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Objectively Measured Light-Intensity Physical Activity Is Independently Associated With 2-h Plasma Glucose
Open accessAbstract
OBJECTIVE—We examined the associations of objectively measured sedentary time, light-intensity physical activity, and moderate- to vigorous-intensity activity with fasting and 2-h postchallenge plasma glucose in Australian adults. RESEARCH DESIGN AND METHODS—A total of 67 men and 106 women (mean age ± SD 53.3 ± 11.9 years) without diagnosed diabetes were recruited from the 2004–2005 Australian Diabetes, Obesity, and Lifestyle (AusDiab) study. Physical activity was measured by Actigraph accelerometers worn during waking hours for 7 consecutive days and summarized as sedentary time (accelerometer counts/min <100; average hours/day), light-intensity (counts/min 100-1951), and moderate- to vigorous-intensity (counts/min ≥1,952). An oral glucose tolerance test was used to ascertain 2-h plasma glucose and fasting plasma glucose. RESULTS—After adjustment for confounders (including waist circumference), sedentary time was positively associated with 2-h plasma glucose (b = 0.29, 95% CI 0.11–0.48, P = 0.002); light-intensity activity time (b = −0.25, −0.45 to −0.06, P = 0.012) and moderate- to vigorous-intensity activity time (b = −1.07, −1.77 to −0.37, P = 0.003) were negatively associated. Light-intensity activity remained significantly associated with 2-h plasma glucose following further adjustment for moderate- to vigorous-intensity activity (b = −0.22, −0.42 to −0.03, P = 0.023). Associations of all activity measures with fasting plasma glucose were nonsignificant (P > 0.05). CONCLUSIONS—These data provide the first objective evidence that light-intensity physical activity is beneficially associated with blood glucose and that sedentary time is unfavorably associated with blood glucose. These objective data support previous findings from studies using self-report measures, and suggest that substituting light-intensity activity for television viewing or other sedentary time may be a practical and achievable preventive strategy to reduce the risk of type 2 diabetes and cardiovascular disease.
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“Physical activity improves inflammation directly by lowering post-prandial glucose, and indirectly by reducing excess abdominal fat (39).”
From Dietary Strategies for Improving Post-Prandial Glucose, Lipids, Inflammation, and Cardiovascular Health (2008) · cites this paper as [39]
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“The same study showed that cumulative sedentary time was associated with higher 2-h glucose levels (39).”
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“A recent study using continuous objective activity monitoring in 173 nondiabetic individuals found that cumulative daily physical activity, even light-intensity activity, was associated in a dose-dependent fashion with lower 2-h post-challenge glucose levels (but not fasting glucose levels) (Fig. 8).”
From Dietary Strategies for Improving Post-Prandial Glucose, Lipids, Inflammation, and Cardiovascular Health (2008) · cites this paper as [39]
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“While light physical activity is associated with rather low-intensity muscle contractions, it still has favorable improvements on plasma glucose in glucose tolerance tests (228), and differs substantially from the absence of muscle activity while sitting”
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“Interestingly, light activities, even done below the moderate-intensity level (eg, daily tasks done while standing or walking slowly), can provide health benefits [19-21].”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [19]
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Metadata
- Authors
- Healy, G. N., Dunstan, D. W., Salmon, J., Cerin, E., Shaw, J. E., Zimmet, P. Z., & Owen, N.
- Affiliations
- The University of Queensland (AU)
- International Diabetes Institute, Melbourne, Australia
- Deakin University (AU)
- University of Hong Kong (HK)
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2007-06-01
- Volume
- 30
- Issue
- 6
- Pages
- 1384-1389
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2136548931
- Cited by
- 627
- References
- 28
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 16 · 2022: 10 · 2021: 32 · 2020: 19 · 2019: 33 · 2018: 34 · 2017: 41 · 2016: 41 · 2015: 62 · 2014: 66 · 2013: 58 · 2012: 68
- FWCI
- 16.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Funders
- U.S. Department of Health and Human Services
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- AstraZeneca
- GlaxoSmithKline
- Sanofi
- Queensland Health
- Pratt Foundation
- Australian Government
- Diabetes Australia
- Kidney Health Australia
- Queensland Government
- Novo Nordisk
- NSW Ministry of Health
- Menzies Institute for Medical Research
- Merck Sharp and Dohme
- Eli Lilly Australia
- Medical Research Council
- National Health and Medical Research Council (233200, 301200)
- National Medical Research Council
- Cilag
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- light physical activity, sedentary behavior, moderate-to-vigorous physical activity, 2-hour plasma glucose, fasting blood glucose, oral glucose tolerance, accelerometer-measured activity, type 2 diabetes risk, cardiovascular risk, television viewing
- MeSH terms
- Adult, Aged, Blood Glucose, Fasting, Female, Humans, Life Style, Male, Middle Aged, Obesity, Regression Analysis, Wakefulness, Exercise
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