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

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Immediate post-breakfast physical activity improves interstitial postprandial glycemia : a comparison of different activity-meal timings. / Solomon, Thomas P J; Tarry, Eloise; Hudson, Chloe O; Fitt, Alice I; Laye, Matthew J.

In: Pfluegers Archiv: European journal of physiology , 08.08.2019.

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@article{58d7df83317342f99b6814b6713859e2,
title = "Immediate post-breakfast physical activity improves interstitial postprandial glycemia: a comparison of different activity-meal timings",
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.",
keywords = "CGM, Circuit training, Continuous glucose monitoring, Exercise, Exercise-meal timing, Glycemic control, Glycemic variability, Inactivity, Office workers, Sitting breaks, Sitting time, Standing, Walking",
author = "Solomon, {Thomas P J} and Eloise Tarry and Hudson, {Chloe O} and Fitt, {Alice I} and Laye, {Matthew J}",
year = "2019",
month = aug,
day = "8",
doi = "10.1007/s00424-019-02300-4",
language = "English",
journal = "Pfluegers Archiv: European journal of physiology ",
issn = "0031-6768",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - Immediate post-breakfast physical activity improves interstitial postprandial glycemia

T2 - a comparison of different activity-meal timings

AU - Solomon, Thomas P J

AU - Tarry, Eloise

AU - Hudson, Chloe O

AU - Fitt, Alice I

AU - Laye, Matthew J

PY - 2019/8/8

Y1 - 2019/8/8

N2 - 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.

AB - 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.

KW - CGM

KW - Circuit training

KW - Continuous glucose monitoring

KW - Exercise

KW - Exercise-meal timing

KW - Glycemic control

KW - Glycemic variability

KW - Inactivity

KW - Office workers

KW - Sitting breaks

KW - Sitting time

KW - Standing

KW - Walking

U2 - 10.1007/s00424-019-02300-4

DO - 10.1007/s00424-019-02300-4

M3 - Article

C2 - 31396757

JO - Pfluegers Archiv: European journal of physiology

JF - Pfluegers Archiv: European journal of physiology

SN - 0031-6768

ER -