PMID- 29865281 OWN - NLM STAT- MEDLINE DCOM- 20181029 LR - 20200928 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 10 IP - 6 DP - 2018 Jun 3 TI - Combining Short-Term Interval Training with Caloric Restriction Improves ss-Cell Function in Obese Adults. LID - 10.3390/nu10060717 [doi] LID - 717 AB - Although low-calorie diets (LCD) improve glucose regulation, it is unclear if interval exercise (INT) is additive. We examined the impact of an LCD versus LCD + INT training on ss-cell function in relation to glucose tolerance in obese adults. Twenty-six adults (Age: 46 +/- 12 year; BMI 38 +/- 6 kg/m(2)) were randomized to 2-week of LCD (~1200 kcal/day) or energy-matched LCD + INT (60 min/day alternating 3 min at 90 and 50% HRpeak). A 2 h 75 g oral glucose tolerance test (OGTT) was performed. Insulin secretion rates (ISR) were determined by deconvolution modeling to assess glucose-stimulated insulin secretion ([GSIS: ISR/glucose total area under the curve (tAUC)]) and ss-cell function (Disposition Index [DI: GSIS/IR]) relative to skeletal muscle (Matsuda Index), hepatic (HOMA-IR) and adipose (Adipose-IR(fasting)) insulin resistance (IR). LCD + INT, but not LCD alone, reduced glucose and total-phase ISR tAUC (Interactions: p = 0.04 and p = 0.05, respectively). Both interventions improved skeletal muscle IR by 16% (p = 0.04) and skeletal muscle and hepatic DI (Time: p < 0.05). Improved skeletal muscle DI was associated with lower glucose tAUC (r = -0.57, p < 0.01). Thus, LCD + INT improved glucose tolerance more than LCD in obese adults, and these findings relate to ss-cell function. These data support LCD + INT for preserving pancreatic function for type 2 diabetes prevention. FAU - Francois, Monique E AU - Francois ME AD - Department of Kinesiology, University of Virginia, Charlottesville, VA 22903, USA. mf4rq@virginia.edu. FAU - Gilbertson, Nicole M AU - Gilbertson NM AD - Department of Kinesiology, University of Virginia, Charlottesville, VA 22903, USA. nmg4xk@virginia.edu. FAU - Eichner, Natalie Z M AU - Eichner NZM AUID- ORCID: 0000-0003-3515-6649 AD - Department of Kinesiology, University of Virginia, Charlottesville, VA 22903, USA. nze8bz@virginia.edu. FAU - Heiston, Emily M AU - Heiston EM AD - Department of Kinesiology, University of Virginia, Charlottesville, VA 22903, USA. emh5bh@virginia.edu. FAU - Fabris, Chiara AU - Fabris C AD - Center for Diabetes Technology, School of Medicine, University of Virginia, Charlottesville, VA 22903, USA. cf9qe@virginia.edu. FAU - Breton, Marc AU - Breton M AD - Center for Diabetes Technology, School of Medicine, University of Virginia, Charlottesville, VA 22903, USA. mb6nt@virginia.edu. FAU - Mehaffey, J Hunter AU - Mehaffey JH AD - Department of Surgery, School of Medicine, University of Virginia, Charlottesville, VA 22903, USA. jhm9t@hscmail.mcc.virginia.edu. FAU - Hassinger, Taryn AU - Hassinger T AUID- ORCID: 0000-0003-3015-4126 AD - Department of Surgery, School of Medicine, University of Virginia, Charlottesville, VA 22903, USA. teh3rz@virginia.edu. FAU - Hallowell, Peter T AU - Hallowell PT AD - Department of Surgery, School of Medicine, University of Virginia, Charlottesville, VA 22903, USA. PTH2F@hscmail.mcc.virginia.edu. FAU - Malin, Steven K AU - Malin SK AD - Department of Kinesiology, University of Virginia, Charlottesville, VA 22903, USA. skm6n@virginia.edu. AD - Division of Endocrinology and Metabolism, University of Virginia, Charlottesville, VA 22903, USA. skm6n@virginia.edu. AD - Robert M. Berne Cardiovascular Research Center, University of Virginia, Charlottesville, VA, 22903, USA. skm6n@virginia.edu. LA - eng GR - DP3 DK106826/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial DEP - 20180603 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) SB - IM MH - Adipose Tissue/metabolism/physiopathology MH - Adult MH - Biomarkers/blood MH - Blood Glucose/*metabolism MH - Body Mass Index MH - *Caloric Restriction MH - Diabetes Mellitus/blood/diagnosis/physiopathology/*prevention & control MH - Female MH - *High-Intensity Interval Training MH - Humans MH - Insulin Resistance MH - Insulin-Secreting Cells/*metabolism MH - Liver/metabolism/physiopathology MH - Male MH - Middle Aged MH - Muscle, Skeletal/metabolism/physiopathology MH - Obesity/blood/diagnosis/physiopathology/*therapy MH - Time Factors MH - Treatment Outcome MH - Virginia MH - Weight Loss PMC - PMC6024769 OTO - NOTNLM OT - caloric restriction OT - diabetes OT - exercise OT - glucose control OT - obesity COIS- The authors declare no conflict of interest. EDAT- 2018/06/06 06:00 MHDA- 2018/10/30 06:00 PMCR- 2018/06/01 CRDT- 2018/06/06 06:00 PHST- 2018/04/28 00:00 [received] PHST- 2018/05/24 00:00 [revised] PHST- 2018/05/30 00:00 [accepted] PHST- 2018/06/06 06:00 [entrez] PHST- 2018/06/06 06:00 [pubmed] PHST- 2018/10/30 06:00 [medline] PHST- 2018/06/01 00:00 [pmc-release] AID - nu10060717 [pii] AID - nutrients-10-00717 [pii] AID - 10.3390/nu10060717 [doi] PST - epublish SO - Nutrients. 2018 Jun 3;10(6):717. doi: 10.3390/nu10060717.