Immediate post-breakfast physical activity improves interstitial postprandial glycemia: a comparison of different activity-meal timings.
Study Goal
The researchers aimed to determine the optimal timing of walking and other physical activities relative to meal ingestion for improving postprandial blood glucose control.
Results Summary
Walking immediately after a meal significantly improved mean, coefficient of variance, and area under the curve for glucose compared to the control, while walking before or 30 minutes after the meal had no significant effect. The study suggests that low- to moderate-intensity activity, including walking, is most effective when performed soon after eating.
Population
48 adults
Effective Dosage
30 minutes of walking
Duration
2 hours of glucose monitoring post-intervention
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
walking immediately after the meal | decrease | mean glucose | adults | - | improved | #1 |
walking immediately after the meal | decrease | coefficient of variance (CV) glucose | adults | - | improved | #2 |
walking immediately after the meal | decrease | area under the curve (AUC) glucose | adults | - | improved | #3 |
bodyweight exercises immediately after the meal | decrease | mean glucose | adults | - | improved | #4 |
bodyweight exercises immediately after the meal | decrease | coefficient of variance (CV) glucose | adults | - | improved | #5 |
bodyweight exercises immediately after the meal | decrease | area under the curve (AUC) glucose | adults | - | improved | #6 |
standing immediately after the meal | decrease | area under the curve (AUC) glucose | adults | - | improved | #7 |
standing immediately after the meal | decrease | mean glucose | adults | - | nearly improved | #8 |
standing immediately before the meal | no change | mean glucose | adults | - | not affected | #9 |
standing immediately before the meal | no change | coefficient of variance (CV) glucose | adults | - | not affected | #10 |
standing immediately before the meal | no change | area under the curve (AUC) glucose | adults | - | not affected | #11 |
walking immediately before the meal | no change | mean glucose | adults | - | not affected | #12 |
walking immediately before the meal | no change | coefficient of variance (CV) glucose | adults | - | not affected | #13 |
walking immediately before the meal | no change | area under the curve (AUC) glucose | adults | - | not affected | #14 |
bodyweight exercise immediately before the meal | no change | mean glucose | adults | - | not affected | #15 |
bodyweight exercise immediately before the meal | no change | coefficient of variance (CV) glucose | adults | - | not affected | #16 |
bodyweight exercise immediately before the meal | no change | area under the curve (AUC) glucose | adults | - | not affected | #17 |
standing 30 min after the meal | no change | mean glucose | adults | - | not affected | #18 |
standing 30 min after the meal | no change | coefficient of variance (CV) glucose | adults | - | not affected | #19 |
standing 30 min after the meal | no change | area under the curve (AUC) glucose | adults | - | not affected | #20 |
walking 30 min after the meal | no change | mean glucose | adults | - | not affected | #21 |
walking 30 min after the meal | no change | coefficient of variance (CV) glucose | adults | - | not affected | #22 |
walking 30 min after the meal | no change | area under the curve (AUC) glucose | adults | - | not affected | #23 |
bodyweight exercise 30 min after the meal | no change | mean glucose | adults | - | not affected | #24 |
bodyweight exercise 30 min after the meal | no change | coefficient of variance (CV) glucose | adults | - | not affected | #25 |
bodyweight exercise 30 min after the meal | no change | area under the curve (AUC) glucose | adults | - | not affected | #26 |
The optimal timing between meal ingestion and simple physical activity for improving blood glucose control is unknown. This study compared the effects of physical activity on postprandial interstitial glucose responses when the activity was conducted either immediately before, immediately after, or 30 min after breakfast. Forty-eight adults were randomized to three separate physical activity interventions: standing still (for 30 min), walking (for 30 min), and bodyweight exercises (3 sets of 10 squats, 10 push-ups, 10 lunges, 10 sit-ups). In each intervention, 16 participants completed four trials (A to D) during which a 500 kcal mixed nutrient liquid breakfast meal was consumed. Interstitial glucose responses were recorded using continuous glucose monitoring for 2 h after the meal. The activity was completed either after the glucose monitoring period (trial A; control) or immediately before (trial B), immediately after (trial C), or 30 min after (trial D) the breakfast. Mean, coefficient of variance (CV), and area under the curve (AUC) for glucose were calculated and compared between the four trials. Walking and bodyweight exercises immediately after the meal improved mean, CV, and AUC glucose (P ≤ 0.05 vs. control), while standing immediately after the meal only improved AUC glucose (P ≤ 0.05 vs. control) and nearly improved mean glucose (P = 0.06). Mean, CV, and AUC glucose were not affected by standing, walking, or bodyweight exercise conducted immediately before, or 30 min after the meal (all P > 0.05 vs. control). Energy intake (diet records) and energy expenditure (Actigraph) were consistent throughout the studies and did not influence the findings. Low- to moderate-intensity activity should be implemented soon after eating to improve glucose control following breakfast. The type of activity appears less important than the timing. These findings will help optimize exercise-meal timing in general health guidelines. ClinicalTrials.gov Identifier: NCT03730727.