Obesity

Effects of reducing sedentary behaviour on renal glucose uptake during insulin stimulation: A post‐hoc analysis of a 6‐month randomized controlled trial

Diabetes Obes MetabPublished Post-hoc analysis of a randomised controlled trial

Authors' conclusion

In patients with metabolic syndrome, insulin-stimulated renal GU increases concomitantly with a small decrease in body adiposity, independently of changes in whole-body glucose disposal.

Study context

Population
Patients with metabolic syndrome34 with renal data at baseline, 30 at end
Participants
44 patients
Comparison
Guidance to reduce sedentary behaviour by 1 h/day vs maintaining usual sedentary behaviour
Primary endpoint
Insulin-stimulated renal glucose uptake rate (GU) by [18F]FDG-PET during hyperinsulinemic clamp
Follow-up
6 months
Methodological details6-month intervention
  • 6-month intervention

Primary result

As reported in the abstract

Cortical and medullary renal GU
  • Cortical and medullary GU increased vs baseline, similarly in both groups

Further findings

Light and moderate-to-vigorous physical activity (PA) and BMI · study end

PA increased and BMI slightly decreased, with no significant intervention effect

Correlates of cortical GU at baseline

Cortical GU directly related to insulin sensitivity and inversely to BMI and circulating FFA

Correlates of change in renal GU

Change in renal GU directly related to change in liver GU, not to change in whole-body insulin sensitivity

Original publication

Effects of reducing sedentary behaviour on renal glucose uptake during insulin stimulation: A post‐hoc analysis of a 6‐month randomized controlled trial. Diabetes Obes Metab. Published 22 July 2025. doi:10.1111/dom.16631

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