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Immediate post-breakfast physical activity improves interstitial postprandial glycemia: a comparison of different activity-meal timings.

Pflugers Archiv : European journal of physiology
February 1, 2020
Thomas P J Solomon et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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

Extracted Claims (26)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultBlood GlucoseBreakfastEnergy MetabolismFemaleHumansHyperglycemiaMaleMiddle AgedPhysical Conditioning, HumanStanding PositionWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations32
Citations/Year6.4
Relative Citation Ratio2.62
NIH Percentile81.9%
Research Impact Scores
APT Score0.95
Weight Score2.71
Normalized Score0.72
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