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Effects of Interrupting Children's Sedentary Behaviors With Activity on Metabolic Function: A Randomized Trial.

The Journal of clinical endocrinology and metabolism
October 1, 2015
Britni R Belcher et al. (15 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, N.I.H., IntramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether interrupting prolonged sitting with short, moderate-intensity walking bouts improves glucose tolerance and metabolic function in children.

Results Summary

Interrupting sitting with brief walking reduced insulin, C-peptide, and glucose levels significantly compared to continuous sitting, without affecting subsequent energy intake. The findings suggest that such interruptions can improve short-term metabolic function in children.

Population

28 normal-weight children aged 7-11 years.

Effective Dosage

3 minutes of moderate-intensity walking every 30 minutes.

Duration

3 hours per experimental condition.

Interactions

None mentioned.

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
interrupting sitting with short, moderate-intensity walking bouts
increase
glucose tolerance
children
-
improved
#1
interrupting sitting
decrease
insulin AUC
normal-weight 7-11 year olds
32%
resulted in a 32% lower
#2
interrupting sitting
decrease
C-peptide AUC
normal-weight 7-11 year olds
17%
resulted in a 17% lower
#3
interrupting sitting
decrease
glucose AUC
normal-weight 7-11 year olds
7%
resulted in a 7% lower
#4
interrupting sitting
decrease
insulin concentrations
normal-weight 7-11 year olds
-
were significantly lower
#5
interrupting sitting
decrease
free fatty acid concentrations
normal-weight 7-11 year olds
-
were significantly lower
#6
interrupting sitting
no change
lunchtime buffet meal energy intake
normal-weight 7-11 year olds
975 ± 387 vs 963 ± 309 kcal
did not significantly differ
#7
interrupting sedentary time with brief moderate-intensity walking
increase
short-term metabolic function
non-overweight children
-
improved
#8
interrupting sedentary time with brief moderate-intensity walking
no change
subsequent energy intake
non-overweight children
-
without increasing
#9
Abstract

CONTEXT: Limited data suggest that interrupting sedentary behaviors with activity improves metabolic parameters in adults. OBJECTIVE: We tested whether interrupting sitting with short, moderate-intensity walking bouts improved glucose tolerance in children. DESIGN: Participants underwent two experimental conditions in random order on different days: continuous sitting for 3 hours or sitting interrupted by walking (3 min of moderate-intensity walking every 30 min). Insulin, C-peptide, glucose, and free fatty acids were measured every 30 minutes for 3 hours during an oral glucose tolerance test. Area under the curve (AUC) was calculated from hormone and substrate measurements. Children were given a buffet meal after each condition. SETTING: The study was conducted at the National Institutes of Health Hatfield Clinical Research Center. PARTICIPANTS: Twenty-eight normal-weight 7-11 year olds participated. MAIN OUTCOMES: Patterns of substrate/hormone secretion and AUC, as well as energy intake, were examined by experimental condition. RESULTS: Interrupting sitting resulted in a 32% lower insulin AUC (P < .001), 17% lower C-peptide AUC (P < .001), and 7% lower glucose AUC (P = .018) vs continuous sitting. Mixed model results indicated that insulin (P = .036) and free fatty acid concentrations (P = .009) were significantly lower in the interrupted vs the continuous sitting condition. Lunchtime buffet meal energy intake did not significantly differ between the conditions (975 ± 387 vs 963 ± 309 kcal; P = .85). CONCLUSIONS: Interrupting sedentary time with brief moderate-intensity walking improved short-term metabolic function in non-overweight children without increasing subsequent energy intake. These findings suggest that interrupting sedentary behavior may be a promising prevention strategy for reducing cardiometabolic risk in children.

Medical Subject Headings (MeSH)
Blood GlucoseC-PeptideChildChild BehaviorExerciseFatty Acids, NonesterifiedFemaleGlucose Tolerance TestHumansInsulinInsulin ResistanceMaleSedentary BehaviorWalking
Study Links
Quality Scores
Safety90
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations53
Citations/Year5.3
Relative Citation Ratio2.64
NIH Percentile82.1%
Research Impact Scores
APT Score0.95
Weight Score1.87
Normalized Score0.86
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