title: Normal physical activity obliterates the deleterious effects of a high-caloric intake.
abstract: A high-caloric intake combined with a sedentary lifestyle is an important player in the development of type 2 diabetes mellitus (T2DM). The present study was undertaken to examine if the level of physical activity has impact on the metabolic effects of a high-caloric (+2,000 kcal/day) intake. Therefore, healthy individuals on a high-caloric intake were randomized to either 10,000 or 1,500 steps/day for 14 days. Step number, total energy expenditure, dietary records, neuropsychological tests, maximal oxygen uptake (Vo2max), whole body dual-energy X-ray absorptiometry (DXA) and abdominal magnetic resonance imaging (MRI) scans, continuous glucose monitoring (CGM), and oral glucose tolerance tests (OGTT) with stable isotopes were performed before and after the intervention. Both study groups gained the same amount of body weight. However, the inactive group accumulated significantly more visceral fat compared with the active group. Following the 2-wk period, the inactive group also experienced a poorer glycemic control, increased endogenous glucose production, decreased hepatic insulin extraction, increased baseline plasma levels of total cholesterol and LDL, and a decreased cognitive function with regard to capacity of attention. In conclusion, we find evidence to support that habitual physical activity may prevent pathophysiological symptoms associated with diet-induced obesity.
authors.affiliation: Centre of Inflammation and Metabolism at Department of Infectious Diseases and Copenhagen Muscle Research Centre, Rigshospitalet, Faculty of Health Sciences, University of Copenhagen, Denmark;
authors.forename: Rikke
authors.initials: R
authors.lastname: Krogh-Madsen
authors.forename: Maria
authors.initials: M
authors.lastname: Pedersen
authors.forename: Thomas P J
authors.initials: TP
authors.lastname: Solomon
authors.forename: Sine Haugaard
authors.initials: SH
authors.lastname: Knudsen
authors.forename: Louise Seier
authors.initials: LS
authors.lastname: Hansen
authors.forename: Kristian
authors.initials: K
authors.lastname: Karstoft
authors.forename: Louise
authors.initials: L
authors.lastname: Lehrskov-Schmidt
authors.forename: Karin Kaereby
authors.initials: KK
authors.lastname: Pedersen
authors.forename: Carsten
authors.initials: C
authors.lastname: Thomsen
authors.forename: Jens Juul
authors.initials: JJ
authors.lastname: Holst
authors.forename: Bente K
authors.initials: BK
authors.lastname: Pedersen
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism*; D001823:Body Composition / Q000502:physiology*; D002149:Energy Intake / Q000502:physiology*; D005080:Exercise Test / Q000379:methods; D006801:Humans; D050152:Intra-Abdominal Fat / Q000378:metabolism; D050356:Lipid Metabolism / Q000502:physiology; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D040242:Risk Reduction Behavior; D057185:Sedentary Behavior; D055815:Young Adult
chemical_list: D001786:Blood Glucose
keywords: cognitive function; glucose metabolism; high-caloric diet; physical inactivity; visceral obesity