Wouter Franssen (@FranssenWouter_) profile picture

Postdoctoral Research Fellow interested in sedentary behaviour, physical activity and cardiometabolic health

Joined March 2019
Photo by Wouter Franssen (@FranssenWouter_)Photo by Wouter Franssen (@FranssenWouter_)Photo by Wouter Franssen (@FranssenWouter_)
Most people assume that bringing down blood sugar after a meal takes a real workout, something like a brisk half hour or a trip to the gym. The research says the amount of movement needed is far smaller than that, and when you move matters even more than how long. The reason sits in your muscles. When a muscle contracts, it pulls sugar out of the blood without needing insulin to open the door. The protein that carries the sugar in, called GLUT4, rises to the surface of the muscle cell in response to two separate signals, and muscle contraction is one of them. That is why movement lowers blood sugar even in people whose insulin works poorly, and why the effect shows up within minutes instead of after weeks of training. A 2026 trial tested how little movement it takes. Thirty adults came in on two evenings and drank a standard sugar drink with 75 grams of glucose. On one evening they stayed seated, and on the other they stepped up and down stairs for a single minute at whatever pace felt comfortable. They rated the effort 1.9 out of 10, barely more than sitting. In the hour after the drink, their blood sugar rose about 42 percent less after the minute of stairs than after sitting, and their total sugar exposure across the session was lower too. The researchers chose the evening on purpose, because the same amount of sugar pushes blood sugar higher at night than it does in the morning. One minute is right at the edge of what works, and it does not work in every situation. The same research group ran the comparison in the morning with bouts of 1, 3 and 10 minutes after the sugar drink. Three and ten minutes lowered blood sugar, while one minute did not come close to making a difference. When they repeated it after a real mixed meal of 650 calories, one minute did help, trimming the blood sugar rise by about 14 points on a standard glucose meter. So a single minute seems to be enough after a normal meal and in the evening, but not reliably after a morning sugar drink. Three minutes worked in every version they tested, which makes three the safer number to aim for. Timing turned out to matter more than length. A 2023 analysis pooled eight trials with 116 people, about 4 in 10 of whom had type 2 diabetes, and compared exercising before a meal, after a meal, and not at all. Moving after the meal beat moving before it and beat doing nothing. Moving before the meal worked no better than sitting still. The analysis also found that the shorter the gap between finishing the meal and starting to move, the bigger the benefit, so a short walk taken right away does more than a longer one taken an hour later. The useful change is in the ten minutes after you finish eating. Sitting down is what most of us do by default, and for blood sugar it is one of the weakest choices available. Climb the stairs if you have them or take a walk if you do not, and keep in mind that starting sooner matters more than going longer. References Morales et al., Experimental Physiology, 2026 Moore et al., Journal of Exercise Science and Fitness, 2024 Kressler et al., Nutrition, Metabolism and Cardiovascular Diseases, 2022 Engeroff et al., Sports Medicine, 2023
26
204
15
946
39,054
Wouter Franssen retweeted
Study finds physical activity was linked to less buildup of harmful tau proteins and nearly half the cognitive and functional decline, even in people already showing early signs of the disease. The strongest benefits appeared at 5,000 to 7,500 daily steps ow.ly/l0Tf50ZZC48
1
8
1
35
2,636
Wouter Franssen retweeted
Exercise as anticancer medicine? Evidence, mechanisms and implementation in oncology cancertreatmentreviews.com/a…
2
48
155
4,888
Wouter Franssen retweeted
In 100% agreement Exercise should be a prescribed New @JACCJournals @ACCinTouch scientific statement jacc.org/doi/10.1016/j.jacc.…
50
447
40
1,539
111,072
Wouter Franssen retweeted
Exercise as Medicine: The Potential of Exerkines as Therapeutics annualreviews.org/content/jo…
40
2
107
3,145
Wouter Franssen retweeted
After about 25 minutes of sitting, the muscles in your thighs are almost completely quiet. A new study in npj Exercise Medicine and Health tracked this in real life, and it may help explain why long sitting is so hard on metabolic health. Prolonged sitting raises the risk of diabetes, heart disease, and some cancers. Most studies measure how long people sit, usually with accelerometers. That tells you nothing about what the muscles are doing. Not all sitting is the same, and muscle activity may be the missing piece. Researchers from Australia, Finland, and the UK used shorts with electrodes woven into the fabric. This is electromyography, or EMG, which detects the electrical signals muscles produce when they switch on. They tracked 84 adults across three cohorts, including people with type 2 diabetes, during 7,684 sitting bouts in normal daily life. Why muscle activity matters: muscles are a major site where your body clears sugar from the blood. When they contract, they pull in glucose with less need for insulin. When they go quiet for long stretches, that disposal system idles. What they found: • Muscle activity drops fast. Detectable activity fell to about 10% at 9 minutes, 5% at 12 minutes, and 1% at roughly 26 minutes into a sitting bout. The decline follows a power-law curve, steep early and then flattening out near zero. • Long sitters were quieter overall. People who usually sat for 25 minutes or more at a time had about 6.5 minutes of muscle activity per hour of sitting. People who sat in shorter bouts had about 10.4 minutes. • What you did before sitting mattered. Sitting bouts that followed longer (over 10 minutes) or more intense activity had more muscle activity. Bouts that followed only standing had the least. • Breaking up sitting added up. More frequent and more intense interruptions meant about 5 extra minutes of muscle activity per hour of sitting. The practical takeaway is that the first 10 to 25 minutes of a sitting bout is when your muscles switch off. Interrupting sitting before that window closes, and doing it with more than just standing, keeps them engaged. There are limits. This was observational, so it shows how muscle activity behaves, not that boosting it directly improves blood sugar or disease outcomes. The sample was also small, and very long sitting bouts were rare, so estimates there are noisier. But it shifts the question. Instead of asking how many hours you sit, it may be more useful to ask how long your muscles stay silent. That is a more specific target for the metabolic damage sitting seems to cause. For longevity, the implications are practical but untested, since the study didn't test any intervention. Skeletal muscle is the largest site of glucose disposal, and it is also a tissue that declines with age. Hours of silent muscle each day may add up to a chronic reduction in glucose clearance and in the signals that keep muscle healthy. If so, a short walk, a set of squats, or a few calf raises every 20 minutes may matter more than one hard workout followed by eight hours in a chair. That second point is my inference, not something the study tested. It also means exercise and sitting are not the same variable. You can train regularly and still spend most of your day with idle muscles. Daily habits in your 30s, 40s, and 50s shape insulin sensitivity and muscle quality in your 70s and 80s.
9
73
6
219
9,648
Wouter Franssen retweeted
A well-known brain-healthy diet may help ward off cognitive decline and dementia by protecting arteries, a new study suggests ow.ly/4Mfo50ZRRI4
1
4
2
26
3,557
Acute metabolic and molecular responses to sprint interval versus moderate-intensity continuous exercise in healthy young men buff.ly/B30zoCS
1
14
62
2,880
Wouter Franssen retweeted
Good summary statement and evidence review of optimal diet and nutrition @JACCJournals jacc.org/doi/epdf/10.1016/j.…
11
96
5
346
43,945
Wouter Franssen retweeted
Exercise represents not merely energy expenditure, but a systemic “signal intervention.”
4
45
2
242
6,244
Wouter Franssen retweeted
Lp(a) carries biologically active oxidized phospholipids (OxPL). New research links its OxPL cargo to platelet hyperactivation through CD36, connecting Lp(a) biology to thrombosis and highlighting the importance of what the particle carries. Lp(a) may be more involved in platelet function that previously appreciated, see our review on this also. ncbi.nlm.nih.gov/pubmed/3793… doi.org/10.1161/CIRCRESAHA.1…
11
21
2
115
10,007
Meal timing and eating window with all-cause and cardiovascular mortality and life expectancy: population-based cohort study nature.com/articles/s41430-0…
16
49
3
195
120,219
Wouter Franssen retweeted
A high-intensity interval training program was shown to decrease plaque volume in the arteries They did this workout twice a week: - 10 min warmup on the treadmill (60-70% of max HR) - 4 min of running at 85-95% of max HR - 3 min of running at 60-70% - repeated for 4 rounds - ended with a 5 min cooldown After 6 months, they saw a decrease in percent atheroma volume from 49.5% to 48.3%, whereas it increased by 0.3% in the control group in patients. Study: PMID: 36562212
21
72
7
455
29,818
Caloric restriction improves glycemic control via the adiponectin-ceramide axis in non-obese men and women: the CALERIE™ 2 randomized controlled trial pmc.ncbi.nlm.nih.gov/article…
14
37
1,937
Wouter Franssen retweeted
Your muscles don't exercise in isolation. A new study reveals that sprint-interval exercise triggers coordinated signaling between muscle, fat tissue, liver, brain, pancreas, and immune cells through hundreds of proteins that reshape metabolism across your entire body. Researchers tracked nearly 3,000 proteins in blood before, immediately after, and 3 hours following two types of exercise in young, healthy males. Sprint-interval exercise consisted of six 30-second all-out cycling bursts with 4-minute rests between sets. Moderate-intensity exercise was 90 minutes of continuous cycling. The difference was striking. Sprint intervals altered 714 proteins immediately after exercise, more than 98% of which increased. Moderate-intensity exercise changed only 7 proteins at the same timepoint. The number increased to 19 after 3 hours, but remained dramatically lower than the sprint response. Think of your bloodstream as a communication highway. After intense exercise, it floods with signals that travel to different organs. The study identified proteins originating from muscle, fat tissue, liver, brain, immune cells, pancreas, and other organs. Skeletal muscle proved particularly sensitive to intensity. The researchers isolated human muscle cells and electrically stimulated them to mimic different exercise types. Simulated sprint exercise released 212 proteins into surrounding fluid. Simulated moderate exercise released only 9. But muscle wasn't working alone. Sprint exercise increased proteins from the pituitary gland that regulate stress responses, factors from the brain involved in blood vessel relaxation, and immune proteins that modulate inflammation. The pattern suggested coordinated signaling across multiple organ systems. The study also examined exercise metabolites, small molecules involved in energy production and cellular signaling. Sprint exercise immediately increased lactate, pyruvate, malate, and the obesity-suppressing compound N-lactoyl-phenylalanine (Lac-Phe). Moderate exercise showed a delayed response, with fatty acids rising primarily at the 3-hour mark. To understand where these signals end up, researchers exposed human fat cells to blood plasma collected after each exercise type. Plasma from sprint exercise triggered extensive changes to fat cell gene activity, affecting 1,128 genes. Plasma from moderate exercise changed only 25 genes. The remodeled fat cells showed activation of pathways controlling hormone responses, nutrient sensing, and fat breakdown. Several immune signaling receptors increased, suggesting exercise plasma primes fat tissue to respond to inflammatory signals differently. The findings held up in real tissue. When researchers biopsied abdominal fat before and 3 hours after a maximal treadmill test, 418 genes overlapped with those changed by sprint plasma in isolated cells. This confirms circulating factors from intense exercise genuinely alter fat tissue biology. Not all changes disappeared with training. After 8 weeks of regular exercise, the same intensity-dependent patterns persisted when participants repeated the acute tests. Growth hormone, von Willebrand factor, and POMC still increased more after sprints than moderate sessions. The clinical relevance became clear when researchers cross-referenced exercise-responsive proteins with a database tracking 53,026 people for disease outcomes. They identified 143 proteins increased by exercise that associated with lower disease risk. Of the 33 proteins specifically protective against type 2 diabetes, metabolic disorders, and obesity, 32 were elevated by sprint-interval exercise. Only 3 were elevated by moderate-intensity exercise. Proteins like ADGRG2, FGFBP1, and MXRA8 consistently showed strong protection across multiple metabolic conditions. This isn't an argument against moderate exercise. The sustained energy demands of longer duration activity clearly stimulate different adaptive pathways, particularly in the liver. Proteins like IGFBP1 and follistatin increased exclusively after moderate exercise, likely reflecting sustained shifts in insulin and glucagon signaling. The study reveals exercise intensity as a distinct variable that determines which protective signals reach your tissues, which organs respond, and potentially which disease risks decrease. The time-efficient nature of high-intensity exercise appears to work through fundamentally different signaling mechanisms than longer moderate sessions. Key findings: • Sprint-interval exercise altered 714 blood proteins immediately post-exercise vs. 7 for moderate-intensity exercise • 25% of all detectable proteins changed after sprint exercise, with >98% increasing rather than decreasing • Muscle cells released 212 proteins after simulated sprint exercise vs. 9 after simulated moderate exercise • Sprint exercise plasma changed 1,128 genes in human fat cells vs. 25 genes for moderate exercise plasma • Of 33 proteins protective against diabetes and obesity, 32 increased after sprint exercise vs. 3 after moderate exercise • Intensity-dependent responses persisted after 8 weeks of training, suggesting they reflect relative intensity rather than training status • Exercise metabolites showed distinct temporal patterns: lactate and Lac-Phe peaked immediately after sprints, while fatty acids increased later • Moderate exercise uniquely increased liver-derived proteins (IGFBP1, follistatin) at the 3-hour timepoint The mechanistic picture is incomplete. The study couldn't definitively prove which organs secrete which proteins, relying instead on tissue-specific gene expression databases and cell culture models. Blood volume shifts during exercise also complicate interpretation, though the findings held after correcting for plasma concentration changes. The research focused on young, healthy, predominantly male participants. Whether the same intensity-dependent patterns occur in women, older adults, or people with existing metabolic disease remains unknown. The protective associations came from observational data that can't prove causation. Still, the study offers a framework for understanding why brief, intense exercise produces adaptations comparable to or exceeding longer moderate sessions. The answer appears to lie in differential organ crosstalk triggered by metabolic stress signals that moderate exercise simply doesn't generate.
12
85
4
452
16,040
Wouter Franssen retweeted
The Health Benefits of Exercise: Molecular and Cellular Mechanisms onlinelibrary.wiley.com/doi/…
5
200
7
617
35,178
Wouter Franssen retweeted
New research reveals that not all weight loss is created equal. Randomized controlled trial found that while 10% weight loss whether achieved through a very-low-carb ketogenic, Mediterranean, or plant-forward diet, improved muscle #insulin sensitivity by about 50% across the board, the ketogenic #diet delivered uniquely powerful benefits for liver health. Participants on the low-carb diet saw a two-to-three-fold greater improvement in hepatic insulin #sensitivity, a 67% drop in liver fat, and greater reductions in glycated hemoglobin and 24-hour blood glucose and insulin levels. cell.com/cell-metabolism/ful…
1
32
2
83
4,870
Wouter Franssen retweeted
The local–systemic axis of the skeletal muscle secretome cell.com/trends/endocrinolog…
40
115
4,694
Wouter Franssen retweeted
News flash: The stairs in your own home might be the most honest health test you’ll ever take. 🏠 Forget fancy labs or VO₂ max machines. Your ability to climb multiple flights without stopping reveals everything about your heart, lungs, legs, balance, and real-world fitness. A major study in Atherosclerosis found that climbing more than 5 flights (~50 steps) daily was linked to significantly lower risk of atherosclerotic cardiovascular disease, independent of other risk factors. That’s powerful. Quick fitness ranking (steady pace, no railing death grip): 1-2 flights: Below average — time to build your base 3-4: Average 5-7: Good 8-10: Excellent 10+: Peak conditioning — functionally elite Stair climbing isn’t just cardio. It’s a full-body gravity battle that exposes weaknesses fast. Ready to level up? Train stairs 2x/week (start at 5-7 flights, cut rest times). Add lunges, step-ups, hip thrusts, and incline intervals. Prioritize posterior chain strength and mobility. Your heart and legs will thank you. How many flights can YOU climb without stopping right now? Drop your number below 👇 and tag a friend who needs this challenge. Start today — your future self (and arteries) will notice. #HeartHealth #Longevity #FitnessTest
18
40
3
167
6,912