"Effects OF Tabata Training ON Atherogenic Index, Hba1c AND Waist Circumference IN Adults WITH Type 2 Diabetes Mellitus: A Randomized Controlled Trial"

Abstract

Type 2 diabetes mellitus (T2DM) is a multifactorial and long term complication which has been the leading cause of several complications including cardiovascular disease, neuropathy, and nephropathy globally. Nonetheless previous structured exercise interventions are limited with low acceptance, time constraint and lack of motivation in T2DM. This work aims to investigate whether Tabata training, a form of HIIT (High Intensity Travel Training), can offer a practical intervention for enhancing the metabolic fitness of overweight and obese adults with T2DM. Sixty participants were randomized into three groups: The experimental group consisted of a Tabata training group followed by standard medication, the second group of HIIT followed by standard medication, and the final group received only medication. Over six months, the Tabata group performed short, intense sessions of just four minutes, three times a week. The results were striking: glycated hemoglobin (HbA1c) levels dropped by 3.22%, BMI by 4.8%, and waist circumference  (WC) by 5.2%, while the atherogenic index of plasma (AIP) decreased by 77.7%, and maximal oxygen uptake (VO₂) max—a key indicator of cardiovascular fitness—increased by 26.5%. These enhancements were not only superior to those of the HIIT and control group but also supported Tabata’s real-world applicability and feasibility. Navigating barriers such as restricted time and compliance, it is possible to speak about Tabata training as a novel innovative supplement to the care of diabetes. Such a positive effect on glycemia, cardiovascular profile, and abdominal obesity should place it into clinical recommendations for improving the long-term prognosis of the disease in subjects with T2DM.