Type 2 Diabetes Clinical Trial
Official title:
SIT LESS 2: Effect of Sitting Less on Glucose Regulation in People With Diabetes Mellitus Type 2
Introduction: Changes in lifestyle are responsible for an important part of the type 2
diabetes epidemic of the last decennia. Current guidelines for physical activity focus
mainly on high energy expenditure advising 30 minutes per day moderate to vigorous physical
activity (most often physical exercise). Recent studies suggest that sitting has negative
metabolic effects independent of the time spent exercising (Duvivier et al. PLOS ONE 2013).
Low intensity physical activity (LIPA) -such as walking and standing- has been suggested to
be an alternative to decrease the hyperglycaemic effect of sitting. Compared to exercise,
LIPA might be a more feasible strategy. But, it remains to be determined whether reducing
sitting time by replacing it by LIPA, results in lower 24 hour blood glucose levels and less
blood glucose fluctuations (glycaemic variability) in type 2 diabetes patients and whether
these effects are independent of the increase in energy expenditure
Methods: The study population will involve 19 people with type 2 diabetes (BMI: 25-35 kg/m2)
who perform no, or only little, exercise and who are treated with diet only or with oral
blood glucose lowering medication. They will perform three regimes of each four days: 1) a
sitting regime, 2) an exercise regime and a 3) sit less regime. Daily energy expenditure of
the exercise regime will be identical to that of the sit less regime. Sitting, walking and
standing will be objectively measured by a 24 hour physical activity monitor. The energy
spent during exercise will be standardised and quantified by using a bicycle ergometer;
energy intake will be standardised as well. During each regime blood glucose will be
measured with a 24 hour continuous glucose sensor.
n/a
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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