Does Postprandial Walking Influence Delayed Gastric Emptying in Patients with Long-Standing IDDM?

Lipp, Rainer W.; Schnedl, Wolfgang J.; Hammer, Heinz F.

doi:10.2337/diacare.19.11.1306a

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…References were excluded if (1) study was conducted in animals; (2) were not relevant to the topics of this review; (3) if exercise was performed only during the postprandial period (we excluded these studies to avoid the acute effects of exercise on gastric emptying influencing results [8, 9] ); (4) control trial or group was lacking; or (5) results of interest (pTAG) were duplicated.…”

Section: Literature Searchmentioning

confidence: 99%

The Latest on the Effect of Prior Exercise on Postprandial Lipaemia

Maraki

Sidossis

2013

Sports Med

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This review examines the effect of prior exercise on postprandial triacylglycerol (pTAG) concentrations, an independent risk factor for cardiovascular diseases. Numerous studies have shown that a single bout of exercise reduces pTAG concentrations; however, several modulators such as exercise energy expenditure/deficit, mode of exercise (aerobic/resistance/high intensity/intermittent exercise or combinations), type of meal (moderate or high fat), time frame between exercise and meal and target group may individually or in conjunction influence this effect. On the other hand, at least for aerobic exercise, training reduces pTAG concentrations transiently (~2 days); therefore, exercise sessions should be frequent enough to maintain this clinically significant improvement. For the healthy population, it seems that a subject’s preference and ability determine which type of exercise to undertake to attenuate pTAG concentrations; an energy expenditure of ~30kJ/kg of body mass (or ~2–2.5 MJ) not combined with a corresponding increase in energy intake is required; for resistance or intermittent exercise, for those following a moderate rather than a high-fat diet, and for those with obesity (expressed as kJ/kg of body mass), a smaller energy expenditure is probably sufficient. More studies are needed to investigate dose-response/plateau effects, as well as the threshold of energy expenditure in those with diabetes mellitus and other high-risk populations. Finally, investigation of the underlying mechanisms may be clinically helpful in individualizing the appropriate intervention.

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Section: Literature Searchmentioning

confidence: 99%

The Latest on the Effect of Prior Exercise on Postprandial Lipaemia

Maraki

Sidossis

2013

Sports Med

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“…21 Furthermore, postprandial walking actually normalized delayed gastric emptying in 46% of patients with insulin dependent diabetes mellitus. 22 In our study, the exercise of walking, either by improving gastric emptying or by some other unknown mechanisms, had a bene®cial in¯uence on postprandial oesophageal acid exposure during the 1-h period of walking.…”

Section: Discussionmentioning

confidence: 48%

Walking and chewing reduce postprandial acid reflux

Avidan¹,

Sonnenberg²,

Schnell³

et al. 2001

Aliment Pharmacol Ther

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Background: Gastro‐oesophageal reflux is worse after meals, and antacids are usually consumed after dietary indiscretion. Aim: To investigate whether walking or gum chewing affect meal‐induced gastro‐oesophageal reflux. Methods: The study population comprised 12 case subjects with gastro‐oesophageal reflux disease and 24 healthy controls. Each subject was studied using pH‐metry for 5 h on 3 separate days. After baseline recording of pH for 1 h, all subjects were fed a standard breakfast over a 20‐min period. On one of the days, oesophageal pH was recorded after the 20‐min eating period for an additional 4 h in the sitting position. On another day, postprandial oesophageal pH was recorded for the first hour whilst walking, and for 3 subsequent hours whilst sitting. During a third day, oesophageal pH was recorded for the first postprandial hour whilst gum‐chewing, followed by 3 h of sitting. Results: Food intake promoted gastro‐oesophageal reflux in case subjects with GERD as well as in healthy controls, although postprandial reflux was more pronounced amongst the refluxers than amongst the controls. Chewing gum for 1 h after the meal reduced the acid contact time in both groups, with a more profound effect in refluxers than in controls. Whilst the beneficial effect of 1‐h of gum‐chewing lasted for up to 3 h in both groups, the beneficial effect of 1‐h of walking was apparent only in refluxers, only to a mild degree, and only for a short duration. Conclusions: Chewing gum after a meal helps to reduce postprandial oesophageal acid exposure.

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Intractable nausea and vomiting associated with poor glycaemic control in a patient with type 1 diabetes

Setty

Kong

2016

BMJ

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Does Postprandial Walking Influence Delayed Gastric Emptying in Patients with Long-Standing IDDM?

Cited by 4 publications

References 3 publications

The Latest on the Effect of Prior Exercise on Postprandial Lipaemia

The Latest on the Effect of Prior Exercise on Postprandial Lipaemia

Walking and chewing reduce postprandial acid reflux

Intractable nausea and vomiting associated with poor glycaemic control in a patient with type 1 diabetes

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