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Impact of energy turnover on the regulation of glucose homeostasis in healthy subjects.


ABSTRACT:

Objective

Sedentary lifestyle increases the risk of type 2 diabetes. The aim of this study was to investigate the impact of different levels of energy turnover (ET; low, medium, and high level of physical activity and the corresponding energy intake) on glucose metabolism at zero energy balance, caloric restriction, and overfeeding.

Methods

Sixteen healthy individuals (13 men, 3 women, 25.1 ± 3.9 years, BMI 24.0 ± 3.2 kg/m2) participated in a randomized crossover intervention under metabolic ward conditions. Subjects passed 3 × 3 intervention days. Three levels of physical activity (PAL: low 1.3, medium 1.6, and high 1.8 achieved by walking at 4 km/h for 0, 3 × 55, or 3 × 110 min) were compared under three levels of energy balance (zero energy balance (EB): 100% of energy requirement (Ereq); caloric restriction (CR): 75% Ereq, and overfeeding (OF): 125% Ereq). Continuous interstitial glucose monitoring, C-peptide excretion, and HOMA-IR, as well as postprandial glucose and insulin were measured.

Results

Daylong glycemia and insulin secretion did not increase with higher ET at all conditions of energy balance (EB, CR, and OF), despite a correspondingly higher CHO intake (Δ low vs. high ET: +86 to 135 g of CHO/d). At CR, daylong glycemia (p = 0.02) and insulin secretion (p = 0.04) were even reduced with high compared with low ET. HOMA-IR was impaired with OF and improved with CR, whereas ET had no effect on fasting insulin sensitivity. A higher ET led to lower postprandial glucose and insulin levels under conditions of CR and OF.

Conclusion

Low-intensity physical activity can significantly improve postprandial glycemic response of healthy individuals, independent of energy balance.

SUBMITTER: Busing F 

PROVIDER: S-EPMC6687696 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Impact of energy turnover on the regulation of glucose homeostasis in healthy subjects.

Büsing Franziska F   Hägele Franziska Anna FA   Nas Alessa A   Hasler Mario M   Müller Manfred James MJ   Bosy-Westphal Anja A  

Nutrition & diabetes 20190808 1


<h4>Objective</h4>Sedentary lifestyle increases the risk of type 2 diabetes. The aim of this study was to investigate the impact of different levels of energy turnover (ET; low, medium, and high level of physical activity and the corresponding energy intake) on glucose metabolism at zero energy balance, caloric restriction, and overfeeding.<h4>Methods</h4>Sixteen healthy individuals (13 men, 3 women, 25.1 ± 3.9 years, BMI 24.0 ± 3.2 kg/m<sup>2</sup>) participated in a randomized crossover interv  ...[more]

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