The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus

BackgroundExercise holds promise as a non-pharmacological intervention for improving sleep quality. Therefore, this study investigated the potential relationship between abdominal fat and sleep quality after combined exercise in patients with T2DM (Type 2 diabetes mellitus).Material and methodsA tot...

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Main Authors: Yu Han, Yue-Xia Han, Fang Huang, Hui-Ming Zou, Qing Gu, Xue Hu, Jing-Xian Fang, Jian Meng, Sui-Jun Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1471608/full
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author Yu Han
Yue-Xia Han
Fang Huang
Hui-Ming Zou
Qing Gu
Xue Hu
Jing-Xian Fang
Jian Meng
Sui-Jun Wang
author_facet Yu Han
Yue-Xia Han
Fang Huang
Hui-Ming Zou
Qing Gu
Xue Hu
Jing-Xian Fang
Jian Meng
Sui-Jun Wang
author_sort Yu Han
collection DOAJ
description BackgroundExercise holds promise as a non-pharmacological intervention for improving sleep quality. Therefore, this study investigated the potential relationship between abdominal fat and sleep quality after combined exercise in patients with T2DM (Type 2 diabetes mellitus).Material and methodsA total of 100 adults with T2DM (52 women, 48 men), aged 55-75years, were enrolled in the study who were sufficiently active and physically fit were recruited and were randomized equally into four groups: a control group, an AEX group (aerobic exercise), a REX group (resistance exercise) and a COMB group (combination exercise). Patient sleep monitoring reports were collected using a smart bracelet. After 12 weeks of intervention, the Pittsburgh Sleep Quality Index (PSQI) total score, total sleep time, sleep efficiency, time to reawakening, BMI (body mass index), FBG (fasting blood glucose), HOMA-IR (insulin resistance index), HbA1c (glycosylated hemoglobin), VAT (visceral adipose tissue), SAT (subcutaneous adipose tissue), and LBM (lean body mass) were compared among the four groups.ResultsAll exercise training programs improved the PSQI score in patients with type 2 diabetes. COMB is the only training that improves objective sleep quality and quantity, including total sleep time, sleep efficiency, and wake time after sleep onset.ConclusionA comprehensive exercise program to reduce abdominal fat can benefit metabolic and sleep health in people with type 2 diabetes.
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spelling doaj-art-ceac61fe0cbb4a3fa9b1eb010e71a4d02025-08-20T02:22:16ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-06-011610.3389/fendo.2025.14716081471608The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitusYu HanYue-Xia HanFang HuangHui-Ming ZouQing GuXue HuJing-Xian FangJian MengSui-Jun WangBackgroundExercise holds promise as a non-pharmacological intervention for improving sleep quality. Therefore, this study investigated the potential relationship between abdominal fat and sleep quality after combined exercise in patients with T2DM (Type 2 diabetes mellitus).Material and methodsA total of 100 adults with T2DM (52 women, 48 men), aged 55-75years, were enrolled in the study who were sufficiently active and physically fit were recruited and were randomized equally into four groups: a control group, an AEX group (aerobic exercise), a REX group (resistance exercise) and a COMB group (combination exercise). Patient sleep monitoring reports were collected using a smart bracelet. After 12 weeks of intervention, the Pittsburgh Sleep Quality Index (PSQI) total score, total sleep time, sleep efficiency, time to reawakening, BMI (body mass index), FBG (fasting blood glucose), HOMA-IR (insulin resistance index), HbA1c (glycosylated hemoglobin), VAT (visceral adipose tissue), SAT (subcutaneous adipose tissue), and LBM (lean body mass) were compared among the four groups.ResultsAll exercise training programs improved the PSQI score in patients with type 2 diabetes. COMB is the only training that improves objective sleep quality and quantity, including total sleep time, sleep efficiency, and wake time after sleep onset.ConclusionA comprehensive exercise program to reduce abdominal fat can benefit metabolic and sleep health in people with type 2 diabetes.https://www.frontiersin.org/articles/10.3389/fendo.2025.1471608/fulltype 2 diabetes mellitusexerciseVAT (visceral adipose tissue)SAT (subcutaneous adipose tissue)sleep quality
spellingShingle Yu Han
Yue-Xia Han
Fang Huang
Hui-Ming Zou
Qing Gu
Xue Hu
Jing-Xian Fang
Jian Meng
Sui-Jun Wang
The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus
Frontiers in Endocrinology
type 2 diabetes mellitus
exercise
VAT (visceral adipose tissue)
SAT (subcutaneous adipose tissue)
sleep quality
title The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus
title_full The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus
title_fullStr The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus
title_full_unstemmed The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus
title_short The relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus
title_sort relationship between abdominal fat and sleep quality after combined exercise in patients with type 2 diabetes mellitus
topic type 2 diabetes mellitus
exercise
VAT (visceral adipose tissue)
SAT (subcutaneous adipose tissue)
sleep quality
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1471608/full
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