Training-induced improvement in lipid oxidation in type 2 diabetes mellitus is related to alterations in muscle mitochondrial activity. Effect of endurance training in type 2 diabetes.. Diabetes and Metabolism, Elsevier Masson, 2008, 34 (2)
AbstractAim: We investigated in type 2 diabetic patients (T2D) if an individualized training effect on whole body lipid oxidation is associated with changes in muscle oxidative capacities.Methods: Eleven T2D participated in this study. Whole body lipid oxidation during exercise was assessed by graded exercise indirect calorimetry. Blood samples for measuring blood glucose and free fatty acids during exercise and muscle oxidative capacities measured from a skeletal muscle biopsy (i.e., mitochondrial respiration and citrate synthase activity) were investigated in T2D before and after a 10-week individualized training targeted at LIPOXmax, which corresponds to the power at which the highest rate of lipids is oxidized (lipid oxidation at LIPOXmax).Results: Training induced both a shift to a higher power intensity of LIPOXmax (+9.1 ± 4.2 Watts, P<0.05) and an improvement of lipid oxidation at LIPOXmax (+51.27 ± 17.93 mg.min -1 , P<0.05). The improvement in lipid oxidation was correlated with training-induced improvement of mitochondrial respiration (r=0.78, P<0.01) and citrate synthase activity (r=0.63, P<0.05).Conclusion: This study shows that a quite moderate training protocol targeted at the LIPOXmax in T2D mellitus improves the ability to oxidize lipids during exercise, and that this improvement is associated with an enhancement of muscle oxidative capacities.