Different frequencies of active interruptions to sitting have distinct effects on 22 h glycemic control in type 2 diabetes.

Ashleigh R Homer; Frances C Taylor; Paddy C Dempsey; Michael J Wheeler; Parneet Sethi; Megan S Grace; Daniel J Green; Neale D Cohen; Robyn N Larsen; Bronwyn A Kingwell; Neville Owen; David W Dunstan
Abstract
Whether the frequency of interruptions to sitting time involving simple resistance activities (SRAs), compared to uninterrupted sitting, differentially affected 22 h glycemic control in adults with medication-controlled type 2 diabetes (T2D).Twenty-four participants (13 men; mean ± SD age 62 ± 8 years) completed three 8 h laboratory conditions: SIT: uninterrupted sitting; SRA3: sitting interrupted with 3 min of SRAs every 30 min; and, SRA6: sitting interrupted with 6 min of SRAs every 60 min. Flash glucose monitors assessed glycemic control over a 22 h period. No differences were observed between conditions for overall 22 h glycemic control as measured by AUC, mean glucose and time in hyperglycemia. During the 3.5 h post-lunch period, mean glucose was significantly lower during SRA6 (10.1 mmol·L, 95%CI 9.2, 11.0) compared to SIT (11.1 mmol·L, 95%CI 10.2, 12.0; P = 0.006). Post-lunch iAUC was significantly lower during SRA6 (6.2 mmol·h·L, 95%CI 3.3, 9.1) compared to SIT (9.9 mmol·h·L, 95%CI 7.0, 12.9; P = 0.003). During the post-lunch period, compared to SIT (2.2 h, 95%CI 1.7, 2.6), time in hyperglycemia was significantly lower during SRA6 (1.5 h, 95%CI 1.0, 1.9, P = 0.001). Nocturnal mean glucose was significantly lower following the SRA3 condition (7.6 mmol·L, 95%CI 7.1, 8.1) compared to SIT (8.1 mmol·L, 95%CI 7.6, 8.7, P = 0.024).totalWith standardized total activity time, less-frequent active interruptions to sitting may acutely improve glycemic control; while more-frequent interruptions may be beneficial for nocturnal glucose in those with medication-controlled T2D.
Journal NUTRITION, METABOLISM, AND CARDIOVASCULAR DISEASES : NMCD
ISSN 1590-3729
Published 22 Sep 2021
Volume 31
Issue 10
Pages 2969-2978
DOI 10.1016/j.numecd.2021.07.001
Type Journal Article | Research Support, Non-U.S. Gov't
Sponsorship NHMRC: 1057608