Improved glycaemic control induced by evening activity breaks does not persist overnight amongst healthy adults: A randomized crossover trial

Diabetes Obes MetabPublished Randomised crossover trial

Authors' conclusion

Performing activity breaks in the evening results in acute reductions in interstitial glucose concentrations; however, the magnitude of these changes is not maintained overnight or into the following 48 hours.

Study context

Population
Healthy adults; female n = 20, mean ± SD age 25.5 ± 5.6 years, BMI 29.2 ± 6.9 kg/m²provided data for analysis
Participants
28 adults
Comparison
Regular activity breaks vs prolonged sitting for 4 h in the evening
Primary endpoint
Free-living interstitial glucose levels (CGM)
Follow-up
48-h after intervention
Methodological detailslaboratory-based interventions
  • Laboratory-based interventions

Primary result

As reported in the abstract

during the 4-h intervention
RABs vs SITDifference in mean interstitial glucose, mmol/L/4 h (95% CI)P value
Lowered by 8.3%
−0.47(−0.74 to −0.20)
P = 0.001
Lowered by 8.9%
difference in AUC −2.01 mmol/L/4 h (95% CI −3.05 to −0.97); P < 0.001

Further findings

OutcomeDifference (mmol/L) (95% CI)P value
Continuous overall net action of glucose at 1 h (CONGA-1) · first nocturnal periodIncreased by 22%0.18 (0.03–0.29)P = 0.018
Continuous overall net action of glucose at 1 h (CONGA-1) · 24-h post interventionIncreased by 10%0.09 (0.01–0.17)P = 0.025
OutcomePercentage increase (95% CI)P value
SD glucose · first nocturnal period26% (4.9–42.7)P = 0.019
SD glucose · 24-h post intervention15% (6.6–22.4)P = 0.001

Mean glucose and AUC · first nocturnal period and 24-h post intervention

No significant differences in mean glucose and AUC between conditions

Original publication

Improved glycaemic control induced by evening activity breaks does not persist overnight amongst healthy adults: A randomized crossover trial. Diabetes Obes Metab. Published 4 April 2024. doi:10.1111/dom.15589

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