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Regular brief interruptions to sitting after a high-energy evening meal attenuate glycemic excursions in overweight/obese adults

Climie, RE, Grace, MS, Larsen, RL, Dempsey, PC, Oberoi, J, Cohen, ND, Owen, N, Kingwell, BA and Dunstan, DW 2018 , 'Regular brief interruptions to sitting after a high-energy evening meal attenuate glycemic excursions in overweight/obese adults' , Nutrition, Metabolism and Cardiovascular Diseases, vol. 28, no. 9 , pp. 909-916 , doi: 10.1016/j.numecd.2018.05.009.

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Abstract

Background and aims: Modern Western lifestyles are characterized by consumption of approximately 45% of total daily energy intake at the evening meal, followed by prolonged sitting while watching television (TV), which may deleteriously impact glycemic control. After a high-energy evening meal (dinner), we examined whether regular, brief activity bouts during TV commercial breaks could acutely lower postprandial glucose and insulin responses in overweight/obese adults, compared to prolonged uninterrupted sitting.Methods and results: Nine overweight/obese adults (29.7 ± 4.06 kg m-2; aged 32 ± 3 years; 5 male) completed two laboratory-based conditions of three and a half hours: prolonged sitting during TV viewing (SIT); and, prolonged sitting interrupted every 20 min with 3 min of light-intensity body-weight resistance activities (active commercial breaks; ACBs). Venous postprandial glucose and insulin responses to dinner were calculated as positive incremental area under the curve (iAUC) from baseline. Interstitial glucose was measured using a continuous glucose monitor and quantified as total AUC (tAUC). Compared to SIT, plasma glucose iAUC was reduced by 33% [3.4 ± 1.0 vs 5.1 ± 1.0 (mean ± SEM) mmol h·L-1, p = 0.019] and plasma insulin iAUC by 41% (813 ± 224 vs 1373 ± 224, p = 0.033 pmol h·L-1) for the ACB condition. During the ACB condition there was a significant reduction in interstitial glucose tAUC (24.4 ± 5.2 vs 26.9 ± 5.2 mmol h·L-1, p Conclusions: Regular brief light-intensity activity bouts can attenuate glycemic responses during television viewing time following a high-energy evening meal in overweight/obese adults.

Item Type: Article
Authors/Creators:Climie, RE and Grace, MS and Larsen, RL and Dempsey, PC and Oberoi, J and Cohen, ND and Owen, N and Kingwell, BA and Dunstan, DW
Keywords: circadian rhythm, glucose, obesity, sedentary
Journal or Publication Title: Nutrition, Metabolism and Cardiovascular Diseases
Publisher: Medikal Press S R L
ISSN: 0939-4753
DOI / ID Number: 10.1016/j.numecd.2018.05.009
Copyright Information:

Copyright 2018 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University

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