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    Breaking up prolonged sitting reduces postprandial glucose and insulin responses

    Access Status
    Open access via publisher
    Authors
    Dunstan, D.
    Kingwell, B.
    Larsen, R.
    Healy, Genevieve
    Cerin, E.
    Hamilton, M.
    Shaw, J.
    Bertovic, D.
    Zimmet, P.
    Salmon, J.
    Owen, N.
    Date
    2012
    Type
    Journal Article
    
    Metadata
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    Citation
    Dunstan, D. and Kingwell, B. and Larsen, R. and Healy, G. and Cerin, E. and Hamilton, M. and Shaw, J. et al. 2012. Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care. 35 (5): pp. 976-983.
    Source Title
    Diabetes Care
    DOI
    10.2337/dc11-1931
    ISSN
    0149-5992
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/9008
    Collection
    • Curtin Research Publications
    Abstract

    OBJECTIVE: Observational studies show breaking up prolonged sitting has beneficial associations with cardiometabolic risk markers, but intervention studies are required to investigate causality. We examined the acute effects on postprandial glucose and insulin levels of uninterrupted sitting compared with sitting interrupted by brief bouts of light- or moderate-intensity walking. RESEARCH DESIGN AND METHODS: Overweight/obese adults (n = 19), aged 45–65 years, were recruited for a randomized three-period, three-treatment acute crossover trial: 1) uninterrupted sitting; 2) seated with 2-min bouts of light-intensity walking every 20 min; and 3) seated with 2-min bouts of moderate-intensity walking every 20 min. A standardized test drink was provided after an initial 2-h period of uninterrupted sitting. The positive incremental area under curves (iAUC) for glucose and insulin (mean [95% CI]) for the 5 h after the test drink (75 g glucose, 50 g fat) were calculated for the respective treatments. RESULTS: The glucose iAUC (mmol/L) • h after both activity-break conditions was reduced (light: 5.2 [4.1–6.6]; moderate: 4.9 [3.8–6.1]; both P < 0.01) compared with uninterrupted sitting (6.9 [5.5–8.7]). Insulin iAUC (pmol/L) • h was also reduced with both activity-break conditions (light: 633.6 [552.4–727.1]; moderate: 637.6 [555.5–731.9], P < 0.0001) compared with uninterrupted sitting (828.6 [722.0–950.9]). CONCLUSIONS: Interrupting sitting time with short bouts of light- or moderate-intensity walking lowers postprandial glucose and insulin levels in overweight/obese adults. This may improve glucose metabolism and potentially be an important public health and clinical intervention strategy for reducing cardiovascular risk.

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