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The journal of nutrition, health & aging

, Volume 18, Issue 6, pp 608–615 | Cite as

Exercise-induced lowering of chemerin is associated with reduced cardiometabolic risk and glucose-stimulated insulin secretion in older adults

  • S. K. Malin
  • S. D. Navaneethan
  • A. Mulya
  • H. Huang
  • John P. KirwanEmail author
Article

Abstract

Objective: To determine the effect of exercise on chemerin in relation to changes in fat loss, insulin action, and dyslipidemia in older adults. Participants: Thirty older (65.9±0.9yr) obese adults (BMI:34.5±0.7kg/m2). Setting: Single-center, Cleveland Clinic. Design: Prospective clinical trial. Intervention: Twelve-weeks of exercise training (60minutes/day, 5day/week at ∼85% HRmax). Subjects were instructed to maintain habitual nutrient intake. Measurements: Plasma chemerin was analyzed using an enzyme-linked immunosorbent assay. Peripheral and hepatic insulin sensitivity was assessed using a euglycemic-hyperinsulinic clamp with glucose kinetics. First-phase and total glucose-stimulated insulin secretion (GSIS) was calculated from an oral glucose tolerance test. Fasting blood lipids (cholesterol, triglycerides), total/visceral fat (dual-x-ray absorptiometry and computerized tomography) and cardiorespiratory fitness (treadmill test) were also tested pre and post intervention. Results: Exercise increased fitness and reduced total/visceral fat, blood lipids, and firstphase GSIS (P<0.05). Training also increased peripheral insulin sensitivity and lowered basal/insulin-related hepatic glucose production (P<0.01). The intervention reduced chemerin (87.1±6.0 vs. 78.1±5.8ng/ml; P=0.02), and the reduction correlated with decreased visceral fat (r=0.50, P=0.009), total body fat (r=0.42, P=0.02), cholesterol (r=0.38, P=0.04), triglycerides (r=0.36, P=0.05), and first-phase and total GSIS (r=0.39, P=0.03 and r=0.43, P=0.02, respectively). Conclusions: Lower chemerin appears to be an important hormone involved in cardiometabolic risk and GSIS reduction following exercise in older adults.

Key words

Glucose tolerance insulin sensitivity obesity adipokine inflammation 

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Copyright information

© Serdi and Springer-Verlag France 2014

Authors and Affiliations

  • S. K. Malin
    • 1
    • 3
  • S. D. Navaneethan
    • 2
  • A. Mulya
    • 1
  • H. Huang
    • 1
  • John P. Kirwan
    • 1
    • 3
    • 4
    Email author
  1. 1.Department of PathobiologyLerner Research Institute, Cleveland ClinicClevelandUSA
  2. 2.Department of Nephrology and HypertensionGlickman Urological and Kidney Institute, Cleveland ClinicClevelandUSA
  3. 3.Department of Nutrition, School of MedicineCase Western Reserve UniversityClevelandUSA
  4. 4.Metabolic Translational Research CenterEndocrine and Metabolism Institute, Cleveland, ClinicClevelandUSA

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