Sitting Less Helps With Diabetes

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Sitting Less Helps With Diabetes


In patients with type 2 diabetes, a “Sit-Less” intervention that breaks up sedentary behavior with standing and light-intensity walking appears to be “more potent” than structured exercise at achieving glycemic control and improving insulin sensitivity, a new study indicates.
Replacing sitting time with standing and walking around the house could provide a valuable exercise alternative for patients with type 2 diabetes, particularly when muscle weakness and peripheral neuropathy make it difficult to exercise, according to the researchers.
“In this study, we observed that the Sit-Less regimen improved insulin sensitivity, mean 24-hour glucose levels, 24-hour glucose excursions, duration of hyperglycemia [blood glucose ≥10 mmol/L], and fasting triacylglycerol levels,” say Bernard MFM. Duvivier, MD, of the CARIM School for Cardiovascular Diseases, Maastricht University Medical Center, the Netherlands, and colleagues in a report published onlineNovember 30 in Diabetologia.
“These data suggest that more stable glucose levels can be achieved with light-intensity activity rather than with exercise.”
While structured exercise is a well-recognized part of diabetes treatment and prevention, the dropout rate in healthy individuals is about 90%, the researchers point out. “Sustained compliance with exercise programs, especially by individuals with type 2 diabetes, is at best mediocre.”
Population-based studies suggest that adults spend more than half of their day at sedentary activities such as watching TV and sitting at a computer. In addition, observational studies point to “associations between the time spent sitting and markers of metabolic disturbance,” the researchers point out.
Diabetologia. Published online November 30, 2016. Abstract

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