Evidence map›Paper›PMID 23761134›Full record

Trial reportDiabetes care2013

Three 15-min bouts of moderate postmeal walking significantly improves 24-h glycemic control in older people at risk for impaired glucose tolerance.

Loretta DiPietro, Andrei Gribok, Michelle S Stevens, Larry F Hamm, William Rumpler

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 pooled it
18.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03196895 nacompletednot on this mapstarted 2017, after this paper: background citation

Treating Type 2 Diabetes by Reducing Postprandial Glucose Elevations: A Paradigm Shift in Lifestyle Modification

TypeinterventionalSponsorUniversity of VirginiaRan2017 to 2020Enrolled192ConditionsDiabetes Mellitus, Type 2ArmsWeight reduction training, PPG training, discrete BG feedback, continuous BG feedback
NCT03207893 nacompletednot on this mapstarted 2018, after this paper: background citation

Benefits of Adding Continuous Glucose Monitoring to Glycemic Load, Exercise, and Monitoring of Blood Glucose (GEM) for Adults With Type 2 Diabetes - Phase 2

TypeinterventionalSponsorUniversity of VirginiaRan2018 to 2020Enrolled24ConditionsDiabetes Mellitus, Type 2ArmsGEM lifestyle modification & continuous glucose monitoring, Routine Care
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 5 syntheses or guidelines pooled it, 133 citations in OpenAlex.

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  8. Using Continuous Glucose Monitoring to Motivate Physical Activity in Overweight and Obese Adults: A Pilot Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
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  13. Twenty Minute Moderate-Intensity Post-Dinner Exercise Reduces the Postprandial Glucose Response in Chinese Patients with Type 2 Diabetes.Medical science monitor : international medical journal of experimental and clinical research · 2018
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  20. Lifestyle factors and cardiometabolic risk.Chinese medical journal · 2026
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Loretta DiPietroCorresponding author: Loretta DiPietro, ldp1@gwu.edu.
Andrei Gribok
Michelle S Stevens
Larry F Hamm
William Rumpler
George Washington University · US

Funding

Post-meal Exercise and Glycemic Control in AgingR21AG031550 · NIA · GEORGE WASHINGTON UNIVERSITY · PI DIPIETRO, LORETTA · 2008 to 2009
$365k
NIA NIH HHS R21 AG031550NIA NIH HHS R21-AG-031550
6 · The paper itself

Abstract

objectiveThe purpose of this study was to compare the effectiveness of three 15-min bouts of postmeal walking with 45 min of sustained walking on 24-h glycemic control in older persons at risk for glucose intolerance. RESEARCH DESIGN AND

methodsInactive older (≥60 years of age) participants (N=10) were recruited from the community and were nonsmoking, with a BMI<35 kg/m2 and a fasting blood glucose concentration between 105 and 125 mg dL(-1). Participants completed three randomly ordered exercise protocols spaced 4 weeks apart. Each protocol comprised a 48-h stay in a whole-room calorimeter, with the first day serving as the control day. On the second day, participants engaged in either 1) postmeal walking for 15 min or 45 min of sustained walking performed at 2) 10:30 a.m. or 3) 4:30 p.m. All walking was on a treadmill at an absolute intensity of 3 METs. Interstitial glucose concentrations were determined over 48 h with a continuous glucose monitor. Substrate utilization was measured continuously by respiratory exchange (VCO2/VO2).

resultsBoth sustained morning walking (127±23 vs. 118±14 mg dL(-1)) and postmeal walking (129±24 vs. 116±13 mg dL(-1)) significantly improved 24-h glycemic control relative to the control day (P<0.05). Moreover, postmeal walking was significantly (P<0.01) more effective than 45 min of sustained morning or afternoon walking in lowering 3-h postdinner glucose between the control and experimental day.

conclusionsShort, intermittent bouts of postmeal walking appear to be an effective way to control postprandial hyperglycemia in older people.

Indexed as

AgedBlood GlucoseExercise TestFemaleGlucose IntoleranceHumansHyperglycemiaMaleMiddle AgedPostprandial PeriodWalkingBlood Glucose

Identifiers

PMID23761134
PMCPMC3781561
OpenAlexW2166836577

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.