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卡塔尔女性打破长时间久坐后,餐后胰岛素和甘油三酯浓度会受到抑制。

Postprandial Insulin and Triglyceride Concentrations Are Suppressed in Response to Breaking Up Prolonged Sitting in Qatari Females.

作者信息

Chrismas Bryna C R, Taylor Lee, Cherif Anissa, Sayegh Suzan, Rizk Nasser, El-Gamal Abdelrahman, Allenjawi Salwa Hassan, Bailey Daniel P

机构信息

Sport Science Program, College of Arts and Science, Qatar University, Doha, Qatar.

Athlete Health and Performance Research Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

出版信息

Front Physiol. 2019 Jun 11;10:706. doi: 10.3389/fphys.2019.00706. eCollection 2019.

Abstract

Cultural, environmental and logistical factors challenge the Qatari population, particularly females, to engage in physical activity, and there is a high prevalence of diabetes in this population. Sedentary behavior is associated with increased cardiometabolic disease risk and early mortality and breaking up sitting can attenuate postprandial cardiometabolic risk markers. However, no studies have evaluated the cardiometabolic response to breaking up sitting in a Qatari population. To examine the effects of breaking up sitting with moderate-intensity walking breaks on cardiometabolic disease markers in Qatari females. Eleven sedentary (sitting ≥ 7 h/day) females completed two experimental conditions in a cross-over randomized design. The two conditions were identical, except participants either remained seated for 5-h (SIT), or interrupted their sitting every 30-min with a 3-min walk (WALK) on a motorized treadmill (rating of perceived exertion 12-14). A fasting venous blood sample was obtained at baseline (-10-min) followed by samples at 0.5-, 1-, 2-, 3-, 3.5-, 4-, and 5-h. Postprandial cardiometabolic variables (insulin, glucose, triglycerides) were calculated as derivatives of total area under the curve [AUC; total (tAUC), net incremental (iAUC) and positive AUC]. Data is reported as effect size; ±90% confidence limit. There was a "moderate" lower tAUC (-0.92 ± 0.26), iAUC (-0.96 ± 0.33), and positive AUC (-0.96 ± 0.33) for insulin in WALK compared to SIT. Additionally, there was a "moderate" lower tAUC (-0.63 ± 0.37), iAUC (-0.91 ± 0.49), and positive AUC (-0.91 ± 0.49) for triglycerides in WALK compared to SIT. Glucose did not differ between conditions. Breaking up prolonged sitting with moderate-intensity walking offers a culturally compatible intervention to acutely improve cardiometabolic risk markers in sedentary Qatari females. Whilst the data offers promise, the long-term chronic effects of breaking up sitting in Qatari adults requires investigation before population level and/or policy recommendations can be made.

摘要

文化、环境和后勤因素给卡塔尔人群,尤其是女性参与体育活动带来了挑战,而且该人群中糖尿病的患病率很高。久坐行为与心血管代谢疾病风险增加和过早死亡相关,而打破久坐状态可以减轻餐后心血管代谢风险标志物。然而,尚无研究评估卡塔尔人群打破久坐对心血管代谢的影响。为了研究以中等强度步行间歇打破久坐对卡塔尔女性心血管代谢疾病标志物的影响。11名久坐不动(每天坐≥7小时)的女性以交叉随机设计完成了两种实验条件。这两种条件相同,只是参与者要么连续坐5小时(SIT),要么每隔30分钟在电动跑步机上进行3分钟的步行(WALK)(主观用力程度评分为12 - 14)。在基线时(-10分钟)采集空腹静脉血样本,随后在0.5、1、2、3、3.5、4和5小时采集样本。餐后心血管代谢变量(胰岛素、葡萄糖、甘油三酯)计算为曲线下总面积的导数[AUC;总(tAUC)、净增量(iAUC)和正AUC]。数据以效应量报告;±90%置信区间。与SIT相比,WALK组胰岛素的tAUC(-0.92±0.26)、iAUC(-0.96±0.33)和正AUC(-0.96±0.33)“中度”降低。此外,与SIT相比,WALK组甘油三酯的tAUC(-0.63±0.37)、iAUC(-0.91±0.49)和正AUC(-0.91±0.49)“中度”降低。两种条件下葡萄糖无差异。以中等强度步行打破长时间久坐为久坐的卡塔尔女性提供了一种文化上可接受的干预措施,可急性改善心血管代谢风险标志物。虽然这些数据带来了希望,但在能够提出人群层面和/或政策建议之前,需要对卡塔尔成年人打破久坐的长期慢性影响进行研究。

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