Impact of Aerobic Exercise Training on Age-Related Changes in Insulin Sensitivity and Muscle Oxidative Capacity

  • Kevin R. Short
    Department of Internal Medicine, Division of Endocrinology, Mayo Clinic, Rochester, Minnesota
  • Janet L. Vittone
    Department of General Internal Medicine, Mayo Clinic, Rochester, Minnesota
  • Maureen L. Bigelow
    Department of Internal Medicine, Division of Endocrinology, Mayo Clinic, Rochester, Minnesota
  • David N. Proctor
    Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota
  • Robert A. Rizza
    Department of Internal Medicine, Division of Endocrinology, Mayo Clinic, Rochester, Minnesota
  • Jill M. Coenen-Schimke
    Department of Internal Medicine, Division of Endocrinology, Mayo Clinic, Rochester, Minnesota
  • K. Sreekumaran Nair
    Department of Internal Medicine, Division of Endocrinology, Mayo Clinic, Rochester, Minnesota

抄録

<jats:p>Insulin resistance increases and muscle oxidative capacity decreases during aging, but lifestyle changes—especially physical activity—may reverse these trends. Here we report the effect of a 16-week aerobic exercise program (n = 65) or control activity (n = 37) performed by men and women aged 21–87 years on insulin sensitivity and muscle mitochondria. Insulin sensitivity, measured by intravenous glucose tolerance test, decreased with age (r = −0.32) and was related to abdominal fat content (r = −0.65). Exercise increased peak oxygen uptake (Vo2peak; 10%), activity of muscle mitochondrial enzymes (citrate synthase and cytochrome c oxidase, 45–76%) and mRNA levels of mitochondrial genes (COX4, ND4, both 66%) and genes involved in mitochondrial biogenesis (PGC-1α, 55%; NRF-1, 15%; TFAM, 85%). Exercise also increased muscle GLUT4 mRNA and protein (30–52%) and reduced abdominal fat (5%) and plasma triglycerides (25%). None of these changes were affected by age. In contrast, insulin sensitivity improved in younger people but not in middle-aged or older groups. Thus, the muscle mitochondrial response to 4 months of aerobic exercise training was similar in all age-groups, although the older people did not have an improvement in insulin sensitivity.</jats:p>

収録刊行物

  • Diabetes

    Diabetes 52 (8), 1888-1896, 2003-08-01

    American Diabetes Association

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