Investigating the Impact of Time of Day on Glycaemia in Response to Postprandial Supramaximal Sprints in Adults With Type 1

In this study, we explore the impact of postprandial exercise timing (morning vs evening) on glycemia in individuals with type 1 diabetes (T1D) during short all-out sprints on a cycle ergometer. Ten healthy, physically sedentary male (n=7) and female (n=3) volunteers with T1D, 22.8±2.8 years of age,...

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Veröffentlicht in:Canadian journal of diabetes 2024-10, Vol.48 (7), p.480-485
Hauptverfasser: Chaieb, Ilyess Aouin, Kacem, Faten Hadj, Mnif, Mouna, Turki, Mouna, Heyman, Elsa, Hammouda, Omar, Taleb, Nadine, Abid, Mohamed, Zouari, Mariem, Rabasa-Lhoret, Rémi, Bouzid, Mohamed Amine, Tagougui, Sémah
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container_issue 7
container_start_page 480
container_title Canadian journal of diabetes
container_volume 48
creator Chaieb, Ilyess Aouin
Kacem, Faten Hadj
Mnif, Mouna
Turki, Mouna
Heyman, Elsa
Hammouda, Omar
Taleb, Nadine
Abid, Mohamed
Zouari, Mariem
Rabasa-Lhoret, Rémi
Bouzid, Mohamed Amine
Tagougui, Sémah
description In this study, we explore the impact of postprandial exercise timing (morning vs evening) on glycemia in individuals with type 1 diabetes (T1D) during short all-out sprints on a cycle ergometer. Ten healthy, physically sedentary male (n=7) and female (n=3) volunteers with T1D, 22.8±2.8 years of age, and with a diabetes duration of 9.7±5.5 years and glycated hemoglobin level of 8.6±1.2%, underwent comprehensive screening and assessment of their physical health and fitness status before study participation, under the guidance of a physician. Each participant underwent 2 postprandial exercise sessions on separate days: the first in the morning at 8:00 AM and the second in the evening at 8:00 PM, both conducted 60 minutes after a standardized meal. Morning exercise showed a less pronounced reduction in plasma glucose (PG) levels compared with evening exercise (−2.01±1.24 vs −3.56±1.6 mmol/L, p=0.03). In addition, higher cortisol levels were observed in the morning vs evening (128.59±34 vs 67.79±26 ng/mL, p
doi_str_mv 10.1016/j.jcjd.2024.06.001
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Ten healthy, physically sedentary male (n=7) and female (n=3) volunteers with T1D, 22.8±2.8 years of age, and with a diabetes duration of 9.7±5.5 years and glycated hemoglobin level of 8.6±1.2%, underwent comprehensive screening and assessment of their physical health and fitness status before study participation, under the guidance of a physician. Each participant underwent 2 postprandial exercise sessions on separate days: the first in the morning at 8:00 AM and the second in the evening at 8:00 PM, both conducted 60 minutes after a standardized meal. Morning exercise showed a less pronounced reduction in plasma glucose (PG) levels compared with evening exercise (−2.01±1.24 vs −3.56±1.6 mmol/L, p=0.03). In addition, higher cortisol levels were observed in the morning vs evening (128.59±34 vs 67.79±26 ng/mL, p&lt;0.001). Morning repeated sprint exercise conducted in the postprandial state consistent with the protective effect of higher cortisol levels resulted in a smaller reduction in PG levels compared with evening exercise. This highlights the potential influence of exercise timing on glycemic responses and cortisol secretion in the management of T1D. Cette étude explore l'impact du moment choisi pour un exercice physique, lors d'une période postprandiale (matin ou soir), sur la glycémie chez les personnes atteintes de diabète de type 1 (DT1) au cours de sprints courts sur un ergomètre. Dix hommes (n=7) et femmes (n=3) sédentaires en bonne santé, atteints de diabète de type 1, âgés de 22.8 ± 2.8 ans, avec un historique de diabète de 9.7 ± 5.5 ans et des niveaux d'hémoglobine glyquée A1C de 8.6 ± 1.2%, ont subi un dépistage complet ainsi qu'une évaluation de leur état de santé et de leur condition physique avant de participer à l'étude, sous la supervision d'un médecin. Chaque participant a participé à deux séances d'exercice postprandiales sur des jours distincts: une le matin à 8 heures et une le soir à 20 heures, toutes deux effectuées 60 minutes après un repas standardisé. L'exercice du matin a montré une réduction moins prononcée des niveaux de glucose plasmatique par rapport aux sessions du soir (-2.01 ± 1.24 mmol/L contre -3.56 ± 1.6 mmol/L, P=0.03). En outre, des niveaux de cortisol plus élevés ont été observés le matin par rapport au soir (128.59 ± 34 ng/mL contre 67.79±26 ng/mL, P&lt;0.001). Des exercices répétés de sprint effectués le matin à l'état postprandial, en accord avec l'effet protecteur de taux de cortisol plus élevés, ont entraîné une réduction moins importante des niveaux de glucose plasmatique par rapport à ceux effectués le soir. 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Morning repeated sprint exercise conducted in the postprandial state consistent with the protective effect of higher cortisol levels resulted in a smaller reduction in PG levels compared with evening exercise. This highlights the potential influence of exercise timing on glycemic responses and cortisol secretion in the management of T1D. Cette étude explore l'impact du moment choisi pour un exercice physique, lors d'une période postprandiale (matin ou soir), sur la glycémie chez les personnes atteintes de diabète de type 1 (DT1) au cours de sprints courts sur un ergomètre. Dix hommes (n=7) et femmes (n=3) sédentaires en bonne santé, atteints de diabète de type 1, âgés de 22.8 ± 2.8 ans, avec un historique de diabète de 9.7 ± 5.5 ans et des niveaux d'hémoglobine glyquée A1C de 8.6 ± 1.2%, ont subi un dépistage complet ainsi qu'une évaluation de leur état de santé et de leur condition physique avant de participer à l'étude, sous la supervision d'un médecin. Chaque participant a participé à deux séances d'exercice postprandiales sur des jours distincts: une le matin à 8 heures et une le soir à 20 heures, toutes deux effectuées 60 minutes après un repas standardisé. L'exercice du matin a montré une réduction moins prononcée des niveaux de glucose plasmatique par rapport aux sessions du soir (-2.01 ± 1.24 mmol/L contre -3.56 ± 1.6 mmol/L, P=0.03). En outre, des niveaux de cortisol plus élevés ont été observés le matin par rapport au soir (128.59 ± 34 ng/mL contre 67.79±26 ng/mL, P&lt;0.001). Des exercices répétés de sprint effectués le matin à l'état postprandial, en accord avec l'effet protecteur de taux de cortisol plus élevés, ont entraîné une réduction moins importante des niveaux de glucose plasmatique par rapport à ceux effectués le soir. 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Ten healthy, physically sedentary male (n=7) and female (n=3) volunteers with T1D, 22.8±2.8 years of age, and with a diabetes duration of 9.7±5.5 years and glycated hemoglobin level of 8.6±1.2%, underwent comprehensive screening and assessment of their physical health and fitness status before study participation, under the guidance of a physician. Each participant underwent 2 postprandial exercise sessions on separate days: the first in the morning at 8:00 AM and the second in the evening at 8:00 PM, both conducted 60 minutes after a standardized meal. Morning exercise showed a less pronounced reduction in plasma glucose (PG) levels compared with evening exercise (−2.01±1.24 vs −3.56±1.6 mmol/L, p=0.03). In addition, higher cortisol levels were observed in the morning vs evening (128.59±34 vs 67.79±26 ng/mL, p&lt;0.001). Morning repeated sprint exercise conducted in the postprandial state consistent with the protective effect of higher cortisol levels resulted in a smaller reduction in PG levels compared with evening exercise. This highlights the potential influence of exercise timing on glycemic responses and cortisol secretion in the management of T1D. Cette étude explore l'impact du moment choisi pour un exercice physique, lors d'une période postprandiale (matin ou soir), sur la glycémie chez les personnes atteintes de diabète de type 1 (DT1) au cours de sprints courts sur un ergomètre. Dix hommes (n=7) et femmes (n=3) sédentaires en bonne santé, atteints de diabète de type 1, âgés de 22.8 ± 2.8 ans, avec un historique de diabète de 9.7 ± 5.5 ans et des niveaux d'hémoglobine glyquée A1C de 8.6 ± 1.2%, ont subi un dépistage complet ainsi qu'une évaluation de leur état de santé et de leur condition physique avant de participer à l'étude, sous la supervision d'un médecin. Chaque participant a participé à deux séances d'exercice postprandiales sur des jours distincts: une le matin à 8 heures et une le soir à 20 heures, toutes deux effectuées 60 minutes après un repas standardisé. L'exercice du matin a montré une réduction moins prononcée des niveaux de glucose plasmatique par rapport aux sessions du soir (-2.01 ± 1.24 mmol/L contre -3.56 ± 1.6 mmol/L, P=0.03). En outre, des niveaux de cortisol plus élevés ont été observés le matin par rapport au soir (128.59 ± 34 ng/mL contre 67.79±26 ng/mL, P&lt;0.001). Des exercices répétés de sprint effectués le matin à l'état postprandial, en accord avec l'effet protecteur de taux de cortisol plus élevés, ont entraîné une réduction moins importante des niveaux de glucose plasmatique par rapport à ceux effectués le soir. Cela met en évidence l'influence potentielle du moment de l'exercice sur les réponses glycémiques et la sécrétion de cortisol dans la gestion du DT1.</abstract><cop>Canada</cop><pub>Elsevier Inc</pub><pmid>38950773</pmid><doi>10.1016/j.jcjd.2024.06.001</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6761-2648</orcidid><orcidid>https://orcid.org/0000-0003-4706-5170</orcidid><orcidid>https://orcid.org/0000-0002-9340-7592</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Blood Glucose - analysis
circadian rhythm
Circadian Rhythm - physiology
cortisol
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - drug therapy
Diabetes Mellitus, Type 1 - metabolism
diabète de type 1
Exercise - physiology
exercise timing
Female
glycemia
glycémie
Humans
Male
moment de l'exercice
Postprandial Period - physiology
rythme circadien
sprints supra-maximaux
supramaximal sprints
Time Factors
type 1 diabetes
Young Adult
title Investigating the Impact of Time of Day on Glycaemia in Response to Postprandial Supramaximal Sprints in Adults With Type 1
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