European Journal of Applied Physiology

, Volume 119, Issue 8, pp 1855–1863 | Cite as

Aerobic or resistance exercise performed the previous day does not attenuate postprandial hyperglycemia-induced endothelial dysfunction in overweight/obese adults

  • Kevin D. BallardEmail author
  • Craig W. Berry
  • Conlan J. Varty
  • Kristina B. Arslain
  • Kyle L. Timmerman
Original Article



Postprandial hyperglycemia (PPH) impairs vascular endothelial function (VEF). A single bout of aerobic exercise (AE) attenuates PPH-induced decreases in brachial artery flow-mediated dilation (FMD), a non-invasive measure of VEF, in healthy adults for up to 17 h post-exercise. Studies examining the effects of resistance exercise (RE) on postprandial FMD responses are lacking.


We hypothesized that a single bout of exercise performed the prior evening would attenuate PPH-induced decreases in FMD, independent of exercise modality.


In a randomized, cross-over design, overweight/obese adults [n = 11 (8 women); 22 ± 4 years; 32.3 ± 5.8 kg m−2] completed 3 separate trials: control (seated rest), AE (30 min at ~ 60% VO2max), or whole-body RE (30 min, 6 exercises, 3 × 10-repetition maximum). Each trial occurred 14–17 h prior to an oral glucose tolerance test (OGTT). Brachial artery FMD and plasma glucose and insulin were measured prior to and at 30-min intervals for 2 h following the OGTT. Repeated-measures ANOVA and Bonferroni post hoc tests were used to evaluate differences within and between trials.


Trials occurred 15.3 ± 1.0 h prior to the OGTT. Relative to baseline, FMD transiently decreased (P < 0.05) at 30–60 min post-ingestion, plasma glucose increased (P < 0.01) at 30–90 min post-ingestion, and plasma insulin increased (P < 0.01) at 30–120 min post-ingestion. No between trial differences were observed for FMD, glucose, or insulin.


Aerobic or resistance exercise performed the evening prior to an OGTT does not attenuate postprandial decreases in brachial artery FMD in overweight/obese adults.


Flow-mediation dilation Insulin Glucose Acute exercise 



Aerobic exercise


Analysis of variance


Area under the curve


Body mass index


Cardiovascular disease


Diastolic blood pressure


Enzyme-linked immunosorbent assay


Flow-mediated dilation


High-density lipoprotein cholesterol


Homeostatic model assessment of insulin resistance


Heart rate


Low-density lipoprotein cholesterol


Nitric oxide


Oral glucose tolerance test


Postprandial hyperglycemia


Resistance exercise


Respiratory exchange ratio


Repetition maximum


Rating of perceived exertion


Systolic blood pressure


Total cholesterol




Vascular endothelial function


Maximal oxygen consumption



This study was supported by a College of Education, Health, and Society Seed Grant and Miami University Committee for Faculty Research Award. The authors acknowledge the contributions of our participants.

Author contributions

KB, CB, and CV conceived and designed research. KB, CB, CV, and KA conducted experiments and analyzed data. KB and KT wrote the manuscript. All the authors read and approved the manuscript.

Conflict of interest

The authors declare that they have no conflict of interest.


  1. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC Jr (2009) Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 120(16):1640–1645CrossRefGoogle Scholar
  2. American College of Sports Medicine (2018) Guidelines for exercise testing and prescription, 10th edn. Wolters Kluwer, BaltimoreGoogle Scholar
  3. Andersen E, Hostmark AT (2007) Effect of a single bout of resistance exercise on postprandial glucose and insulin response the next day in healthy, strength-trained men. J Strength Cond Res 21(2):487–491PubMedGoogle Scholar
  4. Ballard KD, Mah E, Guo Y, Pei R, Volek JS, Bruno RS (2013) Low-fat milk ingestion prevents postprandial hyperglycemia-mediated impairments in vascular endothelial function in obese individuals with metabolic syndrome. J Nutr 143(10):1602–1610CrossRefPubMedGoogle Scholar
  5. Ceriello A, Taboga C, Tonutti L, Quagliaro L, Piconi L, Bais B, Da Ros R, Motz E (2002) Evidence for an independent and cumulative effect of postprandial hypertriglyceridemia and hyperglycemia on endothelial dysfunction and oxidative stress generation: effects of short- and long-term simvastatin treatment. Circulation 106(10):1211–1218CrossRefPubMedGoogle Scholar
  6. Chapman J, Garvin AW, Ward A, Cartee GD (2002) Unaltered insulin sensitivity after resistance exercise bout by postmenopausal women. Med Sci Sports Exerc 34(6):936–941CrossRefPubMedGoogle Scholar
  7. Corretti MC, Anderson TJ, Benjamin EJ, Celermajer D, Charbonneau F, Creager MA, Deanfield J, Drexler H, Gerhard-Herman M, Herrington D, Vallance P, Vita J, Vogel R, International Brachial Artery Reactivity Task F (2002) Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the International Brachial Artery Reactivity Task Force. J Am Coll Cardiol 39(2):257–265CrossRefGoogle Scholar
  8. Das EK, Lai PY, Robinson AT, Pleuss J, Ali MM, Haus JM, Gutterman DD, Phillips SA (2018) Regular aerobic, resistance, and cross-training exercise prevents reduced vascular function following a high sugar or high fat mixed meal in young healthy adults. Front Physiol 9:183CrossRefPubMedPubMedCentralGoogle Scholar
  9. DECODE Study Group, The European Diabetes Epidemiology Group (2001) Glucose tolerance and cardiovascular mortality: comparison of fasting and 2-hour diagnostic criteria. Arch Intern Med 161(3):397–405CrossRefGoogle Scholar
  10. Fluckey JD, Hickey MS, Brambrink JK, Hart KK, Alexander K, Craig BW (1994) Effects of resistance exercise on glucose-tolerance in normal and glucose-intolerant subjects. J Appl Physiol 77(3):1087–1092CrossRefPubMedGoogle Scholar
  11. Fryar CD, Carroll MD, Ogden CL (2016) Prevalence of overweight, obesity, and extreme obesity among adults aged 20 and over: United States, 1960–1962 through 2013–2014. National Center for Health Statistics. Accessed 20 May 2019
  12. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP, American College of Sports M (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43(7):1334–1359CrossRefPubMedGoogle Scholar
  13. Green DJ, Dawson EA, Groenewoud HM, Jones H, Thijssen DH (2014) Is flow-mediated dilation nitric oxide mediated? A meta-analysis. Hypertension 63(2):376–382CrossRefPubMedGoogle Scholar
  14. Harris RA, Padilla J, Hanlon KP, Rink LD, Wallace JP (2008) The flow-mediated dilation response to acute exercise in overweight active and inactive men. Obesity (Silver Spring) 16(3):578–584CrossRefGoogle Scholar
  15. Ho SS, Dhaliwal SS, Hills A, Pal S (2011) Acute exercise improves postprandial cardiovascular risk factors in overweight and obese individuals. Atherosclerosis 214(1):178–184CrossRefPubMedGoogle Scholar
  16. Inaba Y, Chen JA, Bergmann SR (2010) Prediction of future cardiovascular outcomes by flow-mediated vasodilatation of brachial artery: a meta-analysis. Int J Cardiovasc Imaging 26(6):631–640CrossRefGoogle Scholar
  17. Johnson EC, Bardis CN, Jansen LT, Adams JD, Kirkland TW, Kavouras SA (2017) Reduced water intake deteriorates glucose regulation in patients with type 2 diabetes. Nutr Res 43:25–32CrossRefPubMedGoogle Scholar
  18. Jonk AM, Houben AJ, Schaper NC, de Leeuw PW, Serne EH, Smulders YM, Stehouwer CD (2011) Obesity is associated with impaired endothelial function in the postprandial state. Microvasc Res 82(3):423–429CrossRefPubMedGoogle Scholar
  19. Mah E, Noh SK, Ballard KD, Matos ME, Volek JS, Bruno RS (2011) Postprandial hyperglycemia impairs vascular endothelial function in healthy men by inducing lipid peroxidation and increasing asymmetric dimethylarginine:arginine. J Nutr 141(11):1961–1968CrossRefGoogle Scholar
  20. Matsuda M, DeFronzo RA (1999) Insulin sensitivity indices obtained from oral glucose tolerance testing: comparison with the euglycemic insulin clamp. Diabetes Care 22(9):1462–1470CrossRefPubMedGoogle Scholar
  21. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419CrossRefPubMedGoogle Scholar
  22. Mitchell JB, Phillips MD, Yellott RC, Currie LM (2011) Resistance and aerobic exercise: the influence of mode on the relationship between IL-6 and glucose tolerance in young men who are obese. J Strength Cond Res 25(6):1529–1537CrossRefPubMedGoogle Scholar
  23. National Strength Conditioning Association (2016) Essentials of strength training and conditioning, 4th edn. Human Kinetics, ChampaignGoogle Scholar
  24. Pedersen BK, Saltin B (2015) Exercise as medicine—evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports 25(Suppl 3):1–72CrossRefPubMedGoogle Scholar
  25. Sedgwick MJ, Morris JG, Nevill ME, Tolfrey K, Nevill A, Barrett LA (2013) Effect of exercise on postprandial endothelial function in adolescent boys. Br J Nutr 110(2):301–309CrossRefPubMedGoogle Scholar
  26. Short KR, Pratt LV, Teague AM (2012) The acute and residual effect of a single exercise session on meal glucose tolerance in sedentary young adults. J Nutr Metab 2012:278678CrossRefPubMedPubMedCentralGoogle Scholar
  27. Spiegel K, Leproult R, Van Cauter E (1999) Impact of sleep debt on metabolic and endocrine function. Lancet 354(9188):1435–1439CrossRefGoogle Scholar
  28. Thijssen DH, Black MA, Pyke KE, Padilla J, Atkinson G, Harris RA, Parker B, Widlansky ME, Tschakovsky ME, Green DJ (2011) Assessment of flow-mediated dilation in humans: a methodological and physiological guideline. Am J Physiol Heart Circ Physiol 300(1):H2–12CrossRefPubMedGoogle Scholar
  29. Tominaga M, Eguchi H, Manaka H, Igarashi K, Kato T, Sekikawa A (1999) Impaired glucose tolerance is a risk factor for cardiovascular disease, but not impaired fasting glucose. The Funagata Diabetes Study. Diabetes Care 22(6):920–924CrossRefPubMedGoogle Scholar
  30. Tyldum GA, Schjerve IE, Tjonna AE, Kirkeby-Garstad I, Stolen TO, Richardson RS, Wisloff U (2009) Endothelial dysfunction induced by post-prandial lipemia: complete protection afforded by high-intensity aerobic interval exercise. J Am Coll Cardiol 53(2):200–206CrossRefPubMedPubMedCentralGoogle Scholar
  31. Weiss EP, Arif H, Villareal DT, Marzetti E, Holloszy JO (2008) Endothelial function after high-sugar-food ingestion improves with endurance exercise performed on the previous day. Am J Clin Nutr 88(1):51–57CrossRefPubMedPubMedCentralGoogle Scholar
  32. Yeboah J, Folsom AR, Burke GL, Johnson C, Polak JF, Post W, Lima JA, Crouse JR, Herrington DM (2009) Predictive value of brachial flow-mediated dilation for incident cardiovascular events in a population-based study: the multi-ethnic study of atherosclerosis. Circulation 120(6):502–509CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Kinesiology and Health, College of Education, Health and SocietyMiami UniversityOxfordUSA

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