Repeated 3-minute stair climbing-descending exercise after a meal over 2 weeks increases serum 1,5-anhydroglucitol levels in people with type 2 diabetes.
Hiroto Honda, Makoto Igaki, Yuki Hatanaka and 6 others
PMID 28210043WHAT IT FOUND
In seven men with type 2 diabetes continuing medication and diet therapy, two 3-minute stair bouts after each meal for two weeks raised a blood marker of recent glucose spikes by 11.5%.
Fasting glucose and insulin resistance did not change.
Key findings
01Serum 1,5-AG increased significantly by 11.5% at the end of the stair exercise period compared with baseline.
02Fasting blood glucose and HOMA-IR did not change significantly, and LDL-C, HDL-C, and TG also did not change during the study period.
03All participants completed the program without clinical complications, and self-reported adherence was 73% ± 27%.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only seven men were studied, all Japanese, aged 60 to 75, with type 2 diabetes and no complications, so results may not apply to women, younger people, more severe diabetes, obesity, or people with complications. There was no control group, so it cannot be determined whether the change was due to stair exercise, time, medication, diet, or natural variation. Adherence was self-reported and was 73% ± 27%, so the effect of the intended full program is uncertain. The participants continued oral diabetes medication and medical nutritional therapy, so the contribution of stair exercise alone cannot be separated. Safety in older, obese, or complicated populations was not evaluated, and stair exercise may increase fall risk in those groups.
The easy way to misread this
Do not treat the 11.5% rise in a glucose-spike marker as proof that stair climbing alone improves diabetes control. Participants also continued diabetes medication and diet therapy, the study had only seven men and no control group, and fasting glucose and insulin resistance did not change significantly.