Acute Effects of Frequent Light-Intensity Standing-Based Exercises That Interrupt 8 Hours of Prolonged Sitting on Postprandial Glucose in Stroke Survivors: A Dose-Escalation Trial

Article


Mackie, Paul, Crowfoot, Gary, Gyawali, Prajwal, Janssen, Heidi, Holliday, Elizabeth, Dunstan, David and English, Coralie. 2021. "Acute Effects of Frequent Light-Intensity Standing-Based Exercises That Interrupt 8 Hours of Prolonged Sitting on Postprandial Glucose in Stroke Survivors: A Dose-Escalation Trial." Journal of Physical Activity and Health. 18 (6), pp. 644-652. https://doi.org/10.1123/jpah.2020-0516
Article Title

Acute Effects of Frequent Light-Intensity Standing-Based Exercises That Interrupt 8 Hours of Prolonged Sitting on Postprandial Glucose in Stroke Survivors: A Dose-Escalation Trial

ERA Journal ID9773
Article CategoryArticle
AuthorsMackie, Paul (Author), Crowfoot, Gary (Author), Gyawali, Prajwal (Author), Janssen, Heidi (Author), Holliday, Elizabeth (Author), Dunstan, David (Author) and English, Coralie (Author)
Journal TitleJournal of Physical Activity and Health
Journal Citation18 (6), pp. 644-652
Number of Pages9
Year2021
PublisherHuman Kinetics Publishers
Place of PublicationUnited States
ISSN1543-3080
1543-5474
Digital Object Identifier (DOI)https://doi.org/10.1123/jpah.2020-0516
Web Address (URL)https://journals.humankinetics.com/view/journals/jpah/18/6/article-p644.xml
Abstract

Background: Interrupting prolonged sitting can attenuate postprandial glucose responses in overweight adults. The dose–response effect in stroke survivors is unknown. The authors investigated the effects of interrupting 8 hours of prolonged sitting with increasingly frequent bouts of light-intensity standing-based exercises on the postprandial glucose response in stroke survivors.

Methods: Within-participant, laboratory-based, dose-escalation trial. Participants completed three 8-hour conditions: prolonged sitting and 2 experimental conditions. Experimental conditions involved light-intensity standing-based exercises of increasing frequency (2 × 5 min to 6 × 5 min bouts). Postprandial glucose is reported.

Results: Twenty-nine stroke survivors (aged 66 y) participated. Interrupting 8 hours of prolonged sitting with light-intensity standing-based exercises every 90 minutes significantly decreased postprandial glucose (positive incremental area under the curve; −1.1 mmol/L·7 h; 95% confidence interval, −2.0 to −0.1). In the morning (08:00–11:00), postprandial glucose decreased during the 4 × 5 minutes and 6 × 5 minutes conditions (positive incremental area under the curve; −0.8 mmol/L·3 h; 95% confidence interval, −1.3 to −0.3 and −0.8 mmol/L·3 h; 95% confidence interval, −1.5 to −0.2, respectively) compared with prolonged sitting.

Conclusion: Interrupting 8 hours of prolonged sitting at least every 90 minutes with light-intensity standing-based exercises attenuates postprandial glucose in stroke survivors. During the morning, postprandial glucose is attenuated when sitting is interrupted every 60 and 90 minutes.

Keywordsclinical research, exercise, metabolic health
ANZSRC Field of Research 2020320905. Neurology and neuromuscular diseases
Institution of OriginUniversity of Southern Queensland
Byline AffiliationsUniversity of Newcastle
Baker Heart and Diabetes Institute, Australia
Florey Institute, Australia
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Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More at (SMArT) Work cluster randomised controlled trial Health behavior, health promotion and society
O'Connell, S. E., Jackson, B. R., Edwardson, C. L., Yates, T., Biddle, S. J. H., Davies, M. J., Dunstan, D., Esliger, D., Gray, L., Miller, P. and Munir, F.. 2015. "Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More at (SMArT) Work cluster randomised controlled trial Health behavior, health promotion and society." BMC Public Health. 15, pp. 1-12. https://doi.org/10.1186/s12889-015-2532-5
Too much sitting and all-cause mortality: is there a causal link?
Biddle, Stuart J. H., Bennie, Jason A., Bauman, Adrian E., Chau, Josephine Y., Dunstan, David, Owen, Neville, Stamatakis, Emmanuel and van Uffelen, Jannique G. Z.. 2016. "Too much sitting and all-cause mortality: is there a causal link?" BMC Public Health. 16, pp. 1-10. https://doi.org/10.1186/s12889-016-3307-3
Association of abnormal erythrocyte morphology with oxidative stress and inflammation in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Bwititi, Phillip T. and Nwose, Ezekiel Uba. 2015. "Association of abnormal erythrocyte morphology with oxidative stress and inflammation in metabolic syndrome." Blood Cells, Molecules and Diseases. 54 (4), pp. 360-363. https://doi.org/10.1016/j.bcmd.2015.01.005
The association of dyslipidemia with erythrocyte aggregation
Gyawali, Prajwal, Richards, Ross S, Bwititi, Phillip T. and Nwose, Ezekiel Uba. 2015. "The association of dyslipidemia with erythrocyte aggregation ." Clinical Lipidology. 10 (2), pp. 129-135. https://doi.org/10.2217/CLP.15.3
Hemorheology, ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Tinley, Paul and Nwose, Ezekiel Uba. 2014. "Hemorheology, ankle brachial pressure index (ABPI) and toe brachial pressure index (TBPI) in metabolic syndrome ." Microvascular Research. 95, pp. 31-36. https://doi.org/10.1016/j.mvr.2014.06.013
Product of serum calcium and phosphorus (Ca× PO4) as predictor of cardiovascular disease risk in predialysis patients
Regmi, Prashant, Malla, Bimala, Gyawali, Prajwal, Sigdel, Manoj, Shrestha, Rojeet, Shah, Dibya Singh and Khanal, Madhav Prasad. 2014. "Product of serum calcium and phosphorus (Ca× PO4) as predictor of cardiovascular disease risk in predialysis patients." Clinical Biochemistry. 47 (1-2), pp. 77-81. https://doi.org/10.1016/j.clinbiochem.2013.09.012
Erythrocyte aggregation and metabolic syndrome
Gyawali, Prajwal, Richards, Ross S., Hughes, Diane L. and Tinley, Paul. 2014. "Erythrocyte aggregation and metabolic syndrome." Clinical Hemorheology and Microcirculation. 57 (1), pp. 73-83. https://doi.org/10.3233/CH-131792
Whole-blood viscosity and metabolic syndrome
Gyawali, Prajwal, Richards, Ross S, Nwose, Ezekiel Uba and Bwititi, Phillip T. 2012. "Whole-blood viscosity and metabolic syndrome ." Clinical Lipidology. 7 (6), pp. 709-719. https://doi.org/10.2217/CLP.12.65
Erythrocyte morphology in metabolic syndrome
Gyawali, Prajwal, Richards, Ross S. and Nwose, Ezekiel Uba. 2012. "Erythrocyte morphology in metabolic syndrome ." Expert Review of Hematology. 5 (5), pp. 523-531. https://doi.org/10.1586/EHM.12.47
Associations between social ecological factors and self-reported short physical activity breaks during work hours among desk-based employees
Bennie, Jason A., Timperio, Anna F., Crawford, David A., Dunstan, David W. and Salmon, Jo L.. 2011. "Associations between social ecological factors and self-reported short physical activity breaks during work hours among desk-based employees." Preventive Medicine. 53 (1-2), pp. 44-47. https://doi.org/10.1016/j.ypmed.2011.05.015