PMID- 31058998 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230412 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 104 IP - 9 DP - 2019 Sep 1 TI - Cardiorespiratory Fitness Does Not Offset Adiposity-Related Systemic Inflammation in Physically Active Older Women. PG - 4119-4126 LID - 10.1210/jc.2019-00067 [doi] AB - CONTEXT: Chronic inflammation increases diabetes risk and may be exacerbated by excess adipose tissue. Whether cardiovascular fitness can offset chronic inflammation associated with excess adipose tissue in older adults is unclear. OBJECTIVE: The study aimed to examine the influence of cardiorespiratory fitness on links between adiposity and pro- and anti-inflammatory biomarkers related to metabolic risk in physically active older women. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional study comprising older community-dwelling women (n = 109; age, 65 to 70 years). MAIN OUTCOME: Cardiorespiratory fitness was assessed using a standardized submaximal test and participants were categorized into high- and low-adiposity-related metabolic risk [body mass index, waist-to-hip ratio (WHR), and total fat mass]. The inflammatory biomarkers C-reactive protein (CRP), IL-6, IL-10, IL-18, adiponectin, monocyte chemoattractant protein-1 (MCP-1), and macrophage inflammatory protein (MIP)-1alpha were analyzed. RESULTS: Regardless of adiposity measure, women in the metabolic high-risk group had substantially elevated (P < 0.05) CRP and lower adiponectin levels. Levels of IL-6 and MIP1-alpha were elevated in the high-risk group defined by WHR and total fat mass. The IL-18 level was elevated in the high-risk group based on WHR only. Importantly, a high cardiorespiratory fitness level did not attenuate the detrimental links between adiposity measures and inflammation. CONCLUSIONS: Cardiorespiratory fitness does not offset the detrimental links between adiposity and several inflammatory biomarkers related to metabolic risk in physically active older women. Reducing abdominal adipose tissue in older adults should be emphasized in efforts aiming to attenuate age-related systemic inflammation and metabolic risk regardless of cardiorespiratory fitness. CI - Copyright (c) 2019 Endocrine Society. FAU - Bergens, Oscar AU - Bergens O AD - School of Health Sciences, Orebro University, Orebro, Sweden. FAU - Nilsson, Andreas AU - Nilsson A AD - School of Health Sciences, Orebro University, Orebro, Sweden. FAU - Kadi, Fawzi AU - Kadi F AUID- ORCID: 0000-0002-9831-0896 AD - School of Health Sciences, Orebro University, Orebro, Sweden. LA - eng PT - Journal Article PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 SB - IM EDAT- 2019/05/07 06:00 MHDA- 2019/05/07 06:01 CRDT- 2019/05/07 06:00 PHST- 2019/01/09 00:00 [received] PHST- 2019/04/30 00:00 [accepted] PHST- 2019/05/07 06:01 [medline] PHST- 2019/05/07 06:00 [pubmed] PHST- 2019/05/07 06:00 [entrez] AID - 5485086 [pii] AID - 10.1210/jc.2019-00067 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2019 Sep 1;104(9):4119-4126. doi: 10.1210/jc.2019-00067.