دورية أكاديمية

An Aerobic Cooldown After Morning, Fasted Resistance Exercise Has Limited Impact on Post-exercise Hyperglycemia in Adults With Type 1 Diabetes: A Randomized Crossover Study.

التفاصيل البيبلوغرافية
العنوان: An Aerobic Cooldown After Morning, Fasted Resistance Exercise Has Limited Impact on Post-exercise Hyperglycemia in Adults With Type 1 Diabetes: A Randomized Crossover Study.
المؤلفون: McClure RD; Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada; Alberta Diabetes Institute, Edmonton, Alberta, Canada., Carr ALJ; Alberta Diabetes Institute, Edmonton, Alberta, Canada., Boulé NG; Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada; Alberta Diabetes Institute, Edmonton, Alberta, Canada., Yardley JE; Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada; Alberta Diabetes Institute, Edmonton, Alberta, Canada; Augustana Faculty, University of Alberta, Camrose, Alberta, Canada; Women and Children's Health Research Institute, Edmonton, Alberta, Canada; Ecole de kinésiologie et des sciences de l'activité physique, Université de Montréal, Montréal, Québec, Canada; Institut de recherches cliniques de Montréal, Montréal, Québec, Canada. Electronic address: jane.yardley@ircm.qc.ca.
المصدر: Canadian journal of diabetes [Can J Diabetes] 2024 Aug; Vol. 48 (6), pp. 387-393.e2. Date of Electronic Publication: 2024 May 11.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Canadian Diabetes Association Country of Publication: Canada NLM ID: 101148810 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-3840 (Electronic) Linking ISSN: 14992671 NLM ISO Abbreviation: Can J Diabetes Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Toronto : Canadian Diabetes Association, 2002-
مواضيع طبية MeSH: Hyperglycemia* , Cross-Over Studies* , Diabetes Mellitus, Type 1*/complications , Diabetes Mellitus, Type 1*/therapy , Diabetes Mellitus, Type 1*/blood , Blood Glucose*/analysis , Fasting* , Exercise*/physiology, Humans ; Male ; Female ; Adult ; Resistance Training
مستخلص: Objectives: Expert guidelines recommend an aerobic cooldown to lower blood glucose for the management of post-exercise hyperglycemia. This strategy has never been empirically tested. Our aim in this study was to compare the glycemic effects of performing an aerobic cooldown vs not performing a cooldown after a fasted resistance exercise session. We hypothesized that the cooldown would lower blood glucose in the 30 minutes after exercise and would result in less time in hyperglycemia in the 6 hours after exercise.
Methods: Participants completed 2 identical resistance exercise sessions. One was followed by a low-intensity (30% of peak oxygen consumption) 10-minute cycle ergometer cooldown, and the other was followed by 10 minutes of sitting. We compared the changes in capillary glucose concentration during these sessions and continuous glucose monitoring (CGM) outcomes over 24 hours post-exercise.
Results: Sixteen participants completed the trial. Capillary glucose was similar between conditions at the start of exercise (p=0.07). Capillary glucose concentration decreased by 0.6±1.0 mmol/L during the 10-minute cooldown, but it increased by 0.7±1.3 mmol/L during the same time in the no-cooldown condition. The resulting difference in glucose trajectory led to a significant interaction (p=0.02), with no effect from treatment (p=0.7). Capillary glucose values at the end of recovery were similar between conditions (p>0.05). There were no significant differences in CGM outcomes.
Conclusions: An aerobic cooldown reduces glucose concentration in the post-exercise period, but the small and brief nature of this reduction makes this strategy unlikely to be an effective treatment for hyperglycemia occurring after fasted exercise.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: adultes; adults; continuous glucose monitoring; diabète de type 1; exercice de résistance; exercice à jeun; fasted exercise; resistance exercise; surveillance continue du glucose; type 1 diabetes mellitus
المشرفين على المادة: 0 (Blood Glucose)
تواريخ الأحداث: Date Created: 20240512 Date Completed: 20240812 Latest Revision: 20240812
رمز التحديث: 20240813
DOI: 10.1016/j.jcjd.2024.05.001
PMID: 38735638
قاعدة البيانات: MEDLINE
الوصف
تدمد:2352-3840
DOI:10.1016/j.jcjd.2024.05.001