Increasing daily standing time lowers blood sugar and helps prevent diabetes: Study
Increasing daily standing time lowers blood sugar and helps prevent chronic diseases, finds researchers in a new study.The researchers observed that standing is associated with better insulin sensitivity independently of the amount of daily physical activity or sitting time, fitness level, or overweight. These findings can provide additional insights to aid in development of interventions, policies and guidelines for type 2 diabetes prevention in inactive high-risk populations.
Lifestyle has a strong impact on insulin resistance and the development of type 2 diabetes, and regular physical activity is known to have an important role in the prevention of these issues. However, so far, little is known about the impact of sedentary behaviour, breaks in sitting, and standing on insulin resistance.
The study also emphasises the importance of healthy body composition on metabolic health. The results show that increased body fat percentage was a more important factor in terms of insulin sensitivity than physical activity, fitness, or the amount of time spent sitting. Standing, on the other hand, was associated with insulin sensitivity independently, irrespective of body composition.
"Regular exercise is well known to be beneficial for health. It seems that physical activity, fitness, and sedentary behaviour are also connected to insulin metabolism, but indirectly, through their effect on body composition," Taru Garthwaite explains.
Causal effects cannot yet be predicted based on this study, but according to Garthwaite, the results suggest that increasing daily standing time may help in prevention of lifestyle diseases if physical activity recommendations are not met.
Next, the researchers aim to investigate how changes in daily activity and sedentariness impact cardiovascular and metabolic disease risk factors and metabolism by comparing two groups in an intervention study of a longer duration.
"Our aim is to study if reducing daily sitting time by an hour has an impact on energy metabolism and fat accumulation in liver and the whole body, for example, in addition to insulin sensitivity and blood sugar regulation," says Garthwaite.
- Taru Garthwaite, Tanja Sjöros, Mikko Koivumäki, Saara Laine, Henri Vähä-Ypyä, Maria Saarenhovi, Petri Kallio, Eliisa Löyttyniemi, Harri Sievänen, Noora Houttu, Kirsi Laitinen, Kari Kalliokoski, Tommi Vasankari, Juhani Knuuti, Ilkka Heinonen. Standing is associated with insulin sensitivity in adults with metabolic syndrome. Journal of Science and Medicine in Sport, 2021; DOI: 10.1016/j.jsams.2021.08.
Dr Kartikeya Kohli is an Internal Medicine Consultant at Sitaram Bhartia Hospital in Delhi with super speciality training in Nephrology. He has worked with various eminent hospitals like Indraprastha Apollo Hospital, Sir Gangaram Hospital. He holds an MBBS from Kasturba Medical College Manipal, DNB Internal Medicine, Post Graduate Diploma in Clinical Research and Business Development, Fellow DNB Nephrology, MRCP and ECFMG Certification. He has been closely associated with India Medical Association South Delhi Branch and Delhi Medical Association and has been organising continuing medical education programs on their behalf from time to time. Further he has been contributing medical articles for their newsletters as well. He is also associated with electronic media and TV for conduction and presentation of health programs. He has been associated with Medical Dialogues for last 3 years and contributing articles on regular basis.