Accuracy of Flash Glucose Monitoring During Postprandial Rest and Different Walking Conditions in Overweight or Obese Young Adults.

Autor: Zhang X; Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR China.; School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China., Sun F; Department of Health and Physical Education, The Education University of Hong Kong, Tai Po, Hong Kong, SAR China., Wongpipit W; Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR China.; Division of Health and Physical Education, Faculty of Education, Chulalongkorn University, Bangkok, Thailand., Huang WYJ; Department of Sport, Physical Education, and Health, Hong Kong Baptist University, Kowloon, Hong Kong, SAR China., Wong SHS; Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR China.
Jazyk: angličtina
Zdroj: Frontiers in physiology [Front Physiol] 2021 Oct 15; Vol. 12, pp. 732751. Date of Electronic Publication: 2021 Oct 15 (Print Publication: 2021).
DOI: 10.3389/fphys.2021.732751
Abstrakt: Aims: To investigate the accuracy of FreeStyle Libre TM flash glucose monitoring (FGM) relevant to plasma glucose (PG) measurements during postprandial rest and different walking conditions in overweight/obese young adults. Methods: Data of 40 overweight/obese participants from two randomized crossover studies were pooled into four trials: (1) sitting (SIT, n = 40); (2) walking continuously for 30 min initiated 20 min before individual postprandial glucose peak (PPGP) (20iP + CONT, n = 40); (3) walking continuously for 30 min initiated at PPGP (iP + CONT, n = 20); and (4) accumulated walking for 30 min initiated 20 min before PPGP (20iP + ACCU, n = 20). Paired FGM and PG were measured 4 h following breakfast. Results: The overall mean absolute relative difference (MARD) between PG and FGM readings was 16.4 ± 8.6% for SIT, 16.2 ± 4.7% for 20iP + CONT, 16.7 ± 12.2% for iP + CONT, and 19.1 ± 6.8% for 20iP + ACCU. The Bland-Altman analysis showed a bias of -1.03 mmol⋅L -1 in SIT, -0.89 mmol⋅L -1 in 20iP + CONT, -0.82 mmol⋅L -1 in iP + CONT, and -1.23 mmol⋅L -1 in 20iP + ACCU. The Clarke error grid analysis showed that 99.6-100% of the values in all trials fell within zones A and B. Conclusion: Although FGM readings underestimated PG, the FGM accuracy was overall clinically acceptable during postprandial rest and walking in overweight/obese young adults.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2021 Zhang, Sun, Wongpipit, Huang and Wong.)
Databáze: MEDLINE