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Exercise training elicits superior metabolic effects when performed in the afternoon compared to morning in metabolically compromised humans
Author(s) -
Mancilla Rodrigo,
Brouwers Bram,
SchrauwenHinderling Vera B.,
Hesselink Matthijs K. C.,
Hoeks Joris,
Schrauwen Patrick
Publication year - 2021
Publication title -
physiological reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 39
ISSN - 2051-817X
DOI - 10.14814/phy2.14669
Subject(s) - morning , medicine , endocrinology , lipolysis , circadian rhythm , basal (medicine) , anaerobic exercise , carbohydrate metabolism , type 2 diabetes , insulin , adipose tissue , diabetes mellitus , physiology
The circadian clock and metabolism are tightly intertwined. Hence, the specific timing of interventions that target metabolic changes may affect their efficacy. Here we retrospectively compared the metabolic health effects of morning versus afternoon exercise training in metabolically compromised subjects enrolled in a 12‐week exercise training program. Thirty‐two adult males (58 ± 7 yrs) at risk for or diagnosed with type 2 diabetes performed 12 weeks of supervised exercise training either in the morning (8.00–10.00 a.m., N  = 12) or in the afternoon (3.00–6.00 p.m., N  = 20). Compared to participants who trained in the morning, participants who trained in the afternoon experienced superior beneficial effects of exercise training on peripheral insulin sensitivity (+5.2 ± 6.4 vs. −0.5 ± 5.4 μmol/min/kgFFM, p  = .03), insulin‐mediated suppression of adipose tissue lipolysis (−4.5 ± 13.7% vs. +5.9 ± 11%, p  = .04), fasting plasma glucose levels (−0.3 ± 1.0 vs. +0.5 ± 0.8 mmol/l, p  = .02), exercise performance (+0.40 ± 0.2 vs. +0.2 ± 0.1 W/kg, p  = .05) and fat mass (−1.2 ± 1.3 vs. −0.2 ± 1.0 kg, p  = .03). In addition, exercise training in the afternoon also tended to elicit superior effects on basal hepatic glucose output ( p  = .057). Our findings suggest that metabolically compromised subjects may reap more pronounced metabolic benefits from exercise training when this training is performed in the afternoon versus morning. ClinicalTrials.gov ID NCT01317576.

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