PMID- 23809509 OWN - NLM STAT- MEDLINE DCOM- 20140821 LR - 20131223 IS - 1873-5010 (Electronic) IS - 1569-1993 (Linking) VI - 13 IP - 1 DP - 2014 Jan TI - Reduced fat oxidation rates during submaximal exercise in boys with cystic fibrosis. PG - 92-8 LID - S1569-1993(13)00105-7 [pii] LID - 10.1016/j.jcf.2013.05.014 [doi] AB - BACKGROUND: Exercise is a viable form of therapy for children with cystic fibrosis (CF). Understanding the energy sources used during exercise would aid CF patients in obtaining proper nutrition in order to sustain an active lifestyle. METHODS: Six boys with CF (mean age +/- SD: 14.8 +/- 2.3 yrs, FEV1: 99 +/- 18% predicted) and six matched controls (14.0 +/- 2.2 yrs) completed a session of two 30 min bouts of cycling at an intensity set at 50% peak mechanical power. Rates of total fat and carbohydrate (CHO) oxidation were calculated from expired gases. Plasma insulin, glucose and free fatty acid (FFA) were determined before, during and at the end of the exercise. RESULTS: Rates of fat oxidation (expressed in mean mg x kg body weight(-1) x min(-1) +/- SD) were significantly lower in children with CF (5.7 +/- 1.6) compared to controls (8.6 +/- 1.8, p < 0.05). Children with CF also had lower values than controls in amount of fat oxidized (CF: 17.3 +/- 5.0 g, controls: 26.1 +/- 5.9 g, p < 0.05) and percent of total energy expenditure from fat (CF: 32 +/- 6%, controls: 43 +/- 7%, p < .0.05), but a higher contribution from CHO (CF: 68 +/- 6%, controls: 57 +/- 7% p < .0.05). Plasma FFA was significantly lower in children with CF compared to controls during (CF: 252.5 +/- 117.9 muM, controls: 602.2 +/- 295.6) and at the end of exercise (CF: 430.9 +/- 180.6, controls: 1147.5 +/- 473.5). There were no differences in the rates of CHO oxidation, insulin or glucose between groups. CONCLUSION: Fat metabolism during exercise is impaired in boys with CF and may be attributed to an inability to mobilize FFA. CI - Copyright (c) 2013 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved. FAU - Nguyen, Thanh AU - Nguyen T AD - Child Health & Exercise Medicine Program, Department of Pediatrics, McMaster University, Hamilton, ON, Canada. FAU - Obeid, Joyce AU - Obeid J AD - Child Health & Exercise Medicine Program, Department of Pediatrics, McMaster University, Hamilton, ON, Canada. FAU - Baker, Jeff M AU - Baker JM AD - Exercise Metabolism Research Group, Department of Kinesiology, McMaster University, Hamilton, ON, Canada; Department of Kinesiology, McMaster University, Hamilton, ON, Canada. FAU - Takken, Tim AU - Takken T AD - Child Health & Exercise Medicine Program, Department of Pediatrics, McMaster University, Hamilton, ON, Canada; Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Pedder, Linda AU - Pedder L AD - Cystic Fibrosis Clinic, McMaster Children's Hospital, Hamilton, ON, Canada. FAU - Parise, Gianni AU - Parise G AD - Exercise Metabolism Research Group, Department of Kinesiology, McMaster University, Hamilton, ON, Canada; Department of Kinesiology, McMaster University, Hamilton, ON, Canada. FAU - Timmons, Brian W AU - Timmons BW AD - Child Health & Exercise Medicine Program, Department of Pediatrics, McMaster University, Hamilton, ON, Canada. Electronic address: timmonbw@mcmaster.ca. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130701 PL - Netherlands TA - J Cyst Fibros JT - Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society JID - 101128966 RN - 0 (Blood Glucose) RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats) RN - 0 (Fatty Acids, Nonesterified) RN - 0 (Insulin) SB - IM MH - Adolescent MH - Bicycling MH - Blood Glucose/metabolism MH - Child MH - Cystic Fibrosis/*metabolism/*physiopathology MH - Dietary Carbohydrates/metabolism MH - Dietary Fats/*metabolism MH - Energy Metabolism/physiology MH - Exercise/*physiology MH - Fatty Acids, Nonesterified/metabolism MH - Humans MH - Insulin/blood MH - Life MH - Lipid Metabolism/physiology MH - Male MH - Models, Biological MH - Nutritional Status MH - Oxidation-Reduction MH - Oxygen Consumption/physiology OTO - NOTNLM OT - Cycling OT - Cystic fibrosis OT - Free fatty acids OT - Substrate utilization EDAT- 2013/07/03 06:00 MHDA- 2014/08/22 06:00 CRDT- 2013/07/02 06:00 PHST- 2013/01/31 00:00 [received] PHST- 2013/05/13 00:00 [revised] PHST- 2013/05/15 00:00 [accepted] PHST- 2013/07/02 06:00 [entrez] PHST- 2013/07/03 06:00 [pubmed] PHST- 2014/08/22 06:00 [medline] AID - S1569-1993(13)00105-7 [pii] AID - 10.1016/j.jcf.2013.05.014 [doi] PST - ppublish SO - J Cyst Fibros. 2014 Jan;13(1):92-8. doi: 10.1016/j.jcf.2013.05.014. Epub 2013 Jul 1.