How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?

Aim. We hypothesized that 4 days of normal daily activity after 21 days of experimental bed rest (BR) will not reverse BR induced impaired glucose tolerance. Design. Glucose tolerance of seven male, healthy, untrained test subjects (age: 27.6 (3.3) years (mean (SD)); body mass: 78.6 (6.4) kg; height...

Full description

Saved in:
Bibliographic Details
Main Authors: Martina Heer, Natalie Baecker, Stephan Wnendt, Annelie Fischer, Gianni Biolo, Petra Frings-Meuthen
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/803083
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832562174797545472
author Martina Heer
Natalie Baecker
Stephan Wnendt
Annelie Fischer
Gianni Biolo
Petra Frings-Meuthen
author_facet Martina Heer
Natalie Baecker
Stephan Wnendt
Annelie Fischer
Gianni Biolo
Petra Frings-Meuthen
author_sort Martina Heer
collection DOAJ
description Aim. We hypothesized that 4 days of normal daily activity after 21 days of experimental bed rest (BR) will not reverse BR induced impaired glucose tolerance. Design. Glucose tolerance of seven male, healthy, untrained test subjects (age: 27.6 (3.3) years (mean (SD)); body mass: 78.6 (6.4) kg; height: 1.81 (0.04) m; VO2 max: 39.5 (5.4) ml/kg body mass/min) was studied. They stayed twice in the metabolic ward (crossover design), 21 days in bed and 7 days before and after BR each. Oral glucose tolerance tests were applied before, on day 21 of BR, and 5 and 14 days after BR. Results. On day 21 of BR, AUC120 min of glucose concentration was increased by 28.8 (5.2)% and AUC120 min of insulin by 35.9 (10.2)% (glucose: P<0.001; insulin: P=0.02). Fourteen days after BR, AUC120 min of serum insulin concentrations returned to pre-bed-rest concentrations (P=0.352) and AUC120 min of glucose was still higher (P=0.038). Insulin resistance did not change, but sensitivity index was reduced during BR (P=0.005). Conclusion. Four days of light physical workload does not compensate inactivity induced impaired glucose tolerance. An individually tailored and intensified training regime is mandatory in patients being in bed rest to get back to normal glucose metabolism in a reasonable time frame.
format Article
id doaj-art-3535e88cef294e7fa7d9a3c133483d52
institution Kabale University
issn 2356-6140
1537-744X
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-3535e88cef294e7fa7d9a3c133483d522025-02-03T01:23:16ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/803083803083How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?Martina Heer0Natalie Baecker1Stephan Wnendt2Annelie Fischer3Gianni Biolo4Petra Frings-Meuthen5Department of Nutrition and Food Science-Nutrition Physiology, University of Bonn, 53115 Bonn, GermanyDepartment of Nutrition and Food Science-Nutrition Physiology, University of Bonn, 53115 Bonn, GermanyMLM Medical Labs GmbH, 41066 Monchengladbach, GermanyProfil Neuss GmbH, 41460 Neuss, GermanyDivision of Internal Medicine, University of Trieste, 34127 Trieste, ItalyGerman Aerospace Center (DLR), Institute of Aerospace Medicine, 51147 Cologne, GermanyAim. We hypothesized that 4 days of normal daily activity after 21 days of experimental bed rest (BR) will not reverse BR induced impaired glucose tolerance. Design. Glucose tolerance of seven male, healthy, untrained test subjects (age: 27.6 (3.3) years (mean (SD)); body mass: 78.6 (6.4) kg; height: 1.81 (0.04) m; VO2 max: 39.5 (5.4) ml/kg body mass/min) was studied. They stayed twice in the metabolic ward (crossover design), 21 days in bed and 7 days before and after BR each. Oral glucose tolerance tests were applied before, on day 21 of BR, and 5 and 14 days after BR. Results. On day 21 of BR, AUC120 min of glucose concentration was increased by 28.8 (5.2)% and AUC120 min of insulin by 35.9 (10.2)% (glucose: P<0.001; insulin: P=0.02). Fourteen days after BR, AUC120 min of serum insulin concentrations returned to pre-bed-rest concentrations (P=0.352) and AUC120 min of glucose was still higher (P=0.038). Insulin resistance did not change, but sensitivity index was reduced during BR (P=0.005). Conclusion. Four days of light physical workload does not compensate inactivity induced impaired glucose tolerance. An individually tailored and intensified training regime is mandatory in patients being in bed rest to get back to normal glucose metabolism in a reasonable time frame.http://dx.doi.org/10.1155/2014/803083
spellingShingle Martina Heer
Natalie Baecker
Stephan Wnendt
Annelie Fischer
Gianni Biolo
Petra Frings-Meuthen
How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?
The Scientific World Journal
title How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?
title_full How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?
title_fullStr How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?
title_full_unstemmed How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?
title_short How Fast Is Recovery of Impaired Glucose Tolerance after 21-Day Bed Rest (NUC Study) in Healthy Adults?
title_sort how fast is recovery of impaired glucose tolerance after 21 day bed rest nuc study in healthy adults
url http://dx.doi.org/10.1155/2014/803083
work_keys_str_mv AT martinaheer howfastisrecoveryofimpairedglucosetoleranceafter21daybedrestnucstudyinhealthyadults
AT nataliebaecker howfastisrecoveryofimpairedglucosetoleranceafter21daybedrestnucstudyinhealthyadults
AT stephanwnendt howfastisrecoveryofimpairedglucosetoleranceafter21daybedrestnucstudyinhealthyadults
AT anneliefischer howfastisrecoveryofimpairedglucosetoleranceafter21daybedrestnucstudyinhealthyadults
AT giannibiolo howfastisrecoveryofimpairedglucosetoleranceafter21daybedrestnucstudyinhealthyadults
AT petrafringsmeuthen howfastisrecoveryofimpairedglucosetoleranceafter21daybedrestnucstudyinhealthyadults