Cited by 204Physical Activity and HealthCardiovascular and exercise physiologyDiabetes, Cardiovascular Risks, and Lipoproteins

The DOI matches its Crossref record; 42 of the 43 references it cites were found in a registry or an index.

‘Exercise snacks’ before meals: a novel strategy to improve glycaemic control in individuals with insulin resistance

Abstract

Aims/hypothesis The aim of this study was to investigate whether small doses of intense exercise before each main meal ('exercise snacks') would result in better blood glucose control than a single bout of prolonged, continuous, moderate-intensity exercise in individuals with insulin resistance.Methods Nine individuals completed three exercise interventions in randomised order. Measures were recorded across 3 days with exercise performed on the middle day, as either: (1) traditional continuous exercise (CONT), comprising 30 min moderate-intensity (60% of maximal heart rate [HRmax]) incline walking before dinner; (2) exercise snacking (ES), consisting of 6 × 1 min intense (90% HRmax) incline walking intervals 30 min before each meal; or (3) composite exercise snacking (CES), encompassing 6 × 1 min intervals alternating between walking and resistance-based exercise, 30 min before meals. Meal timing and composition were controlled within participants for exercise interventions.Results ES attenuated mean 3 h postprandial glucose concentration following breakfast (by 1.4 ± 1.5 mmol/l, p = 0.02) but not lunch (0.4 ± 1.0 mmol/l, p = 0.22), and was more effective than CONT following dinner (0.7 ± 1.5 mmol/l below CONT; p = 0.04). ES also reduced 24 h mean glucose concentration by 0.7 ± 0.6 mmol/l (p = 0.01) and this reduction persisted for the subsequent 24 h (lower by 0.6 ± 0.4 mmol/l vs CONT, relative to their baselines; p = 0.01). CES was just as effective as ES (p > 0.05 for all glycaemic variables) at improving glycaemic control.Conclusions/interpretation Dosing exercise as brief, intense 'exercise snacks' before main meals is a time-efficient and effective approach to improve glycaemic control in individuals with insulin resistance.

Overview

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Crossref · 10.1007/s00125-014-3244-6

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Research works printed but not linked: 1

  1. World Health Organization (2010) Global recommendations on physical activity for health. World Health Organization, Geneva

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Metadata

Authors
Francois, M. E., Baldi, J. C., Manning, P. J., Lucas, S. J. E., Hawley, J. A., Williams, M. J. A., & Cotter, J. D.
Affiliations
  • University of Otago (NZ)
  • University of Birmingham (GB)
  • Liverpool John Moores University (GB)
Corresponding author
Cotter, James D.
Venue
Diabetologia
Published
2014-05-10
Volume
57
Issue
7
Pages
1437-1445
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
OpenAlex
W2140601370
Cited by
204
References
43
Citations by year
2026: 34 · 2025: 17 · 2024: 14 · 2023: 15 · 2022: 12 · 2021: 15 · 2020: 19 · 2019: 13 · 2018: 11 · 2017: 14 · 2016: 18 · 2015: 16 · 2014: 6
FWCI
11.97
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetologia (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • Research Online (University of Wollongong) (submittedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
  • Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
exercise snacks, insulin resistance, glycemic control, postprandial blood glucose, high-intensity interval exercise, resistance training, meal timing, blood glucose
MeSH terms
Adult, Blood Glucose, Diabetes Mellitus, Type 2, Female, Humans, Insulin, Insulin Resistance, Male, Middle Aged, Exercise, Cross-Over Studies, Meals

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