The impact of prolonged walking on fasting plasma glucose in type 2 diabetes: A randomised controlled crossover study

被引:0
作者
Niwaha, Anxious J. [1 ,2 ,3 ]
Shields, Beverley M. [1 ]
Rodgers, Lauren R. [4 ]
Hattersley, Andrew T. [1 ]
Andrews, Robert C. [1 ]
Nyirenda, Moffat J. [2 ,3 ,5 ]
Jones, Angus G. [1 ]
机构
[1] Univ Exeter, Inst Biomed & Clin Sci, Coll Med & Hlth, Med Sch, Exeter EX2 5DW, England
[2] Uganda Virus Res Inst, MRC, Plot 51-59 Nakiwogo Rd,POB 49, Entebbe, Uganda
[3] LSHTM Uganda Res Unit, Plot 51-59 Nakiwogo Rd,POB 49, Entebbe, Uganda
[4] Univ Exeter, Inst Hlth Res, Coll Med & Hlth, Exeter, England
[5] London Sch Hyg & Trop Med LSHTM, Dept Noncommunicable Dis Epidemiol, London, England
关键词
exercise; fasting glucose; randomised crossover trial; type; 2; diabetes; EXERCISE; CARE;
D O I
10.1111/dme.15468
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims: In many low-income countries, fasting glucose is the primary measure for monitoring glycaemic control. Many patients in these countries walk long distances to the clinic, but the impact of walking on fasting glucose in type 2 diabetes is unknown. We aimed to determine the impact of walking on fasting glucose in people with type 2 diabetes. Methods: In a randomised crossover trial, the change in glucose from baseline in the fasting state was compared between walking on a treadmill at a predetermined speed of 4.5 km/h for 1 h and not walking (resting) in people with type 2 diabetes. Results: In all, 45 participants were enrolled and all completed both visits; 21/45 (46.7%) were women, and the median age was 51. Glucose during and after walking was similar to glucose while at rest; the glucose difference (walking minus rest) was -0.15 (95% CI: -0.55, 0.26) and -0.10 (95% CI: -0.50, 0.31) mmol/L at 1 and 2 h, respectively, p > 0.4 for both. Conclusions: Fasting plasma glucose is not meaningfully affected by prolonged walking in participants with type 2 diabetes; therefore, the reliability of fasting glucose for monitoring glycaemic burden is unlikely to be altered in patients who walk to the clinic.
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页数:6
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