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Metabolic Effects of Three Different Activity Bouts during Sitting in Inactive Adults.

Medicine and science in sports and exercise
April 1, 2020
Sheng-Xia Ma et al. (6 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether interrupting prolonged sitting with different walking-bout schedules improves glycemic metabolism compared to continuous sitting in sedentary adults.

Results Summary

All three walking-bout conditions (3-min, 5-min, and 8-min walks) improved glycemic metabolism compared to uninterrupted sitting, with reductions in mean glucose concentration and glucose area under the curve, both during the 9-h intervention and over 26 h. The effects were statistically significant and consistent across different walking schedules.

Population

16 inactive, healthy adults (7 men, average age 24 ± 3 years).

Effective Dosage

Three schedules: 30-min sitting/3-min walk, 45-min sitting/5-min walk, and 60-min sitting/8-min walk (all at 60% VO2max).

Duration

Four 26-h laboratory sessions, with a 9-h intervention period per session.

Interactions

None mentioned

Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
interrupting prolonged sitting with three different walking-bout schedules
increase
glycemic metabolism
sedentary adults
-
improves
#1
WALK8 (60-min sitting/8-min brisk treadmill walk)
decrease
26-h mean glucose concentration
inactive healthy adults
Δmean -0.22 mmol·L
attenuated
#2
WALK3 (30-min sitting/3-min brisk treadmill walk)
decrease
26-h mean glucose concentration
inactive healthy adults
Δ-0.47 mmol·L
attenuated
#3
WALK5 (45-min sitting/5-min brisk treadmill walk)
decrease
26-h mean glucose concentration
inactive healthy adults
Δ-0.47 mmol·L
attenuated
#4
WALK8 (60-min sitting/8-min brisk treadmill walk)
decrease
26-h mean glucose concentration
inactive healthy adults
Δ-0.53 mmol·L
attenuated
#5
WALK3 (30-min sitting/3-min brisk treadmill walk)
decrease
26-h tAUC
inactive healthy adults
Δ-11.18 mmol·L per 26 h
reduced
#6
WALK5 (45-min sitting/5-min brisk treadmill walk)
decrease
26-h tAUC
inactive healthy adults
Δ-12.67 mmol·L per 26 h
reduced
#7
WALK8 (60-min sitting/8-min brisk treadmill walk)
decrease
26-h tAUC
inactive healthy adults
Δ-13.85 mmol·L per 26 h
reduced
#8
WALK3 (30-min sitting/3-min brisk treadmill walk)
decrease
26-h iAUC
inactive healthy adults
-
reduced
#9
WALK5 (45-min sitting/5-min brisk treadmill walk)
decrease
26-h iAUC
inactive healthy adults
-
reduced
#10
WALK8 (60-min sitting/8-min brisk treadmill walk)
decrease
26-h iAUC
inactive healthy adults
-
reduced
#11
three activity-break conditions (WALK3, WALK5, WALK8)
decrease
9-h mean glucose concentration
inactive healthy adults
-
decreased
#12
three activity-break conditions (WALK3, WALK5, WALK8)
decrease
9-h tAUC
inactive healthy adults
-
decreased
#13
three activity-break conditions (WALK3, WALK5, WALK8)
decrease
9-h iAUC
inactive healthy adults
-
decreased
#14
three walking-bout conditions (WALK3, WALK5, WALK8)
increase
glycemic metabolism
inactive, healthy adults
-
improved
#15
Abstract

PURPOSE: This study aimed to determine whether interrupting prolonged sitting with three different walking-bout schedules improves glycemic metabolism relative to continuous prolonged sitting in sedentary adults. METHODS: In a randomized, crossover trial, 16 inactive healthy adults (7 men, 24 ± 3 yr old) completed four 26-h laboratory sessions, including 22.5 h in an energy expenditure (EE)-testing calorimeter chamber. The four 9-h intervention periods were as follows: 9-h uninterrupted sitting (SIT), 30-min sitting/3-min brisk (60% V˙O2max) treadmill walk (WALK3), 45-min sitting/5-min (WALK5), or 60-min sitting/8-min (WALK8). Coprimary outcomes included the difference in the mean interstitial glucose concentration, total area under the curve (tAUC), and incremental area under the curve (iAUC) for the entire 26 and 9 h (intervention period) during three activity-bout conditions compared with SIT. RESULTS: Compared with SIT, the 26-h mean glucose concentration was attenuated in WALK8 (Δmean -0.22 mmol·L [95% confidence interval = -0.43 to -0.001], P = 0.048) without adjustment for EE and attenuated in WALK3 (Δ-0.47 mmol·L [-0.75 to -0.10]), WALK5 (Δ-0.47 mmol·L [-0.83 to -0.10]), and WALK8 (Δ-0.53 mmol·L [-0.92 to -0.13]) after adjustment for EE (all P < 0.01). The 26-h tAUC was reduced in WALK3 (Δ-11.18 mmol·L per 26 h [-20.07 to -2.29]), WALK5 (2.12.67 mmol·L per 26 h [-22.54 to -2.79]), and WALK8 (Δ-13.85 mmol·L per 26 h [-24.60 to -3.10]) (all P < 0.01), as well as the iAUC (all P < 0.05), only after adjustment for EE. The 9-h mean glucose concentration, tAUC, and iAUC decreased in the three activity-break conditions regardless of EE adjustment (all P < 0.05). CONCLUSIONS: All three walking-bout conditions improved glycemic metabolism compared with SIT, independent of EE, in inactive, healthy adults.

Medical Subject Headings (MeSH)
AdultBlood GlucoseCross-Over StudiesEnergy MetabolismFemaleHumansMaleOxygen ConsumptionPostprandial PeriodSedentary BehaviorSitting PositionTask Performance and AnalysisWalkingYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations9
Citations/Year1.8
Relative Citation Ratio0.75
NIH Percentile39.9%
Research Impact Scores
APT Score0.50
Weight Score2.47
Normalized Score0.72
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