Adiposity, type 2 diabetes and atherosclerotic cardiovascular disease risk: Use and abuse of the body mass index

Arsenault, Benoit J.; Carpentier, André C.; Poirier, Paul; Després, Jean-Pierre

doi:10.1016/j.atherosclerosis.2024.117546

Atherosclerosis

2024

DOI: 10.1016/j.atherosclerosis.2024.117546

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Adiposity, type 2 diabetes and atherosclerotic cardiovascular disease risk: Use and abuse of the body mass index

Benoit J. Arsenault,

André C. Carpentier,

Paul Poirier

et al.

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Cited by 4 publications

References 113 publications

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The link between diabetes and cardiovascular disease

Borén,

Öörni,

Catapano

2024

Atherosclerosis

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The link between diabetes and cardiovascular disease

Borén,

Öörni,

Catapano

2024

Atherosclerosis

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Apolipoprotein B-containing lipoproteins in atherogenesis

Borén,

Packard,

Binder

2025

Nat Rev Cardiol

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Effects of 1,144 km of road cycling performed in 7 days: a cardiometabolic imaging study

Chartrand,

Murphy-Després,

Lemieux

et al. 2024

American Journal of Physiology-Endocrinology and Metabolism

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This cardiometabolic imaging study was designed to document the adaptation of middle-aged recreational cyclists to a large exercise prescription not aiming at weight loss. Eleven middle-aged recreational male cyclists traveled 1,144 km over seven consecutive days. A comprehensive cardiometabolic profile including visceral and ectopic adiposity assessed by magnetic resonance imaging was obtained at baseline and following the exercise week. Cardiorespiratory fitness (CRF) was measured using maximal cardiopulmonary exercise testing. During the week, heart rate was monitored to calculate individual energy expenditure. Baseline characteristics of cyclists were compared to 86 healthy males with the same age range. Cyclists presented higher baseline CRF (+9.2 mL/kg/min, p<0.0001) and lower subcutaneous (−56.2 mL, p<0.05) and liver fat (−3.3%, p<0.05) compared to the reference group. Despite the large energy expenditure during the cycling week, the increase in energy intake limited decreases in body weight (−0.8±0.9 kg, p<0.05) and body mass index (−0.3±0.3 kg/m2, p<0.05). Loss of fat mass (−1.5±1.0 kg, p<0.001) and a trend toward an increased lean mass (+0.8±1.2 kg, p<0.07) were observed. Visceral adiposity (−14.1±14.2 mL, p<0.01) and waist circumference (−3.2±1.7 cm, p<0.0001) decreased while subcutaneous (−2.7±5.1 mL, NS), liver (−0.5±0.9%, NS) and cardiac fat (−0.3±2.3 mL, NS) remained unchanged. This cardiometabolic imaging study documents middle-aged recreational cyclists' subcutaneous and visceral adiposity as well as cardiac and liver fat responses to a large volume of endurance exercise despite an increase in energy intake aimed at limiting weight loss.

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Adiposity, type 2 diabetes and atherosclerotic cardiovascular disease risk: Use and abuse of the body mass index

Cited by 4 publications

References 113 publications

The link between diabetes and cardiovascular disease

The link between diabetes and cardiovascular disease

Apolipoprotein B-containing lipoproteins in atherogenesis

Effects of 1,144 km of road cycling performed in 7 days: a cardiometabolic imaging study

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