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Original Research

Effects of Exercise Training Intensity on Pancreatic β-Cell Function

  1. Cris A. Slentz, PHD1,
  2. Charles J. Tanner, MS2,
  3. Lori A. Bateman, MS1,
  4. Michael T. Durheim, MD1,
  5. Kim M. Huffman, MD, PHD3,
  6. Joseph A. Houmard, PHD2 and
  7. William E. Kraus, MD1,4
  1. 1Division of Cardiovascular Medicine, Duke University Medical Center, Durham, North Carolina;
  2. 2Department of Exercise and Sports Science and Human Performance Laboratory, East Carolina University, Greenville, North Carolina;
  3. 3Division of Rheumatology, Duke University Medical Center, Durham, North Carolina;
  4. 4Department of Medicine and Duke Center for Living, Duke University Medical Center, Durham, North Carolina.
  1. Corresponding author: Cris A. Slentz, cris.slentz{at}duke.edu.
Diabetes Care 2009 Oct; 32(10): 1807-1811. https://doi.org/10.2337/dc09-0032
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    Figure 1

    The effects of exercise amount and intensity on changes in DI (A), Si (B), and AIRg (C) are shown. Data are means ± SE. All P <0.10 for group comparisons are reported. For low amount/moderate intensity (n = 57); low amount/vigorous intensity (n = 58); high amount/vigorous intensity (n = 64).

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  • Table 1

    Exercise prescription adherence by group and substrate use

    Low amount/moderate intensityLow amount/vigorous intensityHigh amount/vigorous intensity
    n575864
    Prescription and actual exercise dose
        Intensity (% peak oxygen consumption)40–55%65–80%65–80%
        Prescription amount (miles/week)*121220
        Prescription amount (kcal/week)1,220 ± 2121,230 ± 1772,020 ± 307
        Prescription time (min/week)201 ± 37125 ± 28207 ± 44
        Adherence (%)88 ± 1490 ± 1284 ± 15
        Actual amount (miles/week)†10.610.816.8
        Actual time (min/week)‡176 ± 36113 ± 28172 ± 41
        Frequency (sessions/week)3.5 ± 0.82.9 ± 0.53.6 ± 0.8
        Respiratory exchange ratio0.907 ± 0.05§0.960 ± 0.060.961 ± 0.04
    Fat utilization
        Energy from fat (%)30.2%12.6%12.6%
        kcals from fat (kcal)368155255
    • Data are means ±SD.

    • ↵*Prescription amount is presented as the approximate number of miles/week that are calorically equivalent to the prescribed kcal/week of 14 kcal · kg body wt−1 · week−1 for the low-dose groups and 23 kcal · kg body wt−1 · week−1 for the high-dose group.

    • ↵†Actual amount = prescription amount × adherence for each group (therefore no SD).

    • ↵‡Actual time = prescription time × adherence for each subject. Respiratory exchange ratios were obtained during the submaximal exercise bout that was performed to determine the correct exercise intensity (i.e., 40–55% for the moderate-intensity group and 65–80% for the vigorous-intensity groups).

    • ↵§Respiratory exchange ratio for the moderate-intensity group was significantly different from both vigorous groups (P < 0.0005).

  • Table 2

    Baseline and change scores for DI, AIRg, Si, metabolic variables, body weight, and body composition variables by group

    n (men/women)Control
    Low amount/moderate intensity
    Low amount/vigorous intensity
    High amount/vigorous intensity
    58 (30/28)
    57 (30/27)
    58 (33/25)
    64 (38/26)
    BaselineChangePBaselineChangePBaselineChangePBaselineChangeP
    DI (× 10−5 min−1)1,562 ± 1,444−65 ± 893NS1,270 ± 1,147742 ± 1,6800.0021,533 ± 1,362255 ± 1,0230.0631,305 ± 1,121255 ± 6880.004
    AIRg (pmol/l)490.6 ± 43122 ± 233NS457.3 ± 334−10 ± 207NS445.5 ± 353−43 ± 2160.14505.6 ± 427−77 ± 2180.007
    Si (× 10−5 min/pmol)3.5 ± 2.1−0.35 ± 1.70.123.1 ± 2.21.7 ± 2.5<0.00013.7 ± 2.10.8 ± 1.80.0013.2 ± 2.51.1 ± 2.1<0.0001
    Fasting glucose (mg/dl)91 ± 113.2 ± 80.00594 ± 9−0.1 ± 9NS93 ± 81.2 ± 9NS94 ± 100.5 ± 10NS
    Fasting insulin (μU/ml)8.5 ± 4.30.9 ± 3.30.0410.3 ± 8.1−2.5 ± 5.60.0028.8 ± 5.9−1.5 ± 4.10.0089.6 ± 5.6−1.3 ± 3.30.002
    HOMA (mg/dl × μU/ml)2.0 ± 1.20.28 ± 0.80.0112.5 ± 1.9−0.58 ± 1.40.0032.1 ± 1.6−0.36 ± 1.10.0142.3 ± 1.4−0.30 ± 0.90.009
    Triglycerides (mg/dl)147 ± 715 ± 43NS171 ± 108−35 ± 760.002143 ± 67−16 ± 490.02155 ± 84−21 ± 500.002
    Body mass (kg)88 ± 140.88 ± 2.40.00787 ± 15−0.81 ± 2.40.01288 ± 13−0.96 ± 2.30.00388 ± 13−0.15 ± 2.7<0.0001
    Visceral fat (cm2)163 ± 6613 ± 290.003174 ± 77−2.1 ± 30NS158 ± 56−4.6 ± 36NS168 ± 72−12 ± 350.018
    Vo2 peak (ml · kg−1 · min−1)27 ± 6−0.7 ± 20.0327 ± 61.8 ± 2<0.000129 ± 63.4 ± 3<0.000128 ± 55.0 ± 3<0.0001
    • Data are means ± SD. Homeostasis model assessment (HOMA) [(fasting glucose × fasting insulin)/22.5] (indicator of insulin sensitivity during fasting conditions). NS, P > 0.30 and therefore not significant. All other P values (< 0.30) are shown.

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Effects of Exercise Training Intensity on Pancreatic β-Cell Function
Cris A. Slentz, Charles J. Tanner, Lori A. Bateman, Michael T. Durheim, Kim M. Huffman, Joseph A. Houmard, William E. Kraus
Diabetes Care Oct 2009, 32 (10) 1807-1811; DOI: 10.2337/dc09-0032

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Effects of Exercise Training Intensity on Pancreatic β-Cell Function
Cris A. Slentz, Charles J. Tanner, Lori A. Bateman, Michael T. Durheim, Kim M. Huffman, Joseph A. Houmard, William E. Kraus
Diabetes Care Oct 2009, 32 (10) 1807-1811; DOI: 10.2337/dc09-0032
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