Effect of weight loss on muscle lipid content in morbidly obese subjects

Autor: Charles J. Tanner, Joseph A. Houmard, Robert E. Gray, Walter J. Pories, Kenneth G. MacDonald
Rok vydání: 2003
Předmět:
Zdroj: American Journal of Physiology-Endocrinology and Metabolism. 284:E726-E732
ISSN: 1522-1555
0193-1849
DOI: 10.1152/ajpendo.00371.2002
Popis: The purpose of this study was to test the hypothesis that weight loss results in a reduction in intramuscular lipid (IMCL) content that is concomitant with enhanced insulin action. Muscle biopsies were obtained from morbidly obese individuals [body mass index (BMI) 52.2 ± 2.5 kg/m2; n= 6] before and after gastric bypass surgery, an intervention that improves insulin action. With intervention, there was a 47% reduction ( P < 0.01) in BMI and a 93% decrease in homeostasis model assessment, or HOMA (7.0 ± 1.9 vs. 0.5 ± 0.1). Histochemically determined IMCL content decreased ( P < 0.05) by ∼30%. In relation to fiber type, IMCL was significantly higher in type I vs. type II fibers. In both fiber types, there were reductions in IMCL and trends for muscle atrophy. Despite these two negating factors, the IMCL-to-fiber area ratio still decreased by ∼44% with weight loss. In conclusion, despite differing initial levels and possible atrophy, weight loss appears to decrease IMCL deposition to a similar relative extent in type I and II muscle fibers. This reduction in intramuscular triglyceride may contribute to enhanced insulin action seen with weight loss.
Databáze: OpenAIRE