Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study

Background: Acylcarnitine (AC) transport dysfunction into the mitochondrial matrix is one of the pathophysiological mechanisms of type 2 diabetes mellitus (DM). The effect of an aerobic exercise (AE) program on this condition in obese subjects without DM is unclear. Methods: A prospective, randomize...

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Autores principales: Rodríguez Gutiérrez, René, Lavalle González, Fernando Javier, Martínez Garza, Laura Elia, Landeros Olvera, Erick Alberto, López Alvarenga, Juan Carlos, Torres Sepúlveda, María del Rosario, González González, José Gerardo, Mancillas Adame, Leonardo Guadalupe, Salazar González, Bertha Cecilia, Villarreal Pérez, Jesús Zacarías
Formato: Artículo
Lenguaje:inglés
Publicado: 2012
Acceso en línea:http://eprints.uanl.mx/15026/1/625.pdf
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author Rodríguez Gutiérrez, René
Lavalle González, Fernando Javier
Martínez Garza, Laura Elia
Landeros Olvera, Erick Alberto
López Alvarenga, Juan Carlos
Torres Sepúlveda, María del Rosario
González González, José Gerardo
Mancillas Adame, Leonardo Guadalupe
Salazar González, Bertha Cecilia
Villarreal Pérez, Jesús Zacarías
author_facet Rodríguez Gutiérrez, René
Lavalle González, Fernando Javier
Martínez Garza, Laura Elia
Landeros Olvera, Erick Alberto
López Alvarenga, Juan Carlos
Torres Sepúlveda, María del Rosario
González González, José Gerardo
Mancillas Adame, Leonardo Guadalupe
Salazar González, Bertha Cecilia
Villarreal Pérez, Jesús Zacarías
author_sort Rodríguez Gutiérrez, René
collection Repositorio Institucional
description Background: Acylcarnitine (AC) transport dysfunction into the mitochondrial matrix is one of the pathophysiological mechanisms of type 2 diabetes mellitus (DM). The effect of an aerobic exercise (AE) program on this condition in obese subjects without DM is unclear. Methods: A prospective, randomized, longitudinal, interventional study in a University Research Center involved a 10-week AE program in 32 women without DM and a body mass index (BMI) greater than 27 kg/m2 . (Cases n = 17; Controls n = 15). The primary objective was to evaluate the influence of a controlled AE program on beta-oxidation according to modifications in short, medium, and long-chain ACs. Secondary objectives were to define the behavior of amino acids, and the correlation between these modifications with metabolic and anthropometric markers. Results: The proportion of dropouts was 17% and 6% in controls and cases, respectively. In cases there was a significant reduction in total carnitine (30.40 [95% CI 28.2 to 35.6]) vs. (29.4 [CI 95% 25.1 to 31.7]) p = 0.0008 and longchain AC C14 (0.06 [95% CI 0.05 to 0.08]) vs. (0.05 [95% CI 0.05 to 0.09]) p = 0.005 and in C18 (0.31 [95% CI 0.27 to 0.45]) vs. (0.28 [95% CI 0.22 to 0.32]) p = 0.03. Free fatty acid levels remained without change during the study in both groups. Conclusion: In conclusion, a controlled 10-week AE program improved beta-oxidation by reducing long-chain ACs. This finding highlights the importance that AE might have in avoiding or reverting lipotoxicity, and in consequence, improving insulin sensitivity and pancreatic beta cell functional reserve.
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spelling eprints-150262025-07-23T15:53:40Z http://eprints.uanl.mx/15026/ Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study Rodríguez Gutiérrez, René Lavalle González, Fernando Javier Martínez Garza, Laura Elia Landeros Olvera, Erick Alberto López Alvarenga, Juan Carlos Torres Sepúlveda, María del Rosario González González, José Gerardo Mancillas Adame, Leonardo Guadalupe Salazar González, Bertha Cecilia Villarreal Pérez, Jesús Zacarías Background: Acylcarnitine (AC) transport dysfunction into the mitochondrial matrix is one of the pathophysiological mechanisms of type 2 diabetes mellitus (DM). The effect of an aerobic exercise (AE) program on this condition in obese subjects without DM is unclear. Methods: A prospective, randomized, longitudinal, interventional study in a University Research Center involved a 10-week AE program in 32 women without DM and a body mass index (BMI) greater than 27 kg/m2 . (Cases n = 17; Controls n = 15). The primary objective was to evaluate the influence of a controlled AE program on beta-oxidation according to modifications in short, medium, and long-chain ACs. Secondary objectives were to define the behavior of amino acids, and the correlation between these modifications with metabolic and anthropometric markers. Results: The proportion of dropouts was 17% and 6% in controls and cases, respectively. In cases there was a significant reduction in total carnitine (30.40 [95% CI 28.2 to 35.6]) vs. (29.4 [CI 95% 25.1 to 31.7]) p = 0.0008 and longchain AC C14 (0.06 [95% CI 0.05 to 0.08]) vs. (0.05 [95% CI 0.05 to 0.09]) p = 0.005 and in C18 (0.31 [95% CI 0.27 to 0.45]) vs. (0.28 [95% CI 0.22 to 0.32]) p = 0.03. Free fatty acid levels remained without change during the study in both groups. Conclusion: In conclusion, a controlled 10-week AE program improved beta-oxidation by reducing long-chain ACs. This finding highlights the importance that AE might have in avoiding or reverting lipotoxicity, and in consequence, improving insulin sensitivity and pancreatic beta cell functional reserve. 2012 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/15026/1/625.pdf http://eprints.uanl.mx/15026/1.haspreviewThumbnailVersion/625.pdf Rodríguez Gutiérrez, René y Lavalle González, Fernando Javier y Martínez Garza, Laura Elia y Landeros Olvera, Erick Alberto y López Alvarenga, Juan Carlos y Torres Sepúlveda, María del Rosario y González González, José Gerardo y Mancillas Adame, Leonardo Guadalupe y Salazar González, Bertha Cecilia y Villarreal Pérez, Jesús Zacarías (2012) Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study. Journal of the International Society of Sports Nutrition, 9 (1). p. 22. ISSN 1550-2783 http://doi.org/10.1186/1550-2783-9-22 doi:10.1186/1550-2783-9-22
spellingShingle Rodríguez Gutiérrez, René
Lavalle González, Fernando Javier
Martínez Garza, Laura Elia
Landeros Olvera, Erick Alberto
López Alvarenga, Juan Carlos
Torres Sepúlveda, María del Rosario
González González, José Gerardo
Mancillas Adame, Leonardo Guadalupe
Salazar González, Bertha Cecilia
Villarreal Pérez, Jesús Zacarías
Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study
title_full Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study
title_fullStr Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study
title_full_unstemmed Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study
title_short Impact of an exercise program on acylcarnitines in obesity: a prospective controlled study
title_sort impact of an exercise program on acylcarnitines in obesity a prospective controlled study
url http://eprints.uanl.mx/15026/1/625.pdf
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