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Effects of Postprandial Walking and Resistance Snacking on Glucose Responses in Adults With Metabolic Syndrome (BITE)

2026年5月27日 更新者：Yunmin Han、Seoul National University

Effects of Postprandial Walking and Brief Resistance Exercise Snacks on Continuous Glucose and Heart Rate Variability Responses in Adults With Metabolic Syndrome and Prediabetes: A Randomized Crossover Trial

This study will examine whether light physical activity after meals can improve 24-hour glucose responses in adults with metabolic syndrome and prediabetes.

Participants will complete three experimental conditions in a randomized crossover order: prolonged sitting, 15 minutes of postprandial walking, and brief resistance exercise snacks consisting of squats and calf raises performed every 20 minutes during the postprandial period. Continuous glucose monitoring will be used to assess 24-hour glucose responses, and heart rate variability will be measured during the 2-hour postprandial period to evaluate acute autonomic responses.

The main outcome is 24-hour mean glucose derived from continuous glucose monitoring.

研究概览

地位

尚未招聘

条件

干预/治疗

详细说明

Metabolic syndrome and prediabetes are associated with impaired glucose regulation and increased cardiometabolic risk. Light physical activity after meals may help reduce postprandial glucose excursions and improve overall daily glucose control. However, it remains unclear whether brief resistance exercise snacks can provide glucose benefits comparable to postprandial walking under standardized meal conditions.

This study is a randomized crossover trial in adults aged 40 to 65 years with metabolic syndrome and prediabetes. Each participant will complete three experimental conditions in a randomized order: prolonged sitting, 15 minutes of walking after a standardized meal, and brief resistance exercise snacks performed every 20 minutes during the postprandial period. The resistance exercise snacks will consist of simple body-weight exercises, including squats and calf raises.

Glucose responses will be assessed using continuous glucose monitoring. The primary outcome will be 24-hour mean glucose after each experimental condition. Key secondary glycemic outcomes will include 2-hour postprandial glucose incremental area under the curve, 2-hour mean glucose, peak glucose, time to peak glucose, nocturnal mean glucose, and glycemic variability indices. Heart rate variability will be assessed during the 2-hour postprandial period using RR interval data collected with a chest strap heart rate monitor to evaluate acute autonomic responses to each condition.

The purpose of this study is to determine whether brief resistance exercise snacks can improve 24-hour glucose regulation and postprandial glucose responses compared with uninterrupted sitting, and whether these responses are comparable to postprandial walking.

研究类型

介入性

注册 (估计的)

25

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

描述

Inclusion Criteria:

  • Inclusion Criteria:
  • Adults aged 40 to 65 years
  • Presence of metabolic syndrome
  • Fasting glucose of 100 mg/dL or higher or HbA1c of 5.7% or higher
  • Not regularly engaged in structured exercise training, defined as less than 150 minutes per week during the past year
  • Able to consume the standardized study meals
  • Able to wear a continuous glucose monitor and a chest strap heart rate monitor
  • Able to provide written informed consent

Exclusion Criteria:

  • History of major cardiovascular, cerebrovascular, respiratory, renal, hepatic, neurological, or other severe medical conditions that may affect study participation.
  • Uncontrolled hypertension, defined as systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥100 mmHg.
  • Current use of medications associated with a high risk of hypoglycemia, such as insulin or sulfonylureas.
  • Initiation or dose change of insulin or oral glucose-lowering medications within the past 3 months.
  • Initiation or dose change of medications for hypertension, dyslipidemia, or diabetes within the past 3 months.
  • Musculoskeletal, neurological, or orthopedic conditions that limit safe participation in walking or body-weight resistance exercise, including severe knee, hip, back, or ankle pain.
  • Regular participation in moderate-to-vigorous exercise of 150 minutes or more per week during the past year.
  • Difficulty consuming the standardized study meals, including food allergy, dietary restrictions, or severe gastrointestinal symptoms.
  • Difficulty wearing a continuous glucose monitor or history of severe skin irritation or allergy to adhesive sensors.
  • Difficulty wearing a chest strap heart rate monitor or skin problems at the chest strap site.
  • Pregnancy or planned pregnancy.
  • Acute illness, infection, surgery, or hospitalization within the past month.
  • Current participation in another interventional study.
  • Any condition judged by the investigator to make participation unsafe or inappropriate.

Exclusion Criteria:

-

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：预防
  • 分配：随机化
  • 介入模型：交叉作业
  • 屏蔽：双倍的

武器和干预

参与者组/臂
干预/治疗
无干预：Prolonged Sitting
Participants will remain seated during the 2-hour postprandial period after consuming a standardized meal.
实验性的：Postprandial Walking
Participants will perform 15 minutes of light-to-moderate walking after consuming a standardized meal.
行为的：Postprandial walking
Participants will perform 15 minutes of light-to-moderate walking after consuming a standardized meal. Walking intensity will be monitored using heart rate and rating of perceived exertion.
实验性的：Brief Resistance Exercise Snacks
Participants will perform 3-minute bouts of body-weight resistance exercises, including squats and calf raises, every 20 minutes during the postprandial period after consuming a standardized meal.
行为的：Brief resistance exercise snacks
Participants will perform 3-minute bouts of body-weight resistance exercises every 20 minutes during the postprandial period after consuming a standardized meal. The exercise bouts will include squats and calf raises.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
24-hour mean glucose
大体时间：24 hours after each experimental condition
Mean glucose over 24 hours after each experimental condition, derived from continuous glucose monitoring.
24 hours after each experimental condition

次要结果测量

结果测量
措施说明
大体时间
2-hour postprandial glucose incremental area under the curve
大体时间：0 to 120 minutes after the standardized meal
The 2-hour postprandial glucose incremental area under the curve will be calculated from continuous glucose monitoring data after the standardized meal.
0 to 120 minutes after the standardized meal
Change in RMSSD
大体时间：0 to 120 minutes after the standardized meal
Change in the root mean square of successive differences from the pre-meal resting baseline during the 2-hour postprandial period. RMSSD will be calculated from RR interval data collected with a chest strap heart rate monitor.
0 to 120 minutes after the standardized meal

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Seoul National University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年6月15日

初级完成 (估计的)

2026年9月1日

研究完成 (估计的)

2026年10月1日

研究注册日期

首次提交

2026年5月27日

首先提交符合 QC 标准的

2026年5月27日

首次发布 (实际的)

2026年6月2日

研究记录更新

最后更新发布 (实际的)

2026年6月2日

上次提交的符合 QC 标准的更新

2026年5月27日

最后验证

2026年5月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • SNU-CGM-EX-2026
  • 2601/001-020 (其他标识符：Seoul National University Institutional Review Board approval number)

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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