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PreprintCC BYbioRxiv

No Effect of Exercise Timing on Daily Glycaemia Despite Shifts in Acute Glucose Dynamics in Participants with Normal Glucose Tolerance: A Randomised Crossover Trial

  1. 1Rowett Institute, University of Aberdeen, Aberdeen, UK; Aberdeen Cardiovascular and Diabetes Centre, University of Aberdeen, Aberdeen, UK

Abstract

Exercise is a well-established modulator of glucose regulation, but whether the time of day it is performed matters for healthy, free-living adults remains unresolved. In a randomised crossover trial, 29 healthy adults completed a single 30-minute bout of moderate-intensity exercise in the morning (07:00-10:00) and in the evening (16:00-19:00), with continuous glucose monitoring and wrist-worn activity tracking used to capture responses over an 8-day free-living protocol. Evening exercise produced a significantly greater acute reduction in blood glucose (P < 0.001) compared to morning exercise, but this did not translate into consistent differences in overall daily mean glycaemic exposure, whether measured over the calendar day or over a window aligned with exercise onset. Evening exercise was linked to greater within-day glycaemic variability than morning exercise, with the clearest evidence coming from the circadian-aligned analysis (day x timing interaction, SD: P = 0.00939; CV: P = 0.00766). Appetite rose after exercise in both conditions, with no difference by time of day. Taken together, these results show that exercise timing does not change how much glucose exposure a healthy adult accumulates over a day, but it does change the shape of the glucose response around the exercise bout itself, a distinction only visible when glucose is examined at a finer temporal resolution than daily averages allow.

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BibTeX
@misc{dasar2026effect,
  title = {{No Effect of Exercise Timing on Daily Glycaemia Despite Shifts in Acute Glucose Dynamics in Participants with Normal Glucose Tolerance: A Randomised Crossover Trial}},
  author = {L. T. Dasar and M. Hamilton and D. Borisova and I. Lewis and V. Kjellin-Bennett and V. Gargano and R. Prakash and K. Beaulieu and B. M. Gabriel},
  howpublished = {bioRxiv},
  year = {2026},
  month = oct,
  doi = {10.64898/2026.10.30.763114},
  url = {https://www.biorxiv.org/content/10.64898/2026.10.30.763114v1},
  note = {CC BY},
}
RIS
TY  - UNPB
TI  - No Effect of Exercise Timing on Daily Glycaemia Despite Shifts in Acute Glucose Dynamics in Participants with Normal Glucose Tolerance: A Randomised Crossover Trial
AU  - L. T. Dasar
AU  - M. Hamilton
AU  - D. Borisova
AU  - I. Lewis
AU  - V. Kjellin-Bennett
AU  - V. Gargano
AU  - R. Prakash
AU  - K. Beaulieu
AU  - B. M. Gabriel
PY  - 2026
DA  - 2026/10/30
PB  - bioRxiv
DO  - 10.64898/2026.10.30.763114
UR  - https://www.biorxiv.org/content/10.64898/2026.10.30.763114v1
AB  - Exercise is a well-established modulator of glucose regulation, but whether the time of day it is performed matters for healthy, free-living adults remains unresolved. In a randomised crossover trial, 29 healthy adults completed a single 30-minute bout of moderate-intensity exercise in the morning (07:00-10:00) and in the evening (16:00-19:00), with continuous glucose monitoring and wrist-worn activity tracking used to capture responses over an 8-day free-living protocol. Evening exercise produced a significantly greater acute reduction in blood glucose (P < 0.001) compared to morning exercise, but this did not translate into consistent differences in overall daily mean glycaemic exposure, whether measured over the calendar day or over a window aligned with exercise onset. Evening exercise was linked to greater within-day glycaemic variability than morning exercise, with the clearest evidence coming from the circadian-aligned analysis (day x timing interaction, SD: P = 0.00939; CV: P = 0.00766). Appetite rose after exercise in both conditions, with no difference by time of day. Taken together, these results show that exercise timing does not change how much glucose exposure a healthy adult accumulates over a day, but it does change the shape of the glucose response around the exercise bout itself, a distinction only visible when glucose is examined at a finer temporal resolution than daily averages allow.
ER  -