Postprandial blood glucose concentration is a risk factor for the development of cardiovascular diseases and diabetes, even at states well below hyperglycemic levels. A previous study has shown that postmeal exercise of moderate intensity blunts the blood glucose increase after carbohydrate intake (Høstmark et al. Prev. Med. 42(5): 369-371). The objective of the present study was to examine whether even postmeal slow walking would have a similar effect. Fourteen healthy women aged >50 years participated in 3 experiments in a random crossover design: after a carbohydrate-rich meal, either they were seated (control experiment) or they performed slow postmeal walking for 15 min (W15) or 40 min (W40). Blood glucose concentration was determined prior to the meal (fasting), and at 11 time points throughout each experiment. The W15 trial lowered the blood glucose values during walking and delayed the peak blood glucose value (p = 0.003). In W40, the postmeal blood glucose increase during walking was blunted, the peak glucose value was delayed (p = 0.001), and the incremental area under the 2-h blood glucose curve (IAUC) was reduced (p = 0.014). There was a negative relationship between IAUC and walking time (p = 0.016). The individual reducing effect of walking on IAUC correlated strongly with IAUC on the control day (p < 0.001). We conclude that even slow postmeal walking can reduce the blood glucose response to a carbohydrate-rich meal. The magnitude of this effect seems to be related to the duration of walking and to the magnitude of the postprandial blood glucose response when resting after a carbohydrate-rich meal.

BackgroundThe aim of the present study was to compare the effects of 10 weeks resistance training in combination with either a regular diet (Ex) or a low carbohydrate, ketogenic diet (Lc+Ex) in overweight women on body weight and body composition.Methods18 untrained women between 20 and 40 years with BMI ≥ 25 kg*m-2 were randomly assigned into the Ex or Lc+Ex group. Both groups performed 60-100 min of varied resistance exercise twice weekly. Dietary estimates were based on two 4-day weighed records. Body composition was estimated using Dual Energy X-ray Absorptiometry. Fasting blood samples were analyzed for total-, HDL- and LDL-cholesterol, triacylglycerols, and glucose.Results16 subjects were included in the analyses. Percentage of energy (En%) from carbohydrates, fat and protein was 6, 66, and 22 respectively in the (Lc+Ex) group and 41, 34, 17 in the Ex group. Mean weight change (pre-post) was -5.6 ± 2.6 kg in Lc+Ex; (p < 0.001) and 0.8 ± 1.5 kg in Ex; (p = 0.175). The Lc+Ex group lost 5.6 ± 2.9 kg of fat mass (p = 0.001) with no significant change in lean body mass (LBM), while the Ex group gained 1.6 ± 1.8 kg of LBM (p = 0.045) with no significant change in fat mass (p = 0.059). Fasting blood lipids and blood glucose were not significantly affected by the interventions.ConclusionResistance exercise in combination with a ketogenic diet may reduce body fat without significantly changing LBM, while resistance exercise on a regular diet may increase LBM in without significantly affecting fat mass. Fasting blood lipids do not seem to be negatively influenced by the combination of resistance exercise and a low carbohydrate diet.

Within the different age groups, irrespective of sex and age, a positive association was found between serum albumin and blood pressure. Since albumin, in contrast to high blood pressure, is considered to be cardioprotective, the two variables probably affect cardiovascular risk by unrelated mechanisms.

Poor muscle strength and physical function have been associated with higher risk of hospitalisation and lower wellbeing among the elderly. Physical training increases muscle strength, endurance and physical function as well as psychological outcomes. Exercise among older adults is often used to improve these variables, but few have compared the effects of different types of training in parallel independent groups. Thus, the aim of the present study was to investigate the effect of three different types of training on body composition, muscle strength, physical function and well-being in the elderly. A total of 118 community-dwelling older adults (mean age 74.3, s04.6 years, 68% women) completed a 13-week randomised controlled exercise-trial involving four groups: traditional strength training (STG), functional strength training (FTG), endurance training (ETG) and control (CON). Stair climb with load improved more in FTG than CON (P B0.05), and the two strength groups performed better in the functional upper body test (P B0.05). STG increased strength more than CON in all exercises (P B0.001), while FTG increased strength more than CON in the chest press, shoulder press and knee extension (P B0.05). Lean body mass (LBM) increased in all training groups, which differed significantly from CON (P B0.05). ETG decreased their fat mass compared to CON (P B0.001). The only significant effect on well-being indices was improved life satisfaction in FTG at week 5 (P B0.05). We also observed significant correlations between change in some of the functional tests and change in positive affect.All three types of training can enhance physical capacity. Functional strength training can be a cost effective form of training in terms of less demand for instructors and equipment and could be an effective way to improve physical function, strength and indices of well-being in the elderly.