Abstract

The study goals were to (1) establish the variability in postprandial glucose control in healthy young people consuming a mixed meal and, then (2) determine the acute and residual impact of a single exercise bout on postprandial glucose control. In study 1, 18 people completed two similar mixed meal trials and an intravenous glucose tolerance test (IVGTT). There were strong test-retest correlations for the post-meal area under the curve (AUC) for glucose, insulin, and Cpeptide (r = 0.73–0.83) and the Matsuda insulin sensitivity index (ISI, r = 0.76), and between meal and IVGTT-derived ISI (r = 0.83). In study 2, 11 untrained young adults completed 3 trials. One trial (No Ex) was completed after refraining from vigorous activity for ≥3 days. On the other 2 trials, a 45-min aerobic exercise bout was performed either 17-hours (Prior Day Ex) or 1-hour (Same Day Ex) before consuming the test meal. Compared to No Ex and Prior Day Ex, which did not differ from one another, there were lower AUCs on the Same Day Ex trial for glucose (6%), insulin (20%) and C-peptide (14%). Thus, a single moderate intensity exercise session can acutely improve glycemic control but the effect is modest and short-lived.

Highlights

  • The recent increase in obesity and metabolic disorders in young people highlights the need for more effective lifestyle programs to address current and future disease risk [1,2,3,4]

  • Fasting and postprandial EE and fuel oxidation did not differ among trials. The goals of this investigation were to establish the reliability of a mixed meal test for assessing glucose tolerance and insulin action, and to measure the acute and residual impact of a single session of endurance exercise on meal glucose tolerance in habitually sedentary, but healthy young adults

  • 30 60 90 120 150 180 Time after meal responses and strong correlation between the meal insulin sensitivity index (ISI) and intravenous glucose tolerance test (IVGTT) SI, while the main finding of the second study was that meal glucose control was improved following a moderate intensity exercise session compared to a trial without prior exercise

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Summary

Introduction

There is evidence that the effect of a single exercise session on insulin sensitivity and glucose tolerance may last up to 48 hours [9, 13,14,15], not all studies have been able to demonstrate this result [16,17,18]. This disparity in results may be due to differences among studies in the volume or intensity of exercise, the clinical or fitness status of the participants, or timing of the postexercise measurements. Less than half of adults and children in the United States meet current physical activity recommendations [19, 20]

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