{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T02:33:06Z","timestamp":1793845986971,"version":"4.6.1"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["www.tandfonline.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Sport Science"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:bold>Background:<\/jats:bold> Elevated postprandial glucose (PPG) is an independent risk factor for cardiovascular disease. Post\u2010meal exercise effectively reduces PPG concentrations. However, the effect of accumulated versus continuous post\u2010meal exercise on PPG control remains unclear. This study aimed to investigate the effects of individualized accumulated or continuous exercise on PPG in young adults with obesity.<\/jats:p><jats:p>Twenty young adults with obesity (11\u00a0males) completed three 4\u2010h randomized crossover trials with 6\u201314\u2010day washout periods: (1) sitting (SIT), (2) one 30\u2010min walking bout (CONT), and (3) three 10\u2010min walking bouts separated by 20\u2010min resting (ACCU). Walking was initiated 20\u2005min before individual PPG peak after breakfast, which was predetermined by continuous glucose monitoring. Blood samples were collected at 15\u201330\u2005min intervals, and the 24\u2010h glucose was monitored via continuous glucose monitoring.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The 4\u2010h PPG incremental area under the curve (iAUC) was 12.1%\u00b130.9% and 21.5%\u00b121.5% smaller after CONT (<jats:italic>P\u2009<\/jats:italic>=\u20090.022) and ACCU (<jats:italic>P\u2009<\/jats:italic>&lt;\u20090.001), respectively, than after SIT. PPG concentrations were lower during CONT at 30\u201360\u2005min and during ACCU at 30\u2013105\u2005min after breakfast than during SIT (all <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.05). The 4\u2010h plasma insulin and C\u2010peptide iAUC, and mean amplitude of glycemic excursions were lower after CONT and ACCU than after SIT (all <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.05).<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Both continuous and accumulated exercises reduced PPG, insulin, and C\u2010peptide concentrations and improved glucose fluctuations. Accumulated exercise maintained lower PPG concentrations for a longer time than continuous exercise in young adults with obesity.<\/jats:p><jats:p><jats:bold>Clinical Trial Information:<\/jats:bold> Clinical trial registration No. ChiCTR 2000035064, URL: <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.chictr.org.cn\/showproj.aspx?proj=56584\">http:\/\/www.chictr.org.cn\/showproj.aspx?proj=56584<\/jats:ext-link>; (registered July 29, 2020).<\/jats:p>","DOI":"10.1080\/17461391.2023.2177199","type":"journal-article","created":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T12:48:26Z","timestamp":1675514906000},"page":"1446-1456","update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":15,"title":["Effects of accumulated versus continuous individualized exercise on postprandial glycemia in young adults with obesity"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0179-9032","authenticated-orcid":false,"given":"Xiaoyuan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Physical Education Peking University Beijing People's Republic of China"},{"name":"Department of Sports Science and Physical Education The Chinese University of Hong Kong Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3472-9898","authenticated-orcid":false,"given":"Xiao Yu","family":"Tian","sequence":"additional","affiliation":[{"name":"School of Biomedical Sciences The Chinese University of Hong Kong Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7656-641X","authenticated-orcid":false,"given":"Masashi","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Physical Education The Chinese University of Hong Kong Hong Kong People's Republic of China"},{"name":"Faculty of Sport Sciences Waseda University Saitama Japan"},{"name":"School of Sport, Exercise and Health Sciences Loughborough University Loughborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5251-4087","authenticated-orcid":false,"given":"Fenghua","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Health and Physical Education The Education University of Hong Kong Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3995-1121","authenticated-orcid":false,"given":"Wendy Y. 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