Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysis

Purpose: This study aimed to evaluate the effectiveness of physical activity (PA) interrupting prolonged sitting (PS) on postprandial glycemia and insulin responses among adults. Methods: PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, PsycINFO, and the China National Knowledge Infrastruct...

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Main Authors: Minghui Quan, Pengcheng Xun, Hua Wu, Jing Wang, Wei Cheng, Meng Cao, Tang Zhou, Tao Huang, Zan Gao, Peijie Chen
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:Journal of Sport and Health Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2095254620301708
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author Minghui Quan
Pengcheng Xun
Hua Wu
Jing Wang
Wei Cheng
Meng Cao
Tang Zhou
Tao Huang
Zan Gao
Peijie Chen
author_facet Minghui Quan
Pengcheng Xun
Hua Wu
Jing Wang
Wei Cheng
Meng Cao
Tang Zhou
Tao Huang
Zan Gao
Peijie Chen
author_sort Minghui Quan
collection DOAJ
description Purpose: This study aimed to evaluate the effectiveness of physical activity (PA) interrupting prolonged sitting (PS) on postprandial glycemia and insulin responses among adults. Methods: PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, PsycINFO, and the China National Knowledge Infrastructure databases were searched through September 30, 2020. Randomized controlled trials (RCTs) that examined the effect of all forms of PA interrupting PS on postprandial glycemia and/or insulin responses among adults without chronic diseases were included in this study. The risk of bias of included studies was evaluated based on the Cochrane tool. A network meta-analysis was performed to estimate the summary standardized mean differences (SMDs) with 95% confidence intervals (95%CIs) with random effects. Results: Thirty crossover RCTs were included in our review. These RCTs included 9 types of interventions that interrupted PS. When compared to PS by itself, light-intensity PA intermittent interrupting (LPA-INT) PS and moderate-intensity PA intermittent interrupting (MPA-INT) PS significantly lowered postprandial glycemia (SMD = –0.46, 95%CI: –0.70 to –0.21; SMD = –0.69, 95%CI: –1.00 to –0.37, respectively) and significantly reduced postprandial insulin response (SMD = –0.46, 95%CI: –0.66 to –0.26; SMD = –0.47, 95%CI: –0.77 to –0.17, respectively). Results of the clustered ranking plot indicated that MPA-INT was the most effective intervention in lowering postprandial glycemia and insulin responses. Conclusion: Replacing PS with MPA-INT or LPA-INT has a positive effect in reducing postprandial glycemia and insulin responses, with MPA-INT being the optimal intervention strategy.
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spelling doaj.art-6db6cd229c2f4dc5a0c899207307cc4b2022-12-21T22:22:33ZengElsevierJournal of Sport and Health Science2095-25462021-07-01104419429Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysisMinghui Quan0Pengcheng Xun1Hua Wu2Jing Wang3Wei Cheng4Meng Cao5Tang Zhou6Tao Huang7Zan Gao8Peijie Chen9School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; Corresponding authors.Department of Epidemiology and Biostatistics, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USARehabilitation Medicine Center, The Second Affiliated Hospital of Jiaxing University, Jiaxing 314000, ChinaSchool of Sports Science and Engineering, East China University of Science and Technology, Shanghai 200237, ChinaDepartment of Endocrinology, Yangpu Hospital Affiliated to Tongji University, Shanghai 200090, ChinaInstitute of Physical Education, Normal College, Shenzhen University, Shenzhen 518061, ChinaSchool of Kinesiology, Shanghai University of Sport, Shanghai 200438, ChinaDepartment of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, ChinaSchool of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USASchool of Kinesiology, Shanghai University of Sport, Shanghai 200438, China; Corresponding authors.Purpose: This study aimed to evaluate the effectiveness of physical activity (PA) interrupting prolonged sitting (PS) on postprandial glycemia and insulin responses among adults. Methods: PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, PsycINFO, and the China National Knowledge Infrastructure databases were searched through September 30, 2020. Randomized controlled trials (RCTs) that examined the effect of all forms of PA interrupting PS on postprandial glycemia and/or insulin responses among adults without chronic diseases were included in this study. The risk of bias of included studies was evaluated based on the Cochrane tool. A network meta-analysis was performed to estimate the summary standardized mean differences (SMDs) with 95% confidence intervals (95%CIs) with random effects. Results: Thirty crossover RCTs were included in our review. These RCTs included 9 types of interventions that interrupted PS. When compared to PS by itself, light-intensity PA intermittent interrupting (LPA-INT) PS and moderate-intensity PA intermittent interrupting (MPA-INT) PS significantly lowered postprandial glycemia (SMD = –0.46, 95%CI: –0.70 to –0.21; SMD = –0.69, 95%CI: –1.00 to –0.37, respectively) and significantly reduced postprandial insulin response (SMD = –0.46, 95%CI: –0.66 to –0.26; SMD = –0.47, 95%CI: –0.77 to –0.17, respectively). Results of the clustered ranking plot indicated that MPA-INT was the most effective intervention in lowering postprandial glycemia and insulin responses. Conclusion: Replacing PS with MPA-INT or LPA-INT has a positive effect in reducing postprandial glycemia and insulin responses, with MPA-INT being the optimal intervention strategy.http://www.sciencedirect.com/science/article/pii/S2095254620301708GlucoseInsulinPhysical activity interruptionProlonged sittingMeta-analytic review
spellingShingle Minghui Quan
Pengcheng Xun
Hua Wu
Jing Wang
Wei Cheng
Meng Cao
Tang Zhou
Tao Huang
Zan Gao
Peijie Chen
Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysis
Journal of Sport and Health Science
Glucose
Insulin
Physical activity interruption
Prolonged sitting
Meta-analytic review
title Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysis
title_full Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysis
title_fullStr Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysis
title_full_unstemmed Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysis
title_short Effects of interrupting prolonged sitting on postprandial glycemia and insulin responses: A network meta-analysis
title_sort effects of interrupting prolonged sitting on postprandial glycemia and insulin responses a network meta analysis
topic Glucose
Insulin
Physical activity interruption
Prolonged sitting
Meta-analytic review
url http://www.sciencedirect.com/science/article/pii/S2095254620301708
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