The Journal of Physiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 24, 2024
Abstract
Exercise
is
recommended
in
the
treatment
of
type
2
diabetes
and
can
improve
insulin
sensitivity.
However,
previous
evidence
suggests
that
exercise
at
different
times
day
people
with
may
have
opposing
outcomes
on
glycaemia.
Metformin
most
commonly
prescribed
initial
pharmacological
intervention
diabetes,
alter
adaptions
to
exercise.
It
unknown
if
there
an
interaction
between
metformin
diurnal
outcomes.
We
aimed
investigate
glycaemic
moderate
intensity
morning
vs
.
evening
being
monotherapy.
In
this
study,
nine
males
females
undergoing
monotherapy
(age
61
±
8.2
years,
mean
SD)
completed
a
16‐week
crossover
trial
including
2‐week
baseline
recording,
6
weeks
randomly
assigned
(07.00–10.00
h)
or
(16.00–19.00
wash‐out
period.
arms
consisted
30
min
walking
70%
estimated
max
heart
rate
every
other
day.
Glucose
levels
were
measured
continuous
glucose
monitors
activity
by
wrist‐worn
monitors.
Food‐intake
was
recorded
4‐day
food
diaries
during
baseline,
first
last
each
arm.
There
no
difference
intensity,
total
caloric
intake
physical
arms.
As
primary
outcomes,
acute
(24
area
under
curve
(AUC),
lower
(
P
=
0.02)
after
(180.6
68.4
mmol/l)
compared
(210.3
76.7
mmol/l);
differences
identified
for
(mmol/l)
any
specific
time
point
when
data
analysed
two‐way
ANOVA.
secondary
AUC
significantly
0.01)
participants
taking
before
breakfast
(152.5
29.95
(227.2
61.51
only
arm;
5–6
protocol,
0.04)
(168.8
15.8
mmol/l),
rather
than
(224.5
52.0
Our
reveal
acutely
lowers
metformin.
This
appears
be
driven
individuals
consumed
prior
breakfast.
beneficial
effect
upon
combined
pre‐breakfast
persisted
through
final
trial.
findings
suggest
benefit
management
glycaemia
diabetes.
image
Key
points
Morning
persistently
reduced
post‐breakfast
week
(week
6)
intervention.
study
it
possible
make
simple
changes
take
perform
their
blood
glucose.
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: Feb. 18, 2023
There
is
a
growing
interest
in
the
role
of
timing
daily
behaviors
improving
health.
However,
little
known
about
optimal
physical
activity
to
maximize
health
benefits.
We
perform
cohort
study
92,139
UK
Biobank
participants
with
valid
accelerometer
data
and
all-cause
cause-specific
mortality
outcomes,
comprising
over
7
years
median
follow-up
(638,825
person-years).
Moderate-to-vigorous
intensity
(MVPA)
at
any
time
day
associated
lower
risks
for
all-cause,
cardiovascular
disease,
cancer
mortality.
In
addition,
compared
morning
group
(>50%
MVPA
during
05:00-11:00),
midday-afternoon
(11:00-17:00)
mixed
groups,
but
not
evening
(17:00-24:00),
have
disease
These
protective
associations
are
more
pronounced
among
elderly,
males,
less
physically
active
participants,
or
those
preexisting
diseases.
Here,
we
show
that
may
potential
improve
public
Cell Metabolism,
Journal Year:
2022,
Volume and Issue:
34(10), P. 1457 - 1471.e4
Published: Oct. 1, 2022
Diet
modification
and
exercise
training
are
primary
lifestyle
strategies
for
obesity
management,
but
poor
adherence
rates
limit
their
effectiveness.
Time-restricted
eating
(TRE)
high-intensity
interval
(HIIT)
improve
cardiometabolic
health
in
at-risk
individuals,
whether
these
two
interventions
combined
induce
superior
improvements
glycemic
control
than
each
individual
intervention
is
not
known.
In
this
four-armed
randomized
controlled
trial
(ClinicalTrials.gov
NCT04019860),
we
determined
the
isolated
effects
of
7
weeks
TRE
(≤10-h
daily
window,
with
ad
libitum
energy
intake)
HIIT
(three
sessions
per
week),
compared
a
non-intervention
group,
on
secondary
outcomes
131
women
(36.2
±
6.2
years)
overweight/obesity.
There
were
no
statistically
significant
after
TRE,
HIIT,
or
combination
(TREHIIT)
glucose
area
under
curve
during
an
oral
tolerance
test
(the
outcome)
group
(TRE,
−26.3
mmol/L;
95%
confidence
[CI],
−82.3
to
29.7,
p
=
0.36;
−53.8
CI,
−109.2
1.6,
0.057;
TREHIIT,
−41.3
−96.4
13.8,
0.14).
However,
TREHIIT
improved
HbA1c
induced
reductions
total
visceral
fat
mass
alone.
High
participant
suggest
that
thereof
may
be
realistic
diet-exercise
improving
markers
metabolic
at
risk
disease.
American Journal of Medicine Open,
Journal Year:
2023,
Volume and Issue:
9, P. 100031 - 100031
Published: Jan. 18, 2023
Exercise
is
a
first-line
therapy
recommended
for
patients
with
type
2
diabetes
(T2D).
Although
moderate
to
vigorous
exercise
(e.g.
150
min/wk)
often
advised
alongside
diet
and/or
behavior
modification,
an
independent
treatment
that
can
prevent,
delay
or
reverse
T2D.
Habitual
exercise,
consisting
of
aerobic,
resistance
their
combination,
fosters
improved
short-
and
long-term
glycemic
control.
Recent
work
also
shows
high-intensity
interval
training
successful
at
lowering
blood
glucose,
as
breaking
up
sedentary
short-bouts
light
movement
3min).
Interestingly,
performing
afternoon
compared
morning
well
post-meal
versus
pre-meal
may
yield
slightly
better
benefit.
Despite
these
efficacious
benefits
T2D
care,
optimal
recommendations
remain
unclear
when
considering,
dietary,
medication,
other
behaviors.
Sleep Medicine Reviews,
Journal Year:
2024,
Volume and Issue:
75, P. 101926 - 101926
Published: March 21, 2024
The
number
of
individuals
experiencing
sleep
loss
has
exponentially
risen
over
the
past
decades.
Extrapolation
laboratory
findings
to
real
world
suggests
that
females
are
more
affected
by
extended
wakefulness
and
circadian
misalignment
than
males
are.
Therefore,
long-term
effects
such
as
metabolism
disorders
likely
be
prevalent
in
males.
Despite
emerging
evidence
for
sex
differences
key
aspects
sleep-wake
regulation,
much
remains
unknown,
often
underrepresented
research.
This
brief
communication
is
intended
highlight
1)
how
systematically
impinge
on
regulation
humans,
2)
factors
modulate
metabolism,
3)
meaning
these
precision
medicine.
Ultimately,
justify
factoring
when
optimizing
individually
targeted
interventions
humans.
Nature Metabolism,
Journal Year:
2024,
Volume and Issue:
6(4), P. 651 - 658
Published: March 18, 2024
Abstract
Metformin,
a
widely
used
first-line
treatment
for
type
2
diabetes
(T2D),
is
known
to
reduce
blood
glucose
levels
and
suppress
appetite.
Here
we
report
significant
elevation
of
the
appetite-suppressing
metabolite
N
-lactoyl
phenylalanine
(Lac-Phe)
in
individuals
treated
with
metformin
across
seven
observational
interventional
studies.
Furthermore,
Lac-Phe
were
found
rise
response
acute
administration
post-prandially
patients
T2D
or
metabolically
healthy
volunteers.
Diabetes Care,
Journal Year:
2024,
Volume and Issue:
47(5), P. 890 - 897
Published: April 9, 2024
To
assess
the
association
between
timing
of
aerobic
moderate
to
vigorous
physical
activity
(MVPA)
and
risk
cardiovascular
disease
(CVD),
microvascular
(MVD),
all-cause
mortality
in
adults
with
obesity
a
subset
type
2
diabetes
(T2D).
Metabolism,
Journal Year:
2022,
Volume and Issue:
135, P. 155268 - 155268
Published: July 28, 2022
Aims/hypothesisMetabolic
effects
of
exercise
may
partly
depend
on
the
time-of-day
when
is
performed.
We
tested
hypothesis
that
timing
affects
adaptations
in
multi-tissue
metabolome
and
skeletal
muscle
proteome
profiles
men
with
type
2
diabetes.MethodsMen
fitting
inclusion
(type
diabetes,
age
45–68
years
body
mass
index
23–33
kg/m2)
exclusion
criteria
(insulin
treatment,
smoking,
concurrent
systemic
disease,
regular
training)
were
included
a
randomized
crossover
trial
(n
=
15).
Participants
this
metabolomics
proteomics
analysis
fully
completed
all
sessions
8).
The
consisted
two
weeks
high-intensity
interval
training
(HIT)
(three
sessions/week)
either
morning
(08:00,
n
5)
or
afternoon
(16:45,
3),
two-week
wash-out
period,
an
additional
HIT
at
opposing
time.
researchers
not
blinded
to
group
allocation.
Blood,
subcutaneous
adipose
tissue
obtained
before
first,
after
each
period.
Broad-spectrum,
untargeted
proteomic
was
performed
muscle,
metabolomic
biosamples.
Differential
content
assessed
by
linear
regression
pathway
set
enrichment
analyses
Coordinated
metabolic
changes
across
tissues
identified
Spearman
correlation
analysis.ResultsMetabolic
remained
stable
HIT,
individual
metabolites
proteins
altered,
irrespective
time
day
which
However,
coordinated
relevant
pathways
protein
categories
identified.
Morning
similarly
increased
plasma
diacylglycerols,
acyl-carnitines,
sphingomyelins
lysophospholipids.
Acyl-carnitines
central
training-induced
cross-talk
tissues.
Plasma
carbohydrates,
via
penthose
phosphate
pathway,
lipids
decreased
compared
HIT.
Skeletal
lipoproteins
higher,
mitochondrial
complex
III
abundance
lower
HIT.Conclusions/interpretationWe
provide
comprehensive
responses
different
times
diabetes.
Increased
circulating
lipid
composition
common
between
greater
degree
than
training.
Thus,
there
diurnal
component
response
clinical
relevance
warrants
further
investigation.
Sleep Medicine Reviews,
Journal Year:
2022,
Volume and Issue:
66, P. 101700 - 101700
Published: Oct. 9, 2022
There
currently
exists
a
modern
epidemic
of
sleep
loss,
triggered
by
the
changing
demands
our
21st
century
lifestyle
that
embrace
'round-the-clock'
remote
working
hours,
access
to
energy-dense
food,
prolonged
periods
inactivity,
and
on-line
social
activities.
Disturbances
patterns
impart
widespread
adverse
effects
on
numerous
cells,
tissues,
organs.
Insufficient
causes
circadian
misalignment
in
humans,
including
perturbed
peripheral
clocks,
leading
disrupted
skeletal
muscle
liver
metabolism,
whole-body
energy
homeostasis.
Fragmented
or
insufficient
also
perturbs
hormonal
milieu,
shifting
it
towards
catabolic
state,
resulting
reduced
rates
protein
synthesis.
The
interaction
between
metabolic
health
is
complex,
with
mechanisms
underpinning
sleep-related
disturbances
this
tissue
often
multifaceted.
Strategies
promote
sufficient
duration
combined
appropriate
timing
meals
physical
activity
maintain
rhythmicity
are
important
mitigate
inadequate
health.
This
review
summarises
complex
relationship
sleep,
biology,
muscle,
discusses
effectiveness
several
strategies
negative
disturbed
rhythms