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Fitness Moderates Glycemic Responses to Sitting and Light Activity Breaks.

Medicine and science in sports and exercise
November 1, 2017
Matthew McCarthy et al. (9 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether cardiorespiratory fitness (CRF) influences postprandial glycemia during prolonged sitting and whether light walking breaks could mitigate these effects.

Results Summary

Light walking breaks significantly reduced postprandial blood glucose and insulin levels, with the greatest benefits observed in individuals with low CRF. The effect diminished in those with higher CRF.

Population

34 adults (18 women, 16 men; mean age 40 ± 9 years, BMI 24.5 ± 3 kg/m²).

Effective Dosage

5-minute light walking bouts every 30 minutes.

Duration

7.5-hour experimental conditions.

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Sitting interspersed with 5 min light walking bouts every 30 min
decrease
blood glucose iAUC
Thirty-four adults (18 women; 16 men; mean ± SD age, 40 ± 9 yr, body mass index, 24.5 ± 3 kg·m)
from 3.89 ± 0.7 to 2.51 ± 0.7 mmol·L·h
reduced
#1
Sitting interspersed with 5 min light walking bouts every 30 min
decrease
insulin iAUC
Thirty-four adults (18 women; 16 men; mean ± SD age, 40 ± 9 yr, body mass index, 24.5 ± 3 kg·m)
from 241 ± 46 to 156 ± 24 mU·L·h
reduced
#2
Sitting interspersed with 5 min light walking bouts every 30 min
decrease
blood glucose iAUC
a man at the 25th centile of CRF (42.5 mL·kg·min)
from 5.80 to 2.98 mmol·L·h
reduced
#3
Sitting interspersed with 5 min light walking bouts every 30 min
decrease
blood glucose iAUC
a man at the 75th centile of CRF (60.5 mL·kg·min)
from 1.99 to 1.78 mmol·L·h
reduced
#4
Sitting interspersed with 5 min light walking bouts every 30 min
increase
metabolic benefit
Individuals with low CRF
-
gained the most metabolic benefit
#5
Abstract

PURPOSE: This study aimed to experimentally determine whether cardiorespiratory fitness (CRF) modifies postprandial glycemia during prolonged sitting and investigated the potentially blunting influence this may have on the benefits of interrupting postprandial sitting time with light activity breaks. METHODS: Thirty-four adults (18 women; 16 men; mean ± SD age, 40 ± 9 yr, body mass index, 24.5 ± 3 kg·m) undertook two 7.5-h experimental conditions in a randomized order: 1) Prolonged sitting; 2) Sitting interspersed with 5 min light walking bouts every 30 min. Blood samples were obtained while fasting and postprandially after ingestion of two identical meals. Incremental area under the curve (iAUC) was calculated for glucose and insulin throughout experimental conditions. Maximal exercise testing quantified peak oxygen consumption (V˙O2 peak) as a measure of CRF. A repeated-measures ANOVA investigated whether V˙O2 peak modified glucose and insulin iAUC between conditions. RESULTS: Breaking sedentary time with light walking breaks reduced blood glucose iAUC from 3.89 ± 0.7 to 2.51 ± 0.7 mmol·L·h (P = 0.015) and insulin iAUC from 241 ± 46 to 156 ± 24 mU·L·h (P = 0.013) after adjustment for V˙O2 peak and sex. A significant interaction between treatment response and V˙O2 peak was observed for glucose (P = 0.035), but not insulin (P = 0.062), whereby the treatment effect reduced with higher CRF. Average blood glucose iAUC responses for a man at the 25th centile of CRF within our cohort (42.5 mL·kg·min) went from 5.80 to 2.98 mmol·L·h during the prolonged sitting and light walking break conditions respectively, whereas average responses for a man at the 75th centile of CRF (60.5 mL·kg·min) went from 1.99 to 1.78 mmol·L·h. Similar trends were observed for women. CONCLUSIONS: Individuals with low CRF gained the most metabolic benefit from breaking prolonged sitting with regular bouts of light walking.

Medical Subject Headings (MeSH)
AdultBlood GlucoseCardiorespiratory FitnessFemaleHumansInsulinMaleMiddle AgedOxygen ConsumptionPostprandial PeriodPostureSex FactorsWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations33
Citations/Year4.1
Relative Citation Ratio1.81
NIH Percentile71.3%
Research Impact Scores
APT Score0.75
Weight Score2.22
Normalized Score0.72
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