Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease

Purpose: This study examined the feasibility of sprint interval exercise training (SIT) for men with non-alcoholic fatty liver disease (NAFLD) and its effects on intrahepatic triglyceride (IHTG), insulin sensitivity (hepatic and peripheral), visceral (VAT) and subcutaneous adipose tissue (ScAT). Me...

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Main Authors: Sargeant, Jack A., Bawden, Stephen, Aithal, Guruprasad P., Simpson, Elizabeth J., Macdonald, Ian A., Turner, Mark C., Cegielski, Jessica, Smith, Kenneth, Dorling, James L., Gowland, Penny A., Nimmo, Myra A., King, James A.
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Published: Springer 2018
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Online Access:https://eprints.nottingham.ac.uk/50446/
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author Sargeant, Jack A.
Bawden, Stephen
Aithal, Guruprasad P.
Simpson, Elizabeth J.
Macdonald, Ian A.
Turner, Mark C.
Cegielski, Jessica
Smith, Kenneth
Dorling, James L.
Gowland, Penny A.
Nimmo, Myra A.
King, James A.
author_facet Sargeant, Jack A.
Bawden, Stephen
Aithal, Guruprasad P.
Simpson, Elizabeth J.
Macdonald, Ian A.
Turner, Mark C.
Cegielski, Jessica
Smith, Kenneth
Dorling, James L.
Gowland, Penny A.
Nimmo, Myra A.
King, James A.
author_sort Sargeant, Jack A.
building Nottingham Research Data Repository
collection Online Access
description Purpose: This study examined the feasibility of sprint interval exercise training (SIT) for men with non-alcoholic fatty liver disease (NAFLD) and its effects on intrahepatic triglyceride (IHTG), insulin sensitivity (hepatic and peripheral), visceral (VAT) and subcutaneous adipose tissue (ScAT). Methods: Nine men with NAFLD (age 41 ± 8 years; BMI 31.7 ± 3.1 kg m−2; IHTG 15.6 ± 8.3%) were assessed at: (1) baseline (2) after a control phase of no intervention (pre-training) and (3) after 6 weeks of SIT (4–6 maximal 30 s cycling intervals, three times per week). IHTG, VAT and ScAT were measured using magnetic resonance spectroscopy or imaging and insulin sensitivity was assessed via dual-step hyperinsulinaemic-euglycaemic clamp with [6,6-D2] glucose tracer. Results: Participants adhered to SIT, completing ≥ 96.7% of prescribed intervals. SIT increased peak oxygen uptake [ V O2peak: + 13.6% (95% CI 8.8–18.2%)] and elicited a relative reduction in IHTG [− 12.4% (− 31.6 to 6.7%)] and VAT [− 16.9% (− 24.4 to − 9.4%); n = 8], with no change in body weight or ScAT. Peripheral insulin sensitivity increased throughout the study (n = 8; significant main effect of phase) but changes from pre- to post-training were highly variable (range − 18.5 to + 58.7%) and not significant (P = 0.09), despite a moderate effect size (g* = 0.63). Hepatic insulin sensitivity was not influenced by SIT. Conclusions: SIT is feasible for men with NAFLD in a controlled laboratory setting and is able to reduce IHTG and VAT in the absence of weight loss.
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spelling nottingham-504462020-05-04T19:34:48Z https://eprints.nottingham.ac.uk/50446/ Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease Sargeant, Jack A. Bawden, Stephen Aithal, Guruprasad P. Simpson, Elizabeth J. Macdonald, Ian A. Turner, Mark C. Cegielski, Jessica Smith, Kenneth Dorling, James L. Gowland, Penny A. Nimmo, Myra A. King, James A. Purpose: This study examined the feasibility of sprint interval exercise training (SIT) for men with non-alcoholic fatty liver disease (NAFLD) and its effects on intrahepatic triglyceride (IHTG), insulin sensitivity (hepatic and peripheral), visceral (VAT) and subcutaneous adipose tissue (ScAT). Methods: Nine men with NAFLD (age 41 ± 8 years; BMI 31.7 ± 3.1 kg m−2; IHTG 15.6 ± 8.3%) were assessed at: (1) baseline (2) after a control phase of no intervention (pre-training) and (3) after 6 weeks of SIT (4–6 maximal 30 s cycling intervals, three times per week). IHTG, VAT and ScAT were measured using magnetic resonance spectroscopy or imaging and insulin sensitivity was assessed via dual-step hyperinsulinaemic-euglycaemic clamp with [6,6-D2] glucose tracer. Results: Participants adhered to SIT, completing ≥ 96.7% of prescribed intervals. SIT increased peak oxygen uptake [ V O2peak: + 13.6% (95% CI 8.8–18.2%)] and elicited a relative reduction in IHTG [− 12.4% (− 31.6 to 6.7%)] and VAT [− 16.9% (− 24.4 to − 9.4%); n = 8], with no change in body weight or ScAT. Peripheral insulin sensitivity increased throughout the study (n = 8; significant main effect of phase) but changes from pre- to post-training were highly variable (range − 18.5 to + 58.7%) and not significant (P = 0.09), despite a moderate effect size (g* = 0.63). Hepatic insulin sensitivity was not influenced by SIT. Conclusions: SIT is feasible for men with NAFLD in a controlled laboratory setting and is able to reduce IHTG and VAT in the absence of weight loss. Springer 2018-04-30 Article PeerReviewed Sargeant, Jack A., Bawden, Stephen, Aithal, Guruprasad P., Simpson, Elizabeth J., Macdonald, Ian A., Turner, Mark C., Cegielski, Jessica, Smith, Kenneth, Dorling, James L., Gowland, Penny A., Nimmo, Myra A. and King, James A. (2018) Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease. European Journal of Applied Physiology, 118 (4). pp. 817-828. ISSN 1439-6319 Exercise ; NAFLD ; Hepatic steatosis ; Insulin sensitivity https://doi.org/10.1007/s00421-018-3818-y doi:10.1007/s00421-018-3818-y doi:10.1007/s00421-018-3818-y
spellingShingle Exercise ; NAFLD ; Hepatic steatosis ; Insulin sensitivity
Sargeant, Jack A.
Bawden, Stephen
Aithal, Guruprasad P.
Simpson, Elizabeth J.
Macdonald, Ian A.
Turner, Mark C.
Cegielski, Jessica
Smith, Kenneth
Dorling, James L.
Gowland, Penny A.
Nimmo, Myra A.
King, James A.
Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease
title Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease
title_full Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease
title_fullStr Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease
title_full_unstemmed Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease
title_short Effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease
title_sort effects of sprint interval training on ectopic lipids and tissue-specific insulin sensitivity in men with non-alcoholic fatty liver disease
topic Exercise ; NAFLD ; Hepatic steatosis ; Insulin sensitivity
url https://eprints.nottingham.ac.uk/50446/
https://eprints.nottingham.ac.uk/50446/
https://eprints.nottingham.ac.uk/50446/