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Related Experiment Video

Updated: Jul 4, 2026

Randomized Controlled Trial to Study the Acute Effects of Strength Exercise on Insulin Sensitivity in Obese Adults
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Physical activity and insulin sensitivity: the RISC study.

Beverley Balkau1, Leila Mhamdi, Jean-Michel Oppert

  • 1INSERM 780, Villejuif, University Paris-Sud, Orsay, France. beverley.balkau@inserm.fr

Diabetes
|July 2, 2008
PubMed
Summary
This summary is machine-generated.

Total daily physical activity, not sedentary time or intensity, is key for insulin sensitivity. Higher overall activity levels significantly improve insulin sensitivity in adults, even those who are mostly sedentary.

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Area of Science:

  • Metabolic Health
  • Exercise Physiology
  • Endocrinology

Background:

  • Physical activity is a critical modifiable risk factor for type 2 diabetes.
  • Physical activity influences type 2 diabetes risk primarily through its effects on insulin sensitivity.

Purpose of the Study:

  • To investigate the relationship between objectively measured physical activity and insulin sensitivity.
  • To determine if different aspects of physical activity (total volume, sedentary time, light activity, intensity) independently predict insulin sensitivity.

Main Methods:

  • Cross-sectional study of 791 adults (346 men, 455 women) aged 30-60 years.
  • Insulin sensitivity assessed using hyperinsulinemic-euglycemic clamp.
  • Physical activity measured by accelerometry for a median of 6 days, analyzing total activity, sedentary time, light activity, and intensity.

Main Results:

  • Total physical activity demonstrated a significant association with insulin sensitivity in both men and women (P < 0.0001).
  • Sedentary time, light activity, and activity intensity showed associations with insulin sensitivity, but these lost significance after adjusting for total activity.
  • Total activity remained a significant predictor of insulin sensitivity even in the most sedentary individuals (P < 0.0001).

Conclusions:

  • Accumulated daily physical activity is a primary determinant of insulin sensitivity.
  • Sedentary time, light activity, and moderate/vigorous activity bouts do not independently influence insulin sensitivity beyond the effect of total activity volume.