Journal
DIABETOLOGIA
Volume 60, Issue 3, Pages 390-394Publisher
SPRINGER
DOI: 10.1007/s00125-016-4180-4
Keywords
Cardiometabolic; Cardiovascular; Continuous; glucose monitor; Diabetes; Energy expenditure; Exercise; Glycaemic control; Lipids; Objective; Patterns; Physicalactivity; Public health; Sedentary; Sitting; Sitting
Categories
Funding
- NHMRC Centre of Research Excellence grant [1057608]
- Victorian Government's Operational Infrastructure Support Program
- NHMRC Senior Research Fellowship [1078360]
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While regular structured exercise is a well-established (though arguably under-utilised) cornerstone in the prevention and management of type 2 diabetes, population adherence to recommended exercise guidelines remains stubbornly low. Indeed, most adults are exposed to environmental settings (at work, in automobile travel and in the domestic environment) that may not only limit their physical activity, but also promote sitting for prolonged periods of time. However, recent experimental evidence indicates that reducing and breaking up sitting time may also be a useful strategy to improve glycaemic control. In this issue of Diabetologia, Duvivier and colleagues report findings which suggest that reducing sitting time with standing and light-intensity activity could be a potential alternative to structured exercise for improving glycaemic control in type 2 diabetes patients. We review and discuss the findings of this study, its potential clinical implications, and a number of knowledge gaps and opportunities that could be considered in the interest of future research. The findings from Duvivier and colleagues should encourage healthcare practitioners, researchers and type 2 diabetes patients to consider the whole spectrum of physical activity, from sedentary behaviour through to structured exercise.
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