“…There is also currently a high prevalence of prolonged sitting between 9 and 11 h/day ( Craft et al., 2012 ; Healy et al., 2015 ; Matthews et al., 2018 ; van der Berg et al., 2016 ) at a low metabolic rate during seated behaviors ( Newton et al., 2013 ), especially in people who are at high risk for age-associated metabolic diseases such as metabolic syndrome and type 2 diabetes ( van der Berg et al., 2016 ). Even in nondiabetics, postprandial glucose concentration in the 60–120 min range of an oral glucose tolerance test (OGTT) has often been described as one of the strongest independent metabolic risk factors for chronic disease because of linkages to Alzheimer disease ( Kakehi et al., 2018 ; Ohara et al., 2011 ), neuropathies ( Buysschaert et al., 2015 ; Papanas et al., 2011 ), dyslipidemia ( DeFronzo and Abdul-Ghani, 2011 ; Festa et al., 2004 ), and cardiovascular conditions ( DeFronzo and Abdul-Ghani, 2011 ; Succurro et al., 2009 ). Of concern, glucose tolerance is relatively difficult to improve by a meaningful amount during most therapies, including after substantial amounts of weight loss or exercise ( Jansen et al., 2022 ; King et al., 1995 ; Knudsen et al., 2014 ; Magkos et al., 2016 ; Rose et al., 2001 ; Ross et al., 2000 , 2015 ; Slentz et al., 2016 ).…”