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Pre-Diabetics should Stand or Walk | Blog | County Pathology Ltd

Pre-Diabetics should Stand or Walk

Walking

Breaking up prolonged sitting with 5 minutes of standing every half hour can improve glucose metabolism just as well as can 5-minute walking bouts among overweight, postmenopausal women with prediabetes
Breaking up prolonged sitting with 5 minutes of standing every half hour can improve postprandial glucose metabolism just as well as can 5-minute walking bouts among overweight, postmenopausal women with prediabetes, a new study finds.

The results were presented December 1, 2015 at the World Diabetes Congress 2015 by Joseph Henson, MD, of the Diabetes Research Centre, University of Leicester, United Kingdom, and were published online simultaneously in Diabetes Care.

"I was surprised by the standing condition, because from previous studies I would have thought that it had to be driven by energy expenditure, so people would actually have to get up out of their chair and do something physical such as walking in order to get the reductions in glucose and insulin," Dr Henson told Medscape Medical News in an interview.

"But this probably points toward something happening at the muscle level, when you change your posture from sitting to standing," he noted. The fact that there was no significant difference between standing and walking "just shows really that getting out of the chair is important. It doesn't necessarily matter what you do," he added.

Session moderator and Diabetes Care editor William T Cefalu, MD, executive director, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, told Medscape Medical News, "There's a lot of research going on now about increasing energy expenditures while at work, whether it's bicycling or standing at workstations. This is one of many papers suggesting that reducing sedentary time seemed to have a benefit."

Dr Cefalu added, "I think this information needs to be disseminated to patients. We've known for years that individuals who increase their walking in any 1 week will have fewer metabolic risk factors and better outcomes. Increasing activity will have benefit. Reducing sedentary time is an important message."