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Daily Physical Activity After Meals -Long Term Effects on Blood Glucose

Not Applicable
Completed
Conditions
Blood Glucose
Blood Glucose Related Variables
Interventions
Behavioral: Postprandial physical activity
Registration Number
NCT02536066
Lead Sponsor
Inland Norway University of Applied Sciences
Brief Summary

The postprandial blood glucose concentration is an important risk factor for development of cardiovascular diseases and diabetes. Previous studies have shown that one bout of moderate or light post-meal physical activity effectively blunts the postprandial increase in blood glucose after carbohydrate intake. Pre-meal exercise does not generate such effect. Thus, the effect of exercise on postprandial glycemia depend on the timing of exercise. Even very light physical activity decreases postprandial glycemia when performed in the postprandial period. The purpose of this study was to investigate whether such activity performed each day for 12 weeks would influence blood variables related to glycemic control.

METHODS 40 subjects being ethnic Norwegians or of South Asian origin were randomized into an intervention or a control group. They were previously diagnosed as hyperglycemic, or with high risk of type 2 diabetes according to Ramachandran's risc score.

Control subjects were told to maintain their usual physical activity patterns during the study period, while the intervention subjects were instructed to undertake a minimum of 30 minutes of daily post-meal physical activity in addition to their usual activity patterns.

Venous blood samples were taken before and after the 12 week intervention period. Plasma was analyzed for HbA1c and for fasting and 2hour (OGTT) values of glucose, insulin and c-peptide. The subjects kept a physical activity diary, answered questionnaires and used accelerometers to determine the level of physical activity.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Hyperglycemia or high risk of type 2 diabetes due to Ramachandrans risk score
Exclusion Criteria
  • Use of hypoglycemic agents and conditions directly affecting blood glucose other than hyperglycemia per s.e. / diabetes type 2

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
InterventionPostprandial physical activityAddition of daily postprandial physical activity in addition to usual activity patterns
Primary Outcome Measures
NameTimeMethod
Change in Physical fitness measured as oxygen consumption during an exercise testMeasured pre and post intervention which lasts an average of 12 weeks

measured at the end of 10 minutes ergometer cycle test an given intensity (low) by indirect calorimetry

Change in Fasted glucosePre and post intervention which lasts an average of 12 weeks
Change in Physical fitness measured as lactic acid during an exercise testMeasured pre and post intervention which lasts an average of 12 weeks

measured at the end of 10 minutes ergometer cycle test an given intensity (low) from capillary blod from a finger stick

Change in Hba1cPre and post intervention which lasts an average of 12 weeks
Change in 2hour glucosePre and post intervention which lasts an average of 12 weeks

Oral glucose tolerance test (OGTT)

Change in Physical fitness measured as heart rate during an exercise testMeasured pre and post intervention which lasts an average of 12 weeks

Heart rate measured at the end of 10 minutes ergometer cycle test an given intensity (low) to moderate intensity)

Change in Physical fitness measured as perceived exertion during an exercise testMeasured pre and post intervention which lasts an average of 12 weeks

Borg RPE scale measured at the end of 10 minutes ergometer cycle test an given intensity (low)

Change in glucose during OGTTPre and post intervention which lasts an average of 12 weeks

glucose measured by finger sticks every 15. minute during the 2hour oral glucose tolerance test

Change in Physical fitness measured as respiratory exchange rate during an exercise testMeasured pre and post intervention which lasts an average of 12 weeks

Measured at the end of 10 minutes ergometer cycle test an given intensity (low), by indirect calorimetry

Secondary Outcome Measures
NameTimeMethod
Change in LDL cholesterolMeasured Pre and post intervention which lasts an average of 12 weeks
Change in triglyceridesMeasured Pre and post intervention which lasts an average of 12 weeks
Change in Blood pressureMeasured Pre and post intervention which lasts an average of 12 weeks
Change in Quality of lifeMeasured Pre and post intervention which lasts an average of 12 weeks

Quality of life measured by SF36

Change in Total cholesterolMeasured Pre and post intervention which lasts an average of 12 weeks
Change in body weightMeasured Pre and post intervention which lasts an average of 12 weeks
Change in HDL cholesterolMeasured Pre and post intervention which lasts an average of 12 weeks
Change in waist circumferenceMeasured Pre and post intervention which lasts an average of 12 weeks

Trial Locations

Locations (1)

Lillehammer University College

🇳🇴

Lillehammer, Norway

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