise) with resistance training for 16 weeks can meaningfully improve several important health markers in older adults with type 2 diabetes. Participants who did 2-3 exercise sessions per week of 60 minutes each showed significant improvements in blood sugar control (both fasting glucose and HbA1c), body weight, waist size, and grip strength compared to a control group that only received standard health education. These results came from a randomized controlled trial involving 123 older adults with type 2 diabetes in a community setting. However, this research suggests that the combined exercise program did not produce statistically significant changes in blood pressure or blood lipid levels (such as cholesterol and triglycerides) compared to the control group over this 16-week period. This means that while the exercise combination appeared effective for blood sugar management, body composition, and muscle strength, its impact on cardiovascular risk factors like blood pressure and cholesterol was not demonstrated within this timeframe. This research matters because it demonstrates that a community-based exercise program combining traditional and modern exercise approaches can be successfully implemented in diabetes self-management settings for older adults. The improvements in blood sugar control and physical strength are particularly relevant because older adults with type 2 diabetes are at increased risk for muscle loss and poor glycemic control, both of which contribute to complications. This approach may offer an accessible, culturally relevant exercise option for this population.

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Citation

Liu F, Zhu X, Leng H, Chen C. (2026). Effectiveness of community-based Baduanjin combined with resistance training on cardiometabolic risk factors in older adults with type 2 diabetes: a 16-week randomized controlled trial.. Frontiers in endocrinology. https://doi.org/10.3389/fendo.2026.1930328