The transition from young to adult age is associated with decreased insulin sensitivity. To investigate whether changes in skeletal muscle mitochondrial function could be involved in the development of insulin resistance, we measured the oxidative capacity and energetic efficiency of subsarcolemmal and intermyofibrillar mitochondria isolated from the skeletal muscle of 60-and 180-day-old rats. Mitochondrial efficiency was tested by measuring the degree of thermodynamic coupling and optimal thermodynamic efficiency, as well as mitochondrial proton leak, which was determined in both the absence (basal) and the presence (fatty acid induced) of palmitate. Serum glucose, insulin, and HOMA index were also measured. The results show that in adult rats, concomitant with increased HOMA index, skeletal muscle mitochondria display higher respiratory capacity and energy efficiency. In fact, thermodynamic coupling and optimal thermodynamic efficiency significantly increased and fatty acid-induced proton leak was significantly lower in the skeletal muscle mitochondria from adult than in younger rats. A deleterious consequence of increased mitochondrial efficiency would be a reduced utilization of energy substrates, especially fatty acids, leading to intracellular triglyceride accumulation and lipotoxicity, thus contributing to the onset of skeletal muscle insulin resistance. Diabetes 53: 2861-2866, 2004 I ncreasing age is associated with obesity and insulin resistance not only in humans but also in rodents (1-5). In fact, ad libitum-fed caged rats are a good animal model that simulates the situation (sedentary lifestyle and unrestricted diet) of people in the western world.It has been previously shown that age-induced insulin resistance in rats is already detectable at 4 months of age, concomitant to a rapid rise in fat mass, and does not further increase later in life (3). This early decrease in insulin sensitivity could in turn lead to the metabolic disturbance typical of old age.Our previous results also indicate that in the transition from postpubertal (60 days) to adult (180 days) age, rats display reduced sensitivity to the anorexic effect of leptin (6) and, at the cellular level, hepatic mitochondrial machinery shows some age-related biochemical impairment (7,8). From all the above findings, it can be deduced that adult rats can be considered a good experimental tool for studying the onset of the "aging" phenomenon.It has been postulated that defects in mitochondrial performance could contribute to the development of insulin resistance (9), and mitochondrial oxidative capacity has been considered a good predictor of insulin sensitivity (10). These suggestions are not surprising since control of mitochondrial respiration and oxidative phosphorylation is fundamental for the maintenance of cellular homeostasis. The above control is exerted at two levels, i.e., regulation of the rate of oxygen consumption and ATP production and regulation of oxidative phosphorylation efficiency (11). The main determinant of oxidative phosp...