Research Summary
Analyzed using Evidence Intelligence™

SJG exercise improves glycemic control and self-efficacy in type 2 diabetes

Last updated August 15, 2026

Key finding

HbA1c decreased by 2.73% in the SJG group versus 1.53% in the control group.

This study evaluated the effects of Sanxiao Jiuzhi Gong on glycemic control and exercise self-efficacy in patients with type 2 diabetes, revealing significant improvements in several key metrics.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 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 evaluated the effects of Sanxiao Jiuzhi Gong on glycemic control and exercise self-efficacy in patients with type 2 diabetes, revealing significant improvements in several key metrics.

Clinical relevance

Improving glycemic control is crucial for patients with type 2 diabetes to reduce the risk of complications. The significant reductions in HbA1c and blood glucose levels, along with enhanced exercise self-efficacy, indicate that Sanxiao Jiuzhi Gong may be a valuable behavioral intervention. This could lead to better long-term health outcomes for patients managing diabetes.

Keep in mind

The study design may limit generalizability to broader populations. Sample size and demographic details were not specified. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Xia Z, Jie-Jie G, Yue-Yuan L, et al. Effects of Sanxiao Jiuzhi Gong on Glycemic Control and Exercise Self-Efficacy in Patients with Type 2 Diabetes: A Randomized Controlled Trial. Medicine. 2025;104(38):e44572. doi:10.1097/MD.0000000000044572

Main Effects

HbA1c decreased by 2.73% in the SJG group versus 1.53% in the control group (p=0.05).

Fasting plasma glucose decreased by 3.28 mmol/L in the SJG group versus 1.18 mmol/L in the control group (p=0.05).

2-hour postprandial blood glucose decreased by 6.05 mmol/L in the SJG group versus 2.03 mmol/L in the control group (p=0.001).

Exercise self-efficacy scores increased by 2.54 points in the SJG group versus 0.68 points in the control group (p=0.001).

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Sanxiao Jiuzhi Gong (SJG) and Exercise self-efficacy, Fasting Plasma Glucose (FPG), HbA1c, and 1 more.

Primary intervention

Sanxiao Jiuzhi Gong (SJG)

Primary outcomes

  • Exercise self-efficacy
  • Fasting Plasma Glucose (FPG)
  • HbA1c

Evidence relationships

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

4
Evidence pairs
4
Relationships
5
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

5

Related topics

4

Evidence pairs

1694

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Glycemic Control

matched_outcome

Related evidence

Evidence topic

Diabetes Management Self-Efficacy

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Exercise self-efficacy

Sanxiao Jiuzhi Gong (SJG) → Exercise self-efficacy

Sanxiao Jiuzhi Gong (SJG) → Exercise self-efficacy

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

Fasting Plasma Glucose (FPG)

Sanxiao Jiuzhi Gong (SJG) → Fasting Plasma Glucose (FPG)

Sanxiao Jiuzhi Gong (SJG) → Fasting Plasma Glucose (FPG)

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

HbA1c

Sanxiao Jiuzhi Gong (SJG) → HbA1c

Sanxiao Jiuzhi Gong (SJG) → HbA1c

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

Postprandial blood glucose

Sanxiao Jiuzhi Gong (SJG) → Postprandial blood glucose

Sanxiao Jiuzhi Gong (SJG) → Postprandial blood glucose

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

  • SJG led to a 2.73% reduction in HbA1c, indicating improved glycemic control.
  • Fasting plasma glucose levels dropped by 3.28 mmol/L in the SJG group.
  • Exercise self-efficacy scores improved significantly by 2.54 points.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Patients seeking behavioral interventions for diabetes management.
keep in mind

Keep in Mind

  • Results may not apply to all demographics or age groups.
  • Further research is needed to confirm long-term effects.
  • The study did not address all potential confounding factors.
between the lines

Between the Lines

  • The study design may limit generalizability to broader populations.
  • Sample size and demographic details were not specified.
  • Potential confounding factors were not fully controlled.

Evidence Library

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Connected Evidence

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Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Sanxiao Jiuzhi Gong (SJG) and Diabetes Management Self-Efficacy, Sanxiao Jiuzhi Gong (SJG) and Fasting Glucose.

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 Sanxiao Jiuzhi Gong (SJG) improve exercise self-efficacy?

Emerging Evidence

Sanxiao Jiuzhi Gong (SJG) appears to improve exercise self-efficacy.

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

Ranked evidence signals

  1. 1

    Exercise self-efficacy

    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 Sanxiao Jiuzhi Gong (SJG) improve fasting plasma glucose (FPG)?

Emerging Evidence

Sanxiao Jiuzhi Gong (SJG) appears to improve fasting plasma glucose (FPG).

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

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    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 Sanxiao Jiuzhi Gong (SJG) lower HbA1c?

Emerging Evidence

Sanxiao Jiuzhi Gong (SJG) appears to lower HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    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 Sanxiao Jiuzhi Gong (SJG) improve postprandial blood glucose?

Emerging Evidence

Sanxiao Jiuzhi Gong (SJG) appears to improve postprandial blood glucose.

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

Ranked evidence signals

  1. 1

    Postprandial blood glucose

    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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