Frequent interruptions of sedentary time modulates contraction- and insulin-stimulated glucose uptake pathways in muscle: Ancillary analysis from randomized clinical trials.
Study Goal
The researchers aimed to determine how interruptions to prolonged sitting with light- or moderate-intensity walking affect glucose metabolism and skeletal muscle mechanisms in overweight adults.
Results Summary
The study found that both acute and repeated interruptions to sitting with walking reduced postprandial glucose levels, stimulated glucose uptake pathways, and improved insulin signaling, with moderate-intensity walking also enhancing glycogen synthesis and ATP production capacity.
Population
Overweight adults (n=8 for one-day interventions, n=5 for three-day interventions).
Effective Dosage
Light- or moderate-intensity walking every 20 minutes.
Duration
One day and three days.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
frequent interruptions to prolonged sitting | decrease | postprandial plasma glucose | - | - | reduce | #1 |
sitting interrupted with light-intensity or moderate-intensity walking every 20-min | decrease | postprandial glucose concentration | overweight adults | - | reduce | #2 |
acute interruptions to sitting over one day | increase | the contraction-mediated glucose uptake pathway | overweight adults | - | stimulate | #3 |
acute interruptions to sitting with moderate-intensity activity over one day | increase | the insulin-signaling pathway | overweight adults | - | induce a transition to modulation of | #4 |
light-intensity activity over three days | increase | the insulin-signaling pathway | overweight adults | - | induce a transition to modulation of | #5 |
acute interruptions to sitting with moderate-intensity activity over one day and light-intensity activity over three days | increase | glucose transport | overweight adults | - | in association with increased capacity for | #6 |
moderate-intensity interruptions | increase | glycogen synthesis | overweight adults | - | resulted in greater capacity for | #7 |
moderate-intensity interruptions | increase | ATP production | overweight adults | - | resulted in greater capacity for | #8 |
Epidemiological studies have observed associations between frequent interruptions of sitting time with physical activity bouts and beneficial metabolic outcomes, even in individuals who regularly exercise. Frequent interruptions to prolonged sitting reduce postprandial plasma glucose. Here we studied potential skeletal muscle mechanisms accounting for this improved control of glycemia in overweight adults under conditions of one day uninterrupted sitting and sitting interrupted with light-intensity or moderate-intensity walking every 20-min (n = 8); and, after three days of either uninterrupted sitting or light-intensity walking interruptions (n = 5). Contraction- and insulin-mediated glucose uptake signaling pathways as well as changes in oxidative phosphorylation proteins were examined. We showed that 1) both interventions reduce postprandial glucose concentration, 2) acute interruptions to sitting over one day stimulate the contraction-mediated glucose uptake pathway, 3) both acute interruptions to sitting with moderate-intensity activity over one day and light-intensity activity over three days induce a transition to modulation of the insulin-signaling pathway, in association with increased capacity for glucose transport. Only the moderate-intensity interruptions resulted in greater capacity for glycogen synthesis and likely for ATP production. These observations contribute to a mechanistic explanation of improved postprandial glucose metabolism with regular interruptions to sitting time, a promising preventive strategy for metabolic diseases.