Resumen de Investigación
Analyzed using Evidence Intelligence™

Combined Training and Astaxanthin Improve Diabetes Management

Última actualización 11 de septiembre de 2026

Key finding

HN levels increased significantly in CT and CT+S (p < 0.05)

This study investigated the effects of astaxanthin supplementation and combined training on metabolic indices in women with type 2 diabetes, finding significant improvements in certain outcomes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of astaxanthin supplementation and combined training on metabolic indices in women with type 2 diabetes, finding significant improvements in certain outcomes.

Clinical relevance

These findings highlight the importance of physical activity in managing type 2 diabetes, suggesting that combined training can effectively enhance metabolic health. For clinicians, this underscores the need to promote exercise as a key component of diabetes management, while the limited impact of astaxanthin supplementation alone suggests it should not replace traditional lifestyle interventions.

Keep in mind

The study did not assess long-term effects beyond the intervention period. Sample size and demographic limitations may affect generalizability. The effects of astaxanthin supplementation were unclear and not statistically significant.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Aref B, Karen K, Najmeh H, et al. Astaxanthin Supplementation and Combined Training Improve Metabolic Indices in Women with Type 2 Diabetes. Scientific Reports. 2025;15:40113. doi:10.1038/s41598-025-23914-y

Efectos Principales

Humanin levels increased significantly in combined training groups (p < 0.05).

Fasting blood glucose improved significantly in combined training groups.

Insulin resistance (HOMA-IR) improved significantly in combined training groups.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Astaxanthin supplementation, Resistance training and Fasting Blood Glucose (FBG), Hemoglobin A1c (HbA1c) with AST, Insulin resistance, and 5 more.

Primary intervention

Astaxanthin supplementation

Primary outcomes

  • Fasting Blood Glucose (FBG)
  • Hemoglobin A1c (HbA1c) with AST
  • Insulin resistance

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

10
Evidence pairs
10
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

3

Related topics

10

Evidence pairs

1390

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

Insulin Resistance

matched_intervention_and_outcome

Evidencia relacionada

Tema de evidencia

Prediabetes

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Blood Glucose (FBG)

Astaxanthin supplementation → Fasting Blood Glucose (FBG)

Astaxanthin supplementation → Fasting Blood Glucose (FBG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Hemoglobin A1c (HbA1c) with AST

Astaxanthin supplementation → Hemoglobin A1c (HbA1c) with AST

Astaxanthin supplementation → Hemoglobin A1c (HbA1c) with AST

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Insulin resistance

Astaxanthin supplementation → Insulin resistance

Astaxanthin supplementation → Insulin resistance

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Change in microRNA-126 expression

Resistance training → Change in microRNA-126 expression

Resistance training → Change in microRNA-126 expression

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Fasting Blood Glucose (FBG)

Resistance training → Fasting Blood Glucose (FBG)

Resistance training → Fasting Blood Glucose (FBG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HbA1c

Resistance training → HbA1c

Resistance training → HbA1c

Evidence Intelligence™
EvidenceScore™
84
Strong
ImpactScore™
94
Very Positive
ConsistencyScore™
86
consistent
Estudios de apoyo: Basado en 8 estudios
Add to Evidence Tracker

Humanin

Resistance training → Humanin

Resistance training → Humanin

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Insulin resistance

Resistance training → Insulin resistance

Resistance training → Insulin resistance

Evidence Intelligence™
EvidenceScore™
78
Strong
ImpactScore™
76
Positive
ConsistencyScore™
67
generally_consistent
Estudios de apoyo: Basado en 4 estudios
Add to Evidence Tracker

miRNA-122 expression

Resistance training → miRNA-122 expression

Resistance training → miRNA-122 expression

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

miRNA-146a expression

Resistance training → miRNA-146a expression

Resistance training → miRNA-146a expression

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Humanin levels increased significantly in combined training groups (p < 0.05).
  • Fasting blood glucose improved significantly in combined training groups.
  • HOMA-IR improved significantly in combined training groups.
who this applies

A quién se aplica

  • Women diagnosed with type 2 diabetes.
  • Participants engaging in physical activity interventions.
keep in mind

Tener en Cuenta

  • The study's findings may not apply to men or other age groups.
  • Astaxanthin supplementation alone did not show significant benefits.
  • Further research is needed to explore long-term effects and broader populations.
between the lines

Entre Líneas

  • The study did not assess long-term effects beyond the intervention period.
  • Sample size and demographic limitations may affect generalizability.
  • The effects of astaxanthin supplementation were unclear and not statistically significant.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Resistance training and HbA1c, Resistance training and Insulin Resistance.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Resistance training lower HbA1c?

Strong Evidence

Resistance training appears to lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 84.3 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Resistance training improve insulin resistance?

Strong Evidence

Resistance training may improve insulin resistance.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Insulin resistance

    EvidenceScore™ Strong | EvidenceScore™ 78.2 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Resistance training improve change in microrna-126 expression?

Emerging Evidence

Resistance training appears to improve change in microrna-126 expression.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in microRNA-126 expression

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Resistance training improve humanin?

Emerging Evidence

Resistance training appears to improve humanin.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Humanin

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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