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The RCTs were carried out in Iran [34-36] and Egypt [37-41]

2004;1033:30-41 5

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By enhancing mitochondrial oxidative capacity and activating insulin-independent pathways (e.g., AMPK), exercise facilitates improved glucose handling and reduces the accumulation of intracellular lipid intermediates, thereby lowering the risk of secondary metabolic disorders such as type 2 diabetes (64)
