Type 2 Diabetes (T2D)Exercise Therapy
Research Summary
Analyzed using Evidence Intelligence™

Exercise improved balance and cognition in adults with type 2 diabetes

Last updated May 6, 2026

Key finding

In adults with type 2 diabetes, both supervised dual-task and single-task exercise programs improved balance, functional mobility, and cognitive performance over 8 weeks compared with no exercise.

This trial tested two supervised exercise programs in adults with type 2 diabetes: one used balance training alone and the other paired balance training with cognitive tasks. After 8 weeks, both exercise groups improved balance, mobility, and several cognitive measures more than the control group, while dual-task training showed an extra advantage mainly for overall MoCA score.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

Randomized Controlled Trials (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

In adults with type 2 diabetes, both supervised dual-task and single-task exercise programs improved balance, functional mobility, and cognitive performance over 8 weeks compared with no exercise.

Published in

Journal Reference

Publication details and source links for this paper.

Aslan Kolukisa S, Taspinar F, Taspinar B. Examining the Effects of Dual and Single Task Exercises in Individuals with Type 2 Diabetes: A Randomized Controlled Trial. J Clin Med. 2026;15(7):2761. doi:10.3390/jcm15072761

Main Effects

Dual-task walking performance ↓ improved in both exercise groups versus control

Balance test errors and completion times ↓ after both exercise programs

Cognitive screening scores ↑, with the largest MoCA gain in the dual-task group

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Dual-task balance exercise, Single-task balance exercise and Cognitive function, Dual-task performance, Functional mobility, and 1 more.

Primary intervention

Dual-task balance exercise

Primary outcomes

  • Cognitive function
  • Dual-task performance
  • Functional mobility

Evidence relationships

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

8
Evidence pairs
8
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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: 46

1

Related topics

8

Evidence pairs

83

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Uses a randomized study design signal
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence relationship

Mind-Body and Balance Exercise and Cognitive Performance

Related evidence

Evidence topic

Diabetic Neuropathy

Save evidence

Intervention

Mind-Body and Balance Exercise

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Cognitive function

Dual-task balance exercise → Cognitive function

Dual-task balance exercise → Cognitive function

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Dual-task performance

Dual-task balance exercise → Dual-task performance

Dual-task balance exercise → Dual-task performance

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Functional mobility

Dual-task balance exercise → Functional mobility

Dual-task balance exercise → Functional mobility

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Postural balance

Dual-task balance exercise → Postural balance

Dual-task balance exercise → Postural balance

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Cognitive function

Single-task balance exercise → Cognitive function

Single-task balance exercise → Cognitive function

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Dual-task performance

Single-task balance exercise → Dual-task performance

Single-task balance exercise → Dual-task performance

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Functional mobility

Single-task balance exercise → Functional mobility

Single-task balance exercise → Functional mobility

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Postural balance

Single-task balance exercise → Postural balance

Single-task balance exercise → Postural balance

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Both exercise groups improved TUG performance under single-task and dual-task conditions more than the control group.
  • Both exercise groups improved balance and functional mobility measures, including BESS, FSST, TUG, and FRT.
  • Cognitive outcomes improved in both exercise groups, and MoCA total score improved more in the dual-task group than in the other groups.
who this applies

Who this applies to

This study applies most directly to middle-aged adults with type 2 diabetes who can walk independently and do not have major diabetes-related complications, severe sensory loss, or medical conditions that would limit exercise participation.

keep in mind

Keep in Mind

The benefits were shown in a relatively small supervised program with one-on-one physiotherapist support, so results may not be identical in routine unsupervised care. Also, the dual-task program was not clearly better than the single-task program on most outcomes, so the safest conclusion is that structured exercise helped, while added cognitive tasks may offer selective extra benefit.

between the lines

Between the Lines

  • The final analyzed sample was small.
  • Participants and therapists were not blinded.
  • The follow-up lasted only 8 weeks with no longer-term outcome assessment.
  • People with diabetic complications were excluded, which limits generalizability.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Mind-Body and Balance Exercise and Postural balance, Mind-Body and Balance Exercise and Cognitive Performance.

Related evidence relationships

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 Mind-Body and Balance Exercise improve cognitive performance?

Emerging Evidence

Mind-Body and Balance Exercise appears to improve Cognitive Performance.

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

Ranked evidence signals

  1. 1

    Cognitive function

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Dual-task balance exercise improve functional mobility?

Emerging Evidence

Dual-task balance exercise appears to improve Functional mobility.

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

Ranked evidence signals

  1. 1

    Functional mobility

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Dual-task balance exercise improve postural balance?

Emerging Evidence

Dual-task balance exercise appears to improve Postural balance.

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

Ranked evidence signals

  1. 1

    Postural balance

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Single-task balance exercise improve functional mobility?

Emerging Evidence

Single-task balance exercise appears to improve Functional mobility.

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

Ranked evidence signals

  1. 1

    Functional mobility

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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