PMID- 20628884 OWN - NLM STAT- MEDLINE DCOM- 20110228 LR - 20211020 IS - 1439-6327 (Electronic) IS - 1439-6319 (Linking) VI - 110 IP - 5 DP - 2010 Nov TI - High-intensity exercise and carbohydrate-reduced energy-restricted diet in obese individuals. PG - 893-903 LID - 10.1007/s00421-010-1571-y [doi] AB - Continuous high glycemic load and inactivity challenge glucose homeostasis and fat oxidation. Hyperglycemia and high intramuscular glucose levels mediate insulin resistance, a precursor state of type 2 diabetes. The aim was to investigate whether a carbohydrate (CHO)-reduced diet combined with high-intensity interval training (HIIT) enhances the beneficial effects of the diet alone on insulin sensitivity and fat oxidation in obese individuals. Nineteen obese subjects underwent 14 days of CHO-reduced and energy-restricted diet. Ten of them combined the diet with HIIT (4 min bouts at 90% VO(2peak) up to 10 times, 3 times a week). Oral glucose insulin sensitivity (OGIS) increased significantly in both groups; [diet-exercise (DE) group: pre 377 +/- 70, post 396 +/- 68 mL min(-1) m(-2); diet (D) group: pre 365 +/- 91, post 404 +/- 87 mL min(-1) m(-2); P < 0.001]. Fasting respiratory exchange ratio (RER) decreased significantly in both groups (DE group: pre 0.91 +/- 0.06, post 0.88 +/- 0.06; D group: pre 0.92 +/- 0.07, post 0.86 +/- 0.07; P = 0.002). VO(2peak) increased significantly in the DE group (pre 27 +/- 5, post 32 +/- 6 mL kg(-1) min(-1); P < 0.001), but not in the D group (pre 26 +/- 9, post 26 +/- 8 mL kg(-1) min(-1)). Lean mass and resistin were preserved only in the DE group (P < 0.05). Fourteen days of CHO-reduced diet improved OGIS and fat oxidation (RER) in obese subjects. The energy-balanced HIIT did not further enhance these parameters, but increased aerobic capacity (VO(2peak)) and preserved lean mass and resistin. FAU - Sartor, Francesco AU - Sartor F AD - School of Sport, Health and Exercise Sciences, Bangor University, George Building, Holyhead Road, Bangor, Gwynedd, UK. FAU - de Morree, Helma M AU - de Morree HM FAU - Matschke, Verena AU - Matschke V FAU - Marcora, Samuele M AU - Marcora SM FAU - Milousis, Athanasios AU - Milousis A FAU - Thom, Jeanette M AU - Thom JM FAU - Kubis, Hans-Peter AU - Kubis HP LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20100714 PL - Germany TA - Eur J Appl Physiol JT - European journal of applied physiology JID - 100954790 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (Interleukin-6) RN - 0 (Leptin) RN - 0 (Resistin) RN - 0 (Tumor Necrosis Factor-alpha) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Adult MH - Blood Glucose/metabolism/physiology MH - *Caloric Restriction MH - *Diet, Carbohydrate-Restricted MH - Exercise/*physiology MH - Glucose Tolerance Test MH - Humans MH - Insulin/blood/metabolism/physiology MH - Insulin Resistance/physiology MH - Interleukin-10/blood MH - Interleukin-6/blood MH - Leptin/blood/metabolism/physiology MH - Male MH - Middle Aged MH - Obesity/*metabolism/*physiopathology MH - Oxygen Consumption/physiology MH - Resistin/blood/metabolism/physiology MH - Tumor Necrosis Factor-alpha/blood EDAT- 2010/07/16 06:00 MHDA- 2011/03/01 06:00 CRDT- 2010/07/15 06:00 PHST- 2010/06/30 00:00 [accepted] PHST- 2010/07/15 06:00 [entrez] PHST- 2010/07/16 06:00 [pubmed] PHST- 2011/03/01 06:00 [medline] AID - 10.1007/s00421-010-1571-y [doi] PST - ppublish SO - Eur J Appl Physiol. 2010 Nov;110(5):893-903. doi: 10.1007/s00421-010-1571-y. Epub 2010 Jul 14.