PMID- 37445411 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230718 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 12 IP - 13 DP - 2023 Jun 29 TI - Adipokines as Predictive Biomarkers for Training Adaptation in Subjects with Multimorbidity-A Hypothesis-Generating Study. LID - 10.3390/jcm12134376 [doi] LID - 4376 AB - BACKGROUND: Physical exercise exerts a positive effect on many chronic conditions, specifically lifestyle-related diseases such as overweight and obesity, type 2 diabetes mellitus (T2DM), cardiovascular conditions and osteoarthritis (OA). As a result of common risk factors, most of these patients present with multiple conditions. Exercise- and disease-related biomarkers, such as adipokines, are emerging tools in training supervision and regulation; however, their significance in subjects with multimorbidities is unknown. SUBJECTS AND METHODS: To address this issue, adipokines leptin, adiponectin and resistin were assessed in a cohort of subjects with multimorbidities (n = 39) presenting with at least two of the abovementioned conditions or relevant risk factors before and after a six-month exercise and lifestyle intervention program ('MultiPill-Exercise'), and correlated with training adaptation, namely changes in relative maximum oxygen uptake (V.O2max). RESULTS: There was a significant negative correlation between baseline leptin concentrations and training effect for relative V.O2max (after three months: rho = -0.54, p = 0.020 *; after six months: rho = -0.45, p = 0.013 *), with baseline leptin explaining 35% of the variance in delta relative V.O2max after three months and 23% after six months. CONCLUSIONS: Leptin might be a suitable surrogate biomarker in the context of exercise-based lifestyle intervention programs in subjects with multimorbidity. FAU - Maturana, Felipe Mattioni AU - Maturana FM AUID- ORCID: 0000-0002-4221-6104 AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. FAU - Rolf, Rebecca AU - Rolf R AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. FAU - Schweda, Simone AU - Schweda S AUID- ORCID: 0000-0001-5827-2664 AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. FAU - Reimer, Max AU - Reimer M AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. FAU - Widmann, Manuel AU - Widmann M AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. FAU - Burgstahler, Christof AU - Burgstahler C AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. AD - Interfaculty Research Institute for Sport and Physical Activity, Eberhard Karls University of Tubingen, D-72076 Tubingen, Germany. FAU - Niess, Andreas M AU - Niess AM AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. AD - Interfaculty Research Institute for Sport and Physical Activity, Eberhard Karls University of Tubingen, D-72076 Tubingen, Germany. FAU - Krauss, Inga AU - Krauss I AUID- ORCID: 0000-0001-6818-6276 AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. AD - Interfaculty Research Institute for Sport and Physical Activity, Eberhard Karls University of Tubingen, D-72076 Tubingen, Germany. FAU - Munz, Barbara AU - Munz B AUID- ORCID: 0000-0002-4582-6119 AD - Department of Sports Medicine, University Hospital Tubingen, Hoppe-Seyler-Str. 6, D-72076 Tubingen, Germany. AD - Interfaculty Research Institute for Sport and Physical Activity, Eberhard Karls University of Tubingen, D-72076 Tubingen, Germany. LA - eng PT - Journal Article DEP - 20230629 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC10342946 OTO - NOTNLM OT - adipokines OT - leptin OT - multimorbidity OT - obesity OT - physical exercise COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. EDAT- 2023/07/14 13:06 MHDA- 2023/07/14 13:07 PMCR- 2023/06/29 CRDT- 2023/07/14 01:11 PHST- 2023/05/21 00:00 [received] PHST- 2023/06/18 00:00 [revised] PHST- 2023/06/27 00:00 [accepted] PHST- 2023/07/14 13:07 [medline] PHST- 2023/07/14 13:06 [pubmed] PHST- 2023/07/14 01:11 [entrez] PHST- 2023/06/29 00:00 [pmc-release] AID - jcm12134376 [pii] AID - jcm-12-04376 [pii] AID - 10.3390/jcm12134376 [doi] PST - epublish SO - J Clin Med. 2023 Jun 29;12(13):4376. doi: 10.3390/jcm12134376.