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频繁中断久坐时间可调节肌肉中收缩和胰岛素刺激的葡萄糖摄取途径:来自随机临床试验的辅助分析。

Frequent interruptions of sedentary time modulates contraction- and insulin-stimulated glucose uptake pathways in muscle: Ancillary analysis from randomized clinical trials.

机构信息

Physical Activity Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia.

Anschutz Health and Wellness Center, Division of Endocrinology, Metabolism and Diabetes, University of Colorado, Aurora, Colorado 80045, USA.

出版信息

Sci Rep. 2016 Aug 24;6:32044. doi: 10.1038/srep32044.

Abstract

Epidemiological studies have observed associations between frequent interruptions of sitting time with physical activity bouts and beneficial metabolic outcomes, even in individuals who regularly exercise. Frequent interruptions to prolonged sitting reduce postprandial plasma glucose. Here we studied potential skeletal muscle mechanisms accounting for this improved control of glycemia in overweight adults under conditions of one day uninterrupted sitting and sitting interrupted with light-intensity or moderate-intensity walking every 20-min (n = 8); and, after three days of either uninterrupted sitting or light-intensity walking interruptions (n = 5). Contraction- and insulin-mediated glucose uptake signaling pathways as well as changes in oxidative phosphorylation proteins were examined. We showed that 1) both interventions reduce postprandial glucose concentration, 2) acute interruptions to sitting over one day stimulate the contraction-mediated glucose uptake pathway, 3) both acute interruptions to sitting with moderate-intensity activity over one day and light-intensity activity over three days induce a transition to modulation of the insulin-signaling pathway, in association with increased capacity for glucose transport. Only the moderate-intensity interruptions resulted in greater capacity for glycogen synthesis and likely for ATP production. These observations contribute to a mechanistic explanation of improved postprandial glucose metabolism with regular interruptions to sitting time, a promising preventive strategy for metabolic diseases.

摘要

流行病学研究观察到,频繁中断久坐时间与进行体育活动之间存在关联,即使是经常锻炼的人,也能带来有益的代谢结果。频繁中断长时间久坐可降低餐后血浆葡萄糖水平。在此,我们研究了超重成年人在一天不间断久坐和每隔 20 分钟进行低强度或中等强度步行中断(n=8)的条件下,以及在连续三天不间断久坐或低强度步行中断(n=5)的条件下,潜在的骨骼肌机制是否可以解释这种对血糖控制的改善。我们检查了收缩和胰岛素介导的葡萄糖摄取信号通路以及氧化磷酸化蛋白的变化。结果表明:1)两种干预措施都可降低餐后血糖浓度;2)一天内急性中断久坐可刺激收缩介导的葡萄糖摄取途径;3)一天内急性中断久坐并进行中等强度活动以及连续三天内进行低强度活动,均可诱导胰岛素信号通路的调节转变,与葡萄糖转运能力增加有关。只有中等强度的中断会导致更大的糖原合成能力,可能还有更大的 ATP 生成能力。这些观察结果有助于解释规律中断久坐时间可改善餐后葡萄糖代谢的机制,这是一种预防代谢疾病的有前景的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fafd/4995429/e5c6b083ebcc/srep32044-f1.jpg

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