Effects of interrupting prolonged sitting with physical activity breaks on blood glucose, insulin and triacylglycerol measures : a systematic review and meta-analysis
Autor: | Dirk Folkerts, Hannah Moir, Roland Loh, Emmanuel Stamatakis, Judith Allgrove |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Blood Glucose
medicine.medical_specialty Sports medicine medicine.medical_treatment 030209 endocrinology & metabolism Physical Therapy Sports Therapy and Rehabilitation Type 2 diabetes Sitting 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus medicine Humans Insulin Orthopedics and Sports Medicine 030212 general & internal medicine Exercise Triglycerides Sitting Position business.industry Publication bias medicine.disease Postprandial Period Diabetes Mellitus Type 2 Meta-analysis Systematic Review Sedentary Behavior sports business Body mass index biological |
Zdroj: | Sports Medicine (Auckland, N.z.) |
ISSN: | 0112-1642 |
Popis: | Background Physical activity (PA) breaks in sitting time might attenuate metabolic markers relevant to the prevention of type 2 diabetes. Objectives The primary aim of this paper was to systematically review and meta-analyse trials that compared the effects of breaking up prolonged sitting with bouts of PA throughout the day (INT) versus continuous sitting (SIT) on glucose, insulin and triacylglycerol (TAG) measures. A second aim was to compare the effects of INT versus continuous exercise (EX) on glucose, insulin and TAG measures. Methods The review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) recommendations. Eligibility criteria consisted of trials comparing INT vs. SIT or INT vs. one bout of EX before or after sitting, in participants aged 18 or above, who were classified as either metabolically healthy or impaired, but not with other major health conditions such as chronic obstructive pulmonary disease or peripheral arterial disease. Results A total of 42 studies were included in the overall review, whereas a total of 37 studies were included in the meta-analysis. There was a standardised mean difference (SMD) of − 0.54 (95% CI − 0.70, − 0.37, p = 0.00001) in favour of INT compared to SIT for glucose. With respect to insulin, there was an SMD of − 0.56 (95% CI − 0.74, − 0.38, p = 0.00001) in favour of INT. For TAG, there was an SMD of − 0.26 (95% CI − 0.44, − 0.09, p = 0.002) in favour of INT. Body mass index (BMI) was associated with glucose responses (β = − 0.05, 95% CI − 0.09, − 0.01, p = 0.01), and insulin (β = − 0.05, 95% CI − 0.10, − 0.006, p = 0.03), but not TAG (β = 0.02, 95% CI − 0.02, 0.06, p = 0.37). When energy expenditure was matched, there was an SMD of − 0.26 (95% CI − 0.50, − 0.02, p = 0.03) in favour of INT for glucose, but no statistically significant SMDs for insulin, i.e. 0.35 (95% CI − 0.37, 1.07, p = 0.35), or TAG i.e. 0.08 (95% CI − 0.22, 0.37, p = 0.62). It is worth noting that there was possible publication bias for TAG outcomes when PA breaks were compared with sitting. Conclusion The use of PA breaks during sitting moderately attenuated post-prandial glucose, insulin, and TAG, with greater glycaemic attenuation in people with higher BMI. There was a statistically significant small advantage for PA breaks over continuous exercise for attenuating glucose measures when exercise protocols were energy matched, but no statistically significant differences for insulin and TAG. PROSPERO Registration: CRD42017080982. PROSPERO Registration CRD42017080982. |
Databáze: | OpenAIRE |
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