Downhill hiking improves low-grade inflammation, triglycerides, body weight and glucose tolerance

Autor: Jörn F. Dopheide, Alexander Vonbank, Gerda Tautermann, Heinz Drexel, Arthur Mader, Christoph H. Saely
Rok vydání: 2020
Předmět:
0301 basic medicine
Blood Glucose
Male
Lifestyle modification
medicine.medical_treatment
Walking
030204 cardiovascular system & hematology
Body Mass Index
Low grade inflammation
chemistry.chemical_compound
0302 clinical medicine
Multidisciplinary
Diabetes
Patient education
Middle Aged
Postprandial Period
Lipids
Postprandial
Medicine
Female
Fat metabolism
Adult
medicine.medical_specialty
Science
Body weight
Proof of Concept Study
Article
03 medical and health sciences
Insulin resistance
Internal medicine
medicine
Humans
Exercise
Triglycerides
Dyslipidaemias
Inflammation
Preventive medicine
Triglyceride
business.industry
Insulin
Insulin sensitivity
Metabolic diseases
medicine.disease
030104 developmental biology
Endocrinology
Metabolism
chemistry
Insulin Resistance
Sedentary Behavior
business
Body mass index
Zdroj: Scientific Reports
Scientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
ISSN: 2045-2322
Popis: Exercise is a well-established tool for cardiovascular risk reduction. Particularly eccentric exercise, which essentially means walking downwards could favour more people becoming physically active. With the present controlled study, we tested the hypothesis that eccentric exercise can improve insulin sensitivity, triglyceride handling, body mass index, glucose tolerance and inflammation. We allocated 127 healthy sedentary individuals to one of two groups: (i) an active group of 102 individuals walking downwards a predefined route three to five times per week over two months, covering a difference in altitude of 540 m; for the upward route a cable car was used, for which adherence was recorded electronically and (ii) a matched control group of 25 individuals who stayed sedentary. Fasting and postprandial metabolic profiles were obtained at baseline and after two months. Compared to baseline, eccentric exercise significantly improved HOMA insulin resistance (1.94 ± 1.65 vs. 1.71 ± 1.36 (µU−1 ml) × ((mmol/l)−122.5); p = 0.038) and resulted in a decrease in fasting glucose (97 ± 15 vs. 94 ± 9 mg dl−1; p = 0.025) and glucose tolerance (238 ± 50 vs. 217 ± 47 mg dl−1 h−1; p −1 h−1; p = 0.003), whereas triglyceride tolerance remained unchanged in the control group (p = 0.819). Furthermore, body mass index (27.7 ± 4.3 vs. 27.4 ± 4.3 kg m−2; p = 0.003) and C-reactive protein (0.27 ± 0.42 vs. 0.23 ± 0.25 mg dl−1; p = 0.031) were significantly lowered in the eccentric exercise group but not in the control group. Downhill walking, a type of exercise is a promising unusual exercise modality with favorable effects on body mass index, insulin action, on postprandial glucose and triglyceride handling and on C-reactive protein.ClinicalTrials.gov Identifier: NCT00386854.
Databáze: OpenAIRE