Effects of subtracting sitting versus adding exercise on glycemic control and variability in sedentary office workers

2014 ◽  
Vol 39 (11) ◽  
pp. 1286-1293 ◽  
Author(s):  
Jennifer M. Blankenship ◽  
Kirsten Granados ◽  
Barry Braun
Keyword(s):  
Energy Expenditure ◽  
Plasma Glucose ◽  
Repeated Measures ◽  
Area Under The Curve ◽  
Glycemic Variability ◽  
Office Workers ◽  
Sitting Time ◽  
Moderate Intensity ◽  
Cardiometabolic Health ◽  
Moderate Intensity Exercise

Recent evidence suggests that, like adding exercise, reducing sitting time may improve cardiometabolic health. There has not been a direct comparison of the 2 strategies with energy expenditure held constant. The purpose of this study was to compare fasting and postmeal glucose and insulin concentrations in response to a day with frequent breaks from sitting but no exercise versus considerable sitting plus moderate exercise. Ten sedentary overweight/obese office workers were tested in 3 conditions: (i) walking per activity guidelines (AGW): sitting for majority of workday with a 30 min pre-lunch walk; (ii) frequent long breaks (FLB): no structured exercise but frequent breaks from sitting during workday with energy expenditure matched to AGW; and (iii) frequent short breaks (FSB): number of breaks matched to FLB, but duration of breaks were shorter. Plasma glucose and insulin areas under the curve were measured in response to a meal tolerance test (MTT) at the end of the workday and interstitial glucose was evaluated throughout the day and overnight using continuous glucose monitoring. Using repeated-measures linear mixed models, area under the curve of plasma glucose or insulin after the MTT was not different between conditions. Glycemic variability was lower in FLB compared with AGW (p < 0.05), and nocturnal duration of elevated glucose (>7.8 mmol/L) was shorter after FLB (2.5 ± 2.5 min) than AGW (32.7 ± 16.4 min) or FSB (45.6 ± 29.6 min, p = 0.05). When energy expenditure was matched, breaks from sitting approximated the effects of moderate-intensity exercise on postmeal glucose and insulin responses and more effectively constrained glycemic variability.

Plasma pentraxin 3 and glucose kinetics following acute high-intensity interval exercise versus continuous moderate-intensity exercise in healthy men

2018 ◽  
Vol 43 (12) ◽  
pp. 1233-1238 ◽  
Author(s):  
Aaron L. Slusher ◽  
Michael Whitehurst ◽  
Arun Maharaj ◽  
Katelyn M. Dodge ◽  
Brandon G. Fico ◽  
...  
Keyword(s):  
Plasma Glucose ◽  
High Intensity ◽  
Repeated Measures ◽  
Time Effect ◽  
Moderate Intensity ◽  
Pentraxin 3 ◽  
Moderate Intensity Exercise ◽  
Glucose Response ◽  
Interval Exercise ◽  
High Intensity Interval

Pentraxin 3 (PTX3) is mainly synthesized and released by neutrophils to help regulate innate immunity. While plasma PTX3 concentrations are associated with improved glucose metabolism and overall metabolic health, there is evidence that significant elevations in plasma glucose downregulate circulating levels of PTX3. To examine whether this relationship would be altered in response to exercise, this study investigated the kinetics of the plasma glucose and PTX3 responses following high-intensity interval exercise (HIIE) and continuous moderate-intensity exercise (CMIE). It was hypothesized that the increased concentrations of plasma glucose following HIIE compared with CMIE would be associated with an attenuated plasma PTX3 response. Eight healthy male subjects participated in both HIIE and CMIE protocols administered as a randomized, counterbalanced design. Linear mixed models for repeated measures revealed that the overall plasma glucose response was greater following HIIE compared with CMIE (protocol × time effect: p = 0.037). Although the plasma PTX3 response was higher only at 19 min into HIIE compared with CMIE (protocol × time effect: p = 0.013), no relationships were observed between plasma glucose and PTX3 either at baseline or in response to both exercise protocols, as indicated by the area under the curve “with respect to increase” analysis. Our results indicate that exercise-mediated plasma PTX3 concentrations are independent of the plasma glucose response. In addition, the present study suggests that the neutrophil-mediated innate immune response, as indicated by plasma PTX3 response, may be activated earlier during HIIE compared with CMIE.

The accuracy of fitness watches for the measurement of heart rate and energy expenditure during moderate intensity exercise

2021 ◽  
Vol 61 (2) ◽  
Author(s):  
Andrew R. JAGIM ◽  
Nicolas KOCH-GALLUP ◽  
Clayton L. CAMIC ◽  
Leah KROENING ◽  
Charles NOLTE ◽  
...  
Keyword(s):  
Heart Rate ◽  
Energy Expenditure ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise

Moderate-intensity exercise affects perceived hunger and fullness but not appetite-related hormones in late pregnancy

2013 ◽  
Vol 38 (11) ◽  
pp. 1162-1165 ◽  
Author(s):  
Kym J. Guelfi ◽  
Rhiannon E. Halse
Keyword(s):  
Energy Expenditure ◽  
Late Pregnancy ◽  
Moderate Intensity ◽  
Short Term ◽  
Moderate Intensity Exercise ◽  
Additional Energy ◽  
Additional Energy Expenditure ◽  
Caloric Consumption

The effect of exercise on appetite and appetite-related hormones during pregnancy is not known. This study found that 30 min of moderate-intensity stationary cycling transiently attenuated hunger and increased fullness in late gestational women (n = 12). Exercise did not affect perceived appetite or appetite-related hormones in response to subsequent caloric consumption. These observations suggest that appetite responses do not intrinsically compensate for the additional energy expenditure induced by exercise, at least in the short term.

Effect of exercise on acute postprandial glucose concentrations and interleukin-6 responses in sedentary and overweight males

2018 ◽  
Vol 43 (12) ◽  
pp. 1298-1306 ◽  
Author(s):  
Aaron Raman ◽  
Jeremiah J. Peiffer ◽  
Gerard F. Hoyne ◽  
Nathan G. Lawler ◽  
Andrew J. Currie ◽  
...  
Keyword(s):  
Glucose Tolerance ◽  
Oxygen Uptake ◽  
Intermittent Exercise ◽  
Venous Blood ◽  
Area Under The Curve ◽  
Peak Oxygen Uptake ◽  
Moderate Intensity ◽  
Oral Glucose ◽  
Moderate Intensity Exercise ◽  
Blood Samples

This study examined the effect of 2 forms of exercise on glucose tolerance and the concurrent changes in markers associated with the interleukin (IL)-6 pathways. Fifteen sedentary, overweight males (29.0 ± 3.1 kg/m2) completed 2 separate, 3-day trials in randomised and counterbalanced order. An oral glucose tolerance test (OGTT; 75 g) was performed at the same time on each day of the trial. Day 2 of each trial consisted of a single 30-min workload-matched bout of either high-intensity intermittent exercise (HIIE; alternating 100% and 50% of peak oxygen uptake) or continuous moderate-intensity exercise (CME; 60 % of peak oxygen uptake) completed 1 h prior to the OGTT. Venous blood samples were collected before, immediately after, 1 h after, and 25 h after exercise for measurement of insulin, C-peptide, IL-6, and the soluble IL-6 receptors (sIL-6R; soluble glycoprotein 130 (sgp130)). Glucose area under the curve (AUC) was calculated from capillary blood samples collected throughout the OGTT. Exercise resulted in a modest (4.4%; p = 0.003) decrease in the glucose AUC when compared with the pre-exercise AUC; however, no differences were observed between exercise conditions (p = 0.65). IL-6 was elevated immediately after and 1 h after exercise, whilst sgp130 and sIL-6R concentrations were reduced immediately after exercise. In summary, exercise was effective in reducing glucose AUC, which was attributed to improvements that took place between 60 and 120 min into the OGTT, and was in parallel with an increased ratio of IL-6 to sIL-6R, which accords with an increased activation via the “classical” IL-6 signalling pathway. Our findings suggest that acute HIIE did not improve glycaemic response when compared with CME.

GIP and GLP-1 Receptor Antagonism During a Meal in Healthy Individuals

2020 ◽  
Vol 105 (3) ◽  
pp. e725-e738 ◽  
Author(s):  
Lærke S Gasbjerg ◽  
Mads M Helsted ◽  
Bolette Hartmann ◽  
Alexander H Sparre-Ulrich ◽  
Simon Veedfald ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Receptor Antagonist ◽  
Plasma Glucose ◽  
Area Under The Curve ◽  
Postprandial Glucose ◽  
Gallbladder Motility ◽  
Incretin Hormones ◽  
Gallbladder Ejection Fraction ◽  
Postprandial Plasma Glucose ◽  
Postprandial Glycemia

Abstract Context The actions of both endogenous incretin hormones during a meal have not previously been characterized. Objective Using specific receptor antagonists, we investigated the individual and combined contributions of endogenous glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1 (GLP-1) to postprandial glucose metabolism, energy expenditure, and gallbladder motility. Design Randomized, double-blinded, placebo-controlled, crossover design. Setting On four separate days, four liquid mixed meal tests (1894 kJ) over 270 minutes (min). Patients or Other Participants Twelve healthy male volunteers. Interventions Infusions of the GIP receptor antagonist GIP(3–30)NH2 (800 pmol/kg/min), the GLP-1 receptor antagonist exendin(9–39)NH2 (0–20 min: 1000 pmol/kg/min; 20–270 min: 450 pmol/kg/min), GIP(3–30)NH2+exendin(9–39)NH2, or placebo/saline. Main Outcome Measure Baseline-subtracted area under the curve (bsAUC) of C-peptide. Results Infusion of GIP(3–30)NH2+exendin(9–39)NH2 significantly increased plasma glucose excursions (bsAUC: 261 ± 142 mmol/L × min) during the liquid mixed meals compared with GIP(3–30)NH2 (180 ± 141 mmol/L × min; P = 0.048), exendin(9–39)NH2 (171 ± 114 mmol/L × min; P = 0.046), and placebo (116 ± 154 mmol/L × min; P = 0.015). Correspondingly, C-peptide:glucose ratios during GIP(3–30)NH2+exendin(9–39)NH2 infusion were significantly lower than during GIP(3–30)NH2 (P = 0.0057), exendin(9–39)NH2 (P = 0.0038), and placebo infusion (P = 0.014). GIP(3–30)NH2 resulted in significantly lower AUCs for glucagon than exendin(9–39)NH2 (P = 0.0417). Gallbladder ejection fraction was higher during GIP(3–30)NH2 compared with placebo (P = 0.004). For all interventions, energy expenditure and respiratory quotient were similar. Conclusions Endogenous GIP and GLP-1 lower postprandial plasma glucose excursions and stimulate insulin secretion but only endogenous GIP affects gallbladder motility. The two incretin hormones potentiate each other’s effects in the control of postprandial glycemia in healthy men.

Effects of high-intensity interval exercise versus continuous moderate-intensity exercise on postprandial glycemic control assessed by continuous glucose monitoring in obese adults

2014 ◽  
Vol 39 (7) ◽  
pp. 835-841 ◽  
Author(s):  
Jonathan P. Little ◽  
Mary E. Jung ◽  
Amy E. Wright ◽  
Wendi Wright ◽  
Ralph J.F. Manders
Keyword(s):  
Continuous Glucose Monitoring ◽  
High Intensity ◽  
Glucose Monitoring ◽  
Area Under The Curve ◽  
Postprandial Glucose ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Obese Adults ◽  
High Intensity Interval ◽  
The Impact

The purpose of this study was to examine the impact of acute high-intensity interval training (HIIT) compared with continuous moderate-intensity (CMI) exercise on postprandial hyperglycemia in overweight or obese adults. Ten inactive, overweight or obese adults (41 ± 11 yrs, BMI = 36 ± 7 kg/m2) performed an acute bout of HIIT (10 × 1 min at approximately 90% peak heart rate (HRpeak) with 1-min recovery periods) or matched work CMI (30 min at approximately 65% HRpeak) in a randomized, counterbalanced fashion. Exercise was performed 2 h after breakfast, and glucose control was assessed by continuous glucose monitoring under standardized dietary conditions over 24 h. Postprandial glucose (PPG) responses to lunch, dinner, and the following day’s breakfast were analyzed and compared with a no-exercise control day. Exercise did not affect the PPG responses to lunch, but performing both HIIT and CMI in the morning significantly reduced the PPG incremental area under the curve (AUC) following dinner when compared with control (HIIT = 110 ± 35, CMI = 125 ± 34, control = 162 ± 46 mmol/L × 2 h, p < 0.05). The PPG AUC (HIIT = 125 ± 53, CMI = 186 ± 55, control = 194 ± 96 mmol/L × 2 h) and the PPG spike (HIIT = Δ2.1 ± 0.9, CMI = Δ3.0 ± 0.9, control = Δ3.0 ± 1.5 mmol/l) following breakfast on the following day were significantly lower following HIIT compared with both CMI and control (p < 0.05). Absolute AUC and absolute glucose spikes were not different between HIIT, CMI, or control for any meal (p > 0.05 for all). We conclude that a single session of HIIT has greater and more lasting effects on reducing incremental PPG when compared with CMI.

scholarly journals The effect of moderate versus high intensity exercise on heart rate variability in sedentary office workers

2021 ◽  
Vol 16 (1) ◽  
pp. 16-23
Author(s):  
Vibha Gangwar ◽  
Manish Kumar Verma ◽  
Ritesh Singh Gangwar ◽  
Nitin Ashok John ◽  
Rajani Bala Jasrotia
Keyword(s):  
Heart Rate ◽  
Exercise Training ◽  
High Intensity ◽  
High Intensity Exercise ◽  
Office Workers ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Group I ◽  
Before And After ◽  
Group Ii

Background: Sedentary behavior is one of the leading modifiable risk factors for cardiovascular disease and all-cause mortality. Physical exercise exerts beneficial physiological effects on cardiovascular fitness. Different grades of physical exercise have different effects on cardiovascular health. Objective: To compare the effect of moderate and high intensity exercise training on heart rate variability (HRV) in sedentary office workers. Methods: This study was conducted on 40 healthy sedentary volunteers aged between 20-40 years of both the genders. Participants were distributed into two groups of 20 subjects each. Subjects of group I and group II performed moderate intensity and high intensity exercise respectively on bicycle ergometer for 12 weeks. Their 5- minute ECG recording was done by three channel physiograph, and frequency domain indices of HRV and heart rate (HR) were analyzed and compared before and after exercise training. Their blood pressure was also recorded and compared before and after exercise training. Independent sample t-test and paired sample ttest were used for statistical analysis. Results: HF, systolic and diastolic blood pressure reduced significantly after exercise in group II (p=0.015, 0.005, and 0.015 respectively) while HR and LF/HF ratio reduced in both group I and group II (p=0.000 for HR, and 0.034, 0.001 for LF/HF). The decrease in HR was greater after high intensity exercise than moderate intensity exercise (p= 0.025). Conclusion: Parasympathetic activity improves after moderate and high intensity exercise but improvement is more after high intensity exercise training. Therefore, high intensity exercise training is more beneficial than moderate intensity exercise training. J Bngladesh Soc Physiol 2021;16(1): 16-23

scholarly journals Improvements in Glycemic Control After Acute ModerateIntensity Continuous or HighIntensity Interval Exercise Are Greater in South Asians Than White Europeans With Nondiabetic Hyperglycemia: A Randomized Crossover Study

2020 ◽  
Author(s):  
Jack A. Sargeant ◽  
Charlotte Jelleyman ◽  
Nicole A. Coull ◽  
Charlotte L. Edwardson ◽  
Joseph Henson ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
South Asians ◽  
Area Under The Curve ◽  
Resistance Index ◽  
Moderate Intensity ◽  
Cardiometabolic Health ◽  
Interval Exercise ◽  
High Intensity Interval ◽  
Design And Methods ◽  
Insulin Responses

<i>Objective:</i> To examine whether circulating metabolic responses to low-volume high-intensity interval (LV-HIIE) or continuous moderate-intensity aerobic (CME) exercise differ between white Europeans and South Asians with nondiabetic hyperglycaemia (NDH). <div><p><i>Research Design and Methods:</i> 13 white Europeans and 10 South Asians (combined median (IQR) age 67 (60–68) years, HbA1c 5.9 (5.8–6.1)% [41.0 (39.9–43.2) mmol·mol<sup>-1</sup>]) completed three 6-hour conditions (sedentary control [CON], LV-HIIE, CME) in a randomised order. Exercise conditions contained a single bout of LV-HIIE and CME respectively (each ending at 2h), with meals provided at 0 and 3h. Circulating glucose (primary outcome), insulin, insulin resistance index (IRI), triglyceride and non-esterified fatty acids were measured at 0, 0.5, 1, 2, 3, 3.5, 4, 5 and 6h. Data were analysed as post-exercise time-averaged area under the curve (AUC), adjusted for age, sex and pre-exercise AUC.</p> <p><i>Results:</i> Glucose was similar in each condition and ethnicity, with no condition-by-ethnicity interaction (<i>P</i>≥0.28). However, insulin was lower in LV-HIIE (mean [95% CI]: -44.4 [-23.7, -65.1] mU·L<sup>-1</sup>) and CME (-33.8 [-13.7, -53.9] mU·L<sup>-1</sup>) compared to CON. Insulin responses were greater in South Asians (interaction <i>P</i>=0.03) such that values were similar in each ethnicity during exercise conditions, despite being 33% higher in South Asians during CON. IRI followed a similar pattern to insulin. Lipids were unaffected by exercise.</p> <p><i>Conclusions:</i> Reductions in insulin and insulin resistance after acute LV-HIIE and CME are greater in South Asians than white Europeans with NDH. Further trials are required to examine longer-term impact of LV-HIIE and CME on cardiometabolic health.</p> </div> <br>

scholarly journals EXERCISE MODE COMPARISONS OF ACUTE ENERGY EXPENDITURE DURING MODERATE INTENSITY EXERCISE IN OBESE ADULTS.

1999 ◽  
Vol 31 (Supplement) ◽  
pp. S311
Author(s):  
J. K. Kim ◽  
T. L. Burkhart ◽  
J. S. Hammersley ◽  
W. J. Lee ◽  
M. H. Whaley ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Obese Adults ◽  
Exercise Mode

Endurance training decreases plasma glucose turnover and oxidation during moderate-intensity exercise in men

1990 ◽  
Vol 68 (3) ◽  
pp. 990-996 ◽  
Author(s):  
A. R. Coggan ◽  
W. M. Kohrt ◽  
R. J. Spina ◽  
D. M. Bier ◽  
J. O. Holloszy
Keyword(s):  
Endurance Training ◽  
Plasma Glucose ◽  
Cycle Ergometer ◽  
Fat Free Mass ◽  
Strenuous Exercise ◽  
Moderate Intensity ◽  
Glucose Turnover ◽  
Moderate Intensity Exercise ◽  
Ergometer Exercise ◽  
Before And After

To assess the effects of endurance training on plasma glucose kinetics during moderate-intensity exercise in men, seven men were studied before and after 12 wk of strenuous exercise training (3 days/wk running, 3 days/wk cycling). After priming of the glucose and bicarbonate pools, [U-13C] glucose was infused continuously during 2 h of cycle ergometer exercise at 60% of pretraining peak O2 uptake (VO2) to determine glucose turnover and oxidation. Training increased cycle ergometer peak VO2 by 23% and decreased the respiratory exchange ratio during the final 30 min of exercise from 0.89 +/- 0.01 to 0.85 +/- 0.01 (SE) (P less than 0.001). Plasma glucose turnover during exercise decreased from 44.6 +/- 3.5 mumol.kg fat-free mass (FFM)-1.min-1 before training to 31.5 +/- 4.3 after training (P less than 0.001), whereas plasma glucose clearance (i.e., rate of disappearance/plasma glucose concentration) fell from 9.5 +/- 0.6 to 6.4 +/- 0.8 ml.kg FFM-1.min-1 (P less than 0.001). Oxidation of plasma-derived glucose, which accounted for approximately 90% of plasma glucose disappearance in both the untrained and trained states, decreased from 41.1 +/- 3.4 mumol.kg FFM-1.min-1 before training to 27.7 +/- 4.8 after training (P less than 0.001). This decrease could account for roughly one-half of the total reduction in the amount of carbohydrate utilized during the final 30 min of exercise in the trained compared with the untrained state.

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