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The effect of a 12 week walking intervention on markers of insulin resistance and systemic inflammation |
Gray SR, Baker G, Wright A, Fitzsimons CF, Mutrie N, Nimmo MA |
Preventive Medicine 2009 Jan;48(1):39-44 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVES: The purpose of the present study was to determine whether a community-based walking intervention, using pedometers, is effective in reducing systemic inflammatory markers. METHODS: Participants (age 49 (8.9)) were recruited in Glasgow, United Kingdom, from August to December 2006 and were randomly assigned to a control (n = 24; 6 males, no change in walking) and intervention group (n = 24; 5 males gradually increasing walking by 3,000 steps/day on 5 days of the week). Blood samples were collected at baseline, and after 12 weeks, and analysed for glucose, insulin, high sensitivity c-reactive protein (hsCRP), interleukin-6 (IL-6), soluble IL-6 receptor (sIL-6R), tumour necrosis factor-alpha (TNF-alpha) and soluble TNF receptors I and II (sTNFR1 and sTNFRII). RESULTS: In the control group baseline step counts were 6,356 (2,953) steps/day and did not change (p > 0.05) after 12 weeks, 6,709 (2,918) steps/day. The intervention group increased (p < 0.001) step count from 6,682 (3,761) steps/day at baseline to 10,182 (4,081) steps/day at 12 weeks. Over the 12 week period there was no change in any other variables measured, in either control or intervention group. CONCLUSION: We conclude that the current community-based intervention did not affect systemic markers of inflammation or insulin sensitivity.
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