Type 1 diabetes

Interrupting prolonged sitting with frequent short bouts of light‐intensity activity in people with type 1 diabetes improves glycaemic control without increasing hypoglycaemia: The sitting (SIT)‐LESS randomised controlled trial

Diabetes Obes MetabPublished Randomised crossover trial

Authors' conclusion

Interrupting prolonged sitting with frequent short bouts of light-intensity activity improves acute postprandial and 48-h glycaemia in adults with T1D. This pragmatic strategy is an efficacious approach to reducing sedentariness and increasing physical activity levels without increasing risk of hypoglycaemia in T1D.

Study context

Population
Inactive adults with T1D; aged 27.9 ± 4.7 years, 15 men, diabetes duration 16.0 ± 6.9 years, HbA1c 8.4 ± 1.4%crossover
Participants
32 adults
Comparison
Interrupted sitting with 3-min walking bouts every 30 min (SIT-LESS) vs uninterrupted sitting (SIT)
Primary endpoint
Glycaemic control (total mean glucose by blinded CGM)
Follow-up
7-h experimental period and further 48-h free-living
Methodological details>7-day washout, blinded CGM, Standardised mixed-macronutrient meals 3.5 h apart during each 7-h condition
  • >7-day washout
  • Blinded CGM
  • Standardised mixed-macronutrient meals 3.5 h apart during each 7-h condition

Primary result

As reported in the abstract

Total mean glucose

P = 0.001

Further findings

TIR (3.9-10.0 mmol/L)

increase 13.7 % · P = 0.002

Hyperglycaemia (>10.0 mmol/L) · lower with SIT-LESS

reduction 15.0 % · P = 0.002

OutcomeReduction (%)P value
Glycaemic variability (CV %) · across the observation windowLower with SIT-LESS7.8P = 0.021

Discrete periods: experimental and free-living postprandial, whole-day and night-time glycaemia

SIT-LESS improved experimental and free-living postprandial, whole-day and night-time glycaemic outcomes
P < 0.05

Safety

Hypoglycaemia exposure (<3.9 mmol/L) · comparable across conditions

P = 0.583

Original publication

Interrupting prolonged sitting with frequent short bouts of light‐intensity activity in people with type 1 diabetes improves glycaemic control without increasing hypoglycaemia: The SIT‐LESS randomised controlled trial. Diabetes Obes Metab. Published 25 August 2023. doi:10.1111/dom.15254

Composed by AI from the published abstract and checked against it. How Briefs are made →

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