Alternating bouts of sitting and standing attenuates postprandial glucose responses

Thorp, Alicia Ann, Kingwell, Bronwyn A., Sethi, Parneet, Hammond, Louise, Owen, Neville and Dunstan, David W. (2014) Alternating bouts of sitting and standing attenuates postprandial glucose responses. Medicine and Science in Sports and Exercise, 46 11: 2053-2061. doi:10.1249/MSS.0000000000000337


Author Thorp, Alicia Ann
Kingwell, Bronwyn A.
Sethi, Parneet
Hammond, Louise
Owen, Neville
Dunstan, David W.
Title Alternating bouts of sitting and standing attenuates postprandial glucose responses
Journal name Medicine and Science in Sports and Exercise   Check publisher's open access policy
ISSN 0195-9131
1530-0315
Publication date 2014-11-01
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1249/MSS.0000000000000337
Volume 46
Issue 11
Start page 2053
End page 2061
Total pages 9
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2015
Language eng
Formatted abstract

Purpose: This study aimed to examine whether reductions in sitting time through alternating 30-min bouts of sitting and standing can reduce postprandial glucose, insulin, and triglyceride responses.

Methods: Twenty-three overweight/obese sedentary office workers (17 males and six females; mean ± SD: age, 48.2 ± 7.9 yr; body mass index, 29.6 ± 4.0 kg·m-2) undertook two short-term (5 d) experimental conditions in an equal, randomized (1:1) order. In a simulated office environment, participants performed typical occupational tasks for 8 h·d-1 while in a 1) seated work posture (control condition) or 2) interchanging between a seated and standing work posture every 30 min using an electric, height-adjustable workstation (intervention condition). Fasting and postprandial blood samples after a mixed test drink were collected hourly for 4 h on days 1 and 5 of each condition to assess serum insulin, plasma glucose, and triglycerides. Dietary intake (kJ·d-1) and physical activity were standardized during each condition. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12611000632998).

Results: After adjustment for time (days 1 and 5), incremental area under the analyte time curve differed significantly between conditions for plasma glucose (P = 0.007) but not for serum insulin or plasma triglycerides. Adjusted mean glucose incremental area under the analyte time curve was lowered by 11.1% after the intervention condition (6.38 mM·h-1 (confidence interval, 5.04–7.71)) relative to the control condition (7.18 mM·h-1 (confidence interval, 5.85–8.52)). No temporal changes (days 1 vs 5) between conditions were observed.

Conclusions: Alternating standing and sitting in 30-min bouts results in modest beneficial effects on postprandial glucose responses in overweight/obese office workers.
Keyword Postprandial glucose
Sitting
Standing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2015 Collection
School of Public Health Publications
 
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