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. 2023 Mar 10;55(8):1471–1480. doi: 10.1249/MSS.0000000000003166

TABLE 2.

Effect of activity breaks on 4-h plasma glucose, insulin, and triglyceride AUC and iAUC response compared with prolonged sitting in a group of 28 adult participants and by BMI category.a

AUC Prolonged Sitting Activity Breaks Mean Difference (95% CI)b
Glucose AUC, mmol·L−1 per 240 min Mean (SD) Mean (SD) mmol·L−1 per 240 min
All 1533 (178) 1420 (144) −113 (−174 to −51)
 Normal weight 1516 (223) 1414 (162) −102 (−230 to 27)
 Overweight 1493 (162) 1369 (137) −124 (−237 to −10)
 Obese 1591 (137) 1478 (121) −114 (−172 to −55)
Insulin AUC, pmol·L−1 per 240 min Geometric Mean (95% CI) Geometric Mean (95% CI) %
All 12290 (9863 to 15315) 10089 (7632 to 13338) −17.9 (−29.0 to −5.1)
 Normal weight 8353 (6598 to 10576) 6328 (4144 to 9661) −24.3 (−40.8 to −3.1)
 Overweight 10540 (8102 to 13713) 8418 (5713 to 12403) −20.1 (−27.8 to 2.5)
 Obese 22009 (14959 to 32380) 20306 (13911 to 29640) −7.7 (−27.6 to 17.6)
Triglycerides AUC, mmol·L−1 per 240 min Mean (SD) Mean (SD) mmol·L−1 per 240 min
All 262 (96) 278 (112) 15.5 (−8.0 to 38.9)
 Normal weight 248 (88) 290 (130) 42.2 (−12.4 to 96.7)
 Overweight 196 (48) 193 (34) −3.0 (−30.9 to 24.9)
 Obese 345 (85) 349 (91) 4.3 (−14.1 to 22.7)
iAUC
Glucose iAUC, mmol·L−1 per 240 min Mean (SD) Mean (SD) mmol·L−1 per 240 min
All 400 (178) 274 (164) −126 (−197 to −55)
 Normal weight 380 (233) 217 (163) −163 (−310 to −16)
 Overweight 364 (167) 247 (166) −117 (−243 to 9)
 Obese 457 (108) 363 (139) −94 (−167 to −21)
Insulin iAUC, pmol·L−1 per 240 min Geometric Mean (95% CI) Geometric Mean (95% CI) %
All 9443 (7151 to 12469) 6968 (4926 to 9858) −26.2 (−39.6 to −9.9)
 Normal weight 5566 (3569 to 8680) 3747 (2013 to 6973) −32.7 (−55.2 to 1.1)
 Overweight 8851 (6647 to 11785) 6244 (4079 to 9560) −29.4 (−46.8 to −16.5)
 Obese 18126 (11663 to 28171) 15495 (9948 to 24135) −14.5 (−36.5 to 15.1)
AUC adjusted for baseline c
Triglycerides AUC, mmol·L−1 per 240 min Baseline Mean (SD) Baseline Mean (SD) Mean Difference (95% CI) Triglycerides AUC Adjusted for Baseline, mmol·L−1 per 240 min
All 1.12 (0.39) 1.14 (0.40) 8.1 (−9.2 to 25.4)
 Normal weight 1.04 (0.34) 1.17 (0.49) 12.0 (−19.8 to 43.8)
 Overweight 0.86 (0.18) 0.88 (0.19) −7.0 (−18.3 to 4.3)
 Obese 1.46 (0.37) 1.39 (0.31) 21.4 (−7.9 to 50.7)

aDefinition of BMI categories: healthy weight, 18.5 to 24.9 kg·m−2 (n = 10); overweight, 25 to 29.9 kg·m−2 (n = 9); and obese, >30 kg·m−2 (n = 9).

bMean difference, 95% CI, and P values estimated using a mixed effects regression model adjusted for randomized order with participant as a random effect. Insulin AUC and iAUC were log-transformed and effect sizes presented as percent difference.

cTriglyceride AUC showed that some participants had a response that dropped below their baseline level (therefore having iAUC = 0: n = 6 in activity condition, n = 1 in sitting condition). These negative responses are not captured by iAUC and the distribution becomes truncated, so instead an analysis of AUC that adjusted for baseline level was undertaken.