Stair climbing–descending exercise following meals improves 24-hour glucose excursions in people with type 2 diabetes

Abstract

We aimed at evaluating the effect of short-duration stair climbing-descending exercise (ST-EX) on 24-hour blood glucose (BG) response in people with type 2 diabetes (T2D). Seven men (age, 70.1 ± 1.3 years) with uncomplicated T2D consumed three meals per day according to a meal plan for patients with diabetes. Participants completed one session of ST-EX 60 and 120 min after each meal on the first day (ST-EX day), and did not perform ST-EX on the following day (REST day). Each ST-EX session comprised two 3-min bouts of brisk climbing to the second floor, followed by walking down to the first floor. The BG levels on the experimental days were recorded using a continuous glucose monitoring device. The mean BG level and the area under the curve for BG in the 24-hour period on the ST-EX day were significantly lower than those in the same period on the REST day (both p < 0.05). The duration of hyperglycemia (BG > 10 mmol/L) on the ST-EX day was significantly shorter than that on the REST day (p < 0.05). Repeated 3-min ST-EX after each meal might be an effective strategy to improve 24-hour glucose excursions in people with T2D.

The relationship between physical activity and stroke in middle-aged and elderly people after controlling demography variables, health status and lifestyle variables

“…[ 33 ] Appropriate PA can improve the symptoms of arteriosclerosis in the middle-aged and elderly, restore the arteries of the elderly to normal function, and then reduce the risk of stroke in the middle-aged and elderly. [ 34 ] Appropriate PA can improve or repair the function of the sympathetic nervous system, thereby restoring the body’s control over the normal function of the cardiovascular system, keeping the body’s heart rate and blood pressure within the normal range, and reducing the risk of stroke in the elderly. [ 35 ] The abnormal glucose metabolism and islet function of human body will increase the risk of stroke, [ 36 ] while physical exercise will improve the glucose metabolism and islet function of human body.…”

The relationship between hypertension and physical activity in middle-aged and older adults controlling for demographic, chronic disease, and mental health variables

“…[ 26 ] Abnormal glucose metabolism and islet function in the human body will increase the body’s risk of hypertension, [ 27 ] while physical exercise will improve the body’s glucose metabolism and islet function. [ 28 ] Physical exercise can further improve the body’s regulation of blood pressure by improving the glucose metabolism and islet function, to stabilize blood pressure in the normal range. The damaged structure and function of the left ventricle in human body will lead to ischemia under the endocardium and coronary artery stenosis, which will lead to hypertension in the body.…”

Efficacy of Postprandial Exercise in Mitigating Glycemic Responses in Overweight Individuals and Individuals with Obesity and Type 2 Diabetes—A Systematic Review and Meta-Analysis

“…The average body mass index (BMI) of all participants in all studies combined was 30 kg·m −2 . Of the 31 selected studies, 21 recruited patients with T2DM [26,[28][29][30][31][32][33][34][35][36][37][38][47][48][49][50][51][52][53][54][55], while the remaining 10 studies involved overweight and obese participants [39,[56][57][58][59][60][61][62][63][64]. Of those 21 studies on patients with T2DM, 3 included patients that were treated with exogenous insulin [34][35][36], while the rest allowed their participants to use glucose-lowering medications but instructed them to keep the same dosage throughout the study period.…”

“…However, this view is based on a limited number of studies that mainly compare the effect of pre-and post-meal exercise on glycemic responses in individuals with T2DM [26][27][28]. Studies involving an exercise regimen 60 min or more after a meal have also shown a significant reduction in glucose response in this population [29][30][31][32][33][34][35][36].…”