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Dose-response between frequency of interruption of sedentary time and fasting glucose, the dawn phenomenon and night-time glucose in Type 2 diabetes.

Diabetic medicine : a journal of the British Diabetic Association
March 1, 2019
A C Paing et al. (6 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

To explore the dose-response relationship between frequency of interrupting sedentary time with light-intensity walking breaks and basal glucose control in Type 2 diabetes.

Results Summary

Frequent interruptions of prolonged sitting with 3-minute light-intensity walking breaks every 15 minutes improved fasting glucose, reduced the dawn phenomenon, and decreased night-time glycaemic variability, but did not affect night-time mean glucose.

Population

12 people with Type 2 diabetes (age 60.0 ± 3.2 years; BMI 30.2 ± 1.4 kg/m²).

Effective Dosage

3 minutes of light-intensity walking every 15 minutes.

Duration

Not specified in the abstract.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min (Condition 3)
decrease
fasting glucose
12 people with Type 2 diabetes
-1.0 ± 0.2 mmol/l
were lower for
#1
Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min (Condition 3)
decrease
duration of the dawn phenomenon
12 people with Type 2 diabetes
-3.1 ± 1.3 h
were lower for
#2
Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min (Condition 3)
decrease
magnitude of the dawn phenomenon
12 people with Type 2 diabetes
-0.6 ± 0.4 mmol/l
was reduced in
#3
Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min (Condition 3)
decrease
night-time glycaemic variability (coefficient of variation)
12 people with Type 2 diabetes
-9.7 ± 3.9%
was reduced in
#4
-
no change
night-time mean glucose
12 people with Type 2 diabetes
no significant change
There was no change in
#5
Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min
increase
fasting glucose
people with Type 2 diabetes
-
improves
#6
Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min
increase
the dawn phenomenon
people with Type 2 diabetes
-
improves
#7
Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min
increase
night-time glycaemic variability
people with Type 2 diabetes
-
improves
#8
Abstract

AIM: To explore the dose-response between frequency of interruption of sedentary time and basal glucose (fasting glucose, the dawn phenomenon and night-time glucose) in Type 2 diabetes. METHODS: In a randomized three-treatment, two-period balanced incomplete block trial, 12 people with Type 2 diabetes (age, 60.0 ± 3.2 years; BMI, 30.2 ± 1.4 kg/m RESULTS: After treatment conditions, fasting glucose and duration of the dawn phenomenon were lower for Condition 3 (-1.0 ± 0.2 mmol/l, P < 0.02; -3.1 ± 1.3 h, P = 0.004) compared with Condition 1 (-0.1 ± 0.2 mmol/l; 1.9 ± 1.2 h). The magnitude of the dawn phenomenon was reduced in Condition 3 (-0.6 ± 0.4 mmol/l, P = 0.041) compared with Condition 2 (0.6 ± 0.3 mmol/l). Night-time glycaemic variability (coefficient of variation) was reduced in Condition 3 (-9.7 ± 3.9%) relative to Condition 2 (6.1 ± 4.8%, P < 0.03) and Condition 1 (2.5 ± 1.8%, P = 0.02). There was no change in night-time mean glucose. CONCLUSIONS: Frequent interruptions of prolonged sitting with 3 min of light-intensity walking breaks every 15 min improves fasting glucose, the dawn phenomenon and night-time glycaemic variability, and this might be a simple therapeutic intervention to improve glucose control. Clinicaltrials.gov Identifier: NCT02738996.

Medical Subject Headings (MeSH)
AgedBlood GlucoseBlood Glucose Self-MonitoringCircadian RhythmDiabetes Mellitus, Type 2ExerciseFastingFemaleHumansMaleMiddle AgedPostprandial PeriodSedentary BehaviorTime FactorsWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality78/10
Citation Metrics
Total Citations19
Citations/Year3.2
Relative Citation Ratio0.89
NIH Percentile45.9%
Research Impact Scores
APT Score0.75
Weight Score2.23
Normalized Score0.70
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