ReviewReviews in endocrine & metabolic disorders2026
Effect of acute postprandial exercise on continuous glucose monitoring outcomes in type 2 diabetes: A systematic review and meta-analysis of crossover trials.
Review in Reviews in endocrine & metabolic disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To investigate the effects of acute postprandial exercise on continuous glucose monitoring (CGM) parameters in individuals with type 2 diabetes mellitus (T2DM), and to identify moderators influencing these outcomes. PubMed and Web of Science were searched until June 20, 2026. Randomized (RCT) and non-randomized (non-RCT) crossover trials examining postprandial exercise in adults with T2DM were included. Seventeen studies met the inclusion criteria. Acute postprandial exercise significantly reduced 24-hour mean glucose (Hedges' g = -0.30, 95% CI: -0.42 to -0.18, p < 0.001), time above range (TAR; Hedges' g = -0.36, 95% CI: -0.51 to -0.22, p < 0.001), glucose standard deviation (Hedges' g = -0.39, 95% CI: -0.59 to -0.19, p = 0.006), mean amplitude of glycemic excursions (MAGE; Hedges' g = -0.30, 95% CI: -0.47 to -0.13, p = 0.006), and breakfast incremental area under the curve (iAUC; Hedges' g = -0.35, 95% CI: -0.57 to -0.12, p = 0.020). Effects did not differ significantly by exercise modality for any outcome (all Q_M p > 0.05). Exercise initiated > 60 min post-meal yielded the largest reductions in 24-hour mean glucose (Hedges' g = -0.41, p < 0.001) and TAR (Hedges' g = -0.50, p = 0.004), though between-timing subgroup differences were not statistically significant (all Q_M p > 0.05). Breakfast iAUC showed the strongest postprandial effects, attenuating to non-significant at lunch (Hedges' g = -0.19) and dinner (Hedges' g = 0.03), indicating a time-of-day gradient (breakfast × timing Q_M = 8.47, p = 0.015). Exploratory meta-regression of pre-specified continuous moderators (session duration, exercise intensity, baseline HbA1C, percent male) identified no significant effects after cluster-robust correction. Acute postprandial exercise produces modest improvements in glycemic control and variability in adults with T2DM, with effects consistent across exercise modalities and strongest when performed after breakfast, supporting meal-timing-specific exercise prescriptions.
Indexed as
Identifiers
42474912What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.