title: Abdominal Adiposity, Not Cardiorespiratory Fitness, Mediates the Exercise-Induced Change in Insulin Sensitivity in Older Adults.
abstract: Abdominal obesity and low cardiorespiratory fitness (CRF) are associated with insulin resistance in older adults. Exercise is associated with improvement in insulin sensitivity. Whether this association is mediated by change in CRF and/or abdominal obesity is unclear. The current study is a secondary analysis of data from a randomized controlled trial in Kingston, Ontario. Sedentary older adults (60-80 years) (N = 80) who completed the exercise (N = 59) or control (N = 21) conditions for 6 months were included. CRF was measured using a treadmill test, adipose tissue (AT) by magnetic resonance imaging, and insulin sensitivity by hyperinsulinemic-euglycemic clamp. Waist circumference (WC) was measured at the iliac crest. Mediation analyses were used to assess whether abdominal AT and/or CRF mediated the exercise-induced change in insulin sensitivity. By comparison to controls, reduction (mean ± SD) was observed for visceral (-0.4 ± 0.4 kg) and abdominal subcutaneous (-0.4 ± 0.4) AT depots, WC (-4.1 ± 3.2 cm) and BMI (-0.9 ± 0.8 kg/m2) (p < 0.05). Insulin sensitivity (4.2 ± 5.2 M/I) and CRF (0.2 ± 0.3 L/min) improved in the exercise group (p < 0.05). All AT variables, BMI and WC were mediators of the change in insulin sensitivity (p < 0.05). After adjustment for change in total AT, abdominal AT remained a mediator with an effect ratio of 0.79 (p < 0.05), whereas total AT was not significant when adjusted for abdominal AT (p > 0.05). The effect ratio for change in WC and BMI combined (0.63, p<0.05) was greater than either alone. In conclusion, CRF did not mediate the exercise-induced change in insulin sensitivity in older adults. Abdominal adiposity was a strong mediator independent of change in total adiposity.
authors.affiliation: School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.
authors.forename: Gifferd
authors.initials: G
authors.lastname: Ko
authors.affiliation: School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.|Department of Exercise Sciences, Brigham Young University, Provo, Utah, United States.
authors.forename: Lance E
authors.initials: LE
authors.lastname: Davidson
authors.affiliation: School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.
authors.forename: Andrea M
authors.initials: AM
authors.lastname: Brennan
authors.affiliation: Department of Epidemiology and Community Health, Queen's University, Kingston, ON, Canada.
authors.forename: Miu
authors.initials: M
authors.lastname: Lam
authors.affiliation: School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.|Department of Medicine, Division of Endocrinology and Metabolism, Queen's University, Kingston, ON, Canada.
authors.forename: Robert
authors.initials: R
authors.lastname: Ross
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000072599:Cardiorespiratory Fitness; D015444:Exercise; D005260:Female; D006801:Humans; D007333:Insulin Resistance; D008297:Male; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000150:complications*; D057185:Sedentary Behavior