PMID- 25755198 OWN - NLM STAT- MEDLINE DCOM- 20151103 LR - 20181202 IS - 1930-739X (Electronic) IS - 1930-7381 (Linking) VI - 23 IP - 4 DP - 2015 Apr TI - Fitness is a determinant of the metabolic response to endurance training in adolescents at risk of type 2 diabetes mellitus. PG - 823-32 LID - 10.1002/oby.21032 [doi] AB - OBJECTIVE: The purpose of this prospective cohort study was to determine whether changes in cardiorespiratory fitness are associated with the metabolic response to endurance training in adolescents at risk of type 2 diabetes mellitus (T2DM). METHODS: Seventy-three overweight and obese adolescents completed a 6-month endurance exercise intervention. Total fat mass, trunk fat mass, visceral adipose tissue, and liver fat were assessed with dual energy X-ray absorptiometry and magnetic resonance imaging spectroscopy. RESULTS: The change in cardiorespiratory fitness with training was independently associated with reductions in BMI z-score (beta = -0.09; P = 0.006), total fat mass (beta = -1.40; P = 0.007), trunk fat mass (beta = -0.70; P = 0.01), and liver fat (beta = -1.80; P = 0.053). Adolescents within the highest tertile of change in fitness were 4.67 (95% CI: 1.15-13.73; P = 0.03), 11.90 (95% CI: 2.37-59.77; P = 0.002), and 6.21 (95% CI: 1.14-33.99; P = 0.035) times more likely to experience decreases in body weight, BMI, and liver fat compared with adolescents in the lowest tertile. CONCLUSIONS: The changes in adiposity and hepatic triglyceride content in response to endurance training are significantly related to the increase in cardiorespiratory fitness in adolescents at risk of T2DM. CI - (c) 2014 The Obesity Society. FAU - Senechal, Martin AU - Senechal M AD - Manitoba Institute of Child Health, Winnipeg, Manitoba, Canada; Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. FAU - Rempel, Meaghan AU - Rempel M FAU - Duhamel, Todd A AU - Duhamel TA FAU - MacIntosh, Andrea C AU - MacIntosh AC FAU - Hay, Jacqueline AU - Hay J FAU - Wicklow, Brandy AU - Wicklow B FAU - Wittmeier, Kristy AU - Wittmeier K FAU - Shen, Garry X AU - Shen GX FAU - McGavock, Jonathan M AU - McGavock JM LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150307 PL - United States TA - Obesity (Silver Spring) JT - Obesity (Silver Spring, Md.) JID - 101264860 RN - 0 (Triglycerides) SB - IM MH - Absorptiometry, Photon MH - Adolescent MH - Cohort Studies MH - Diabetes Mellitus, Type 2/*metabolism/pathology/prevention & control MH - Exercise/*physiology MH - Female MH - Humans MH - Intra-Abdominal Fat/pathology MH - Male MH - Pediatric Obesity/complications/*metabolism/pathology MH - Physical Endurance/*physiology MH - Prospective Studies MH - Triglycerides/blood EDAT- 2015/03/11 06:00 MHDA- 2015/11/04 06:00 CRDT- 2015/03/11 06:00 PHST- 2014/09/05 00:00 [received] PHST- 2014/12/22 00:00 [accepted] PHST- 2015/03/11 06:00 [entrez] PHST- 2015/03/11 06:00 [pubmed] PHST- 2015/11/04 06:00 [medline] AID - 10.1002/oby.21032 [doi] PST - ppublish SO - Obesity (Silver Spring). 2015 Apr;23(4):823-32. doi: 10.1002/oby.21032. Epub 2015 Mar 7.