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Title: Adipose tissue lipolytic inhibition enhances the glucoregulatory properties of exercise in type 2 diabetes patients.
Authors: HANSEN, Dominique 
VERBOVEN, Kenneth 
Van Dijk, Jan-Willem
Zorenc, Antoine
Minten, Lennert
Smeets, Kevin
Verdijk, Lex B.
Van Loon, Luc J.C.
Issue Date: 2018
Source: European journal of sport science, 18 (9), p. 1245-1254
Status: In Press
Abstract: Aims: Exercise combined with adipose tissue lipolytic inhibition augments intramuscular lipid and glycogen use in type 2 diabetes patients. The present study investigates the impact of adipose tissue lipolytic inhibition during exercise on subsequent postprandial glycemic control in type 2 diabetes patients. Methods: Fourteen male type 2 diabetes patients (age 65 ± 2 years, HbA1c 6.7 ± 0.1% (50 ± 2 mmol/mol)) participated in a double-blind placebo-controlled randomized cross-over study in which subjects performed endurance-type exercise after being administered 250 mg of a nicotinic acid analogue (acipimox; ACP) or a placebo (PLA). A control experiment was included in which no exercise was performed (CON). Results: Sixty minutes of endurance-type exercise (at 45% Wpeak) did not significantly lower circulating plasma glucose and insulin excursions in PLA when compared with CON (P = .300). Acipimox administration strongly reduced circulating plasma FFA concentrations during exercise (P < .001). Circulating plasma glucose and insulin excursions were substantially lower during 7.5 h of recovery from exercise (i.e. postprandial) in ACP when compared with either CON (P = .041 and P = .002, respectively) or PLA (P = .009 and P = .001, respectively). Conclusions: Collectively, exercise with adipose tissue lipolytic inhibition reduces postprandial blood glucose and insulin excursions and, as such, further improves glycemic control in male type 2 diabetes patients.
Notes: Hansen, D (reprint author), Hasselt Univ, Fac Med & Life Sci, Agoralaan,Bldg A, B-3590 Diepenbeek, Belgium.
Keywords: exercise, metabolism, physiology, sedentary living
Document URI:
ISSN: 1746-1391
e-ISSN: 1536-7290
DOI: 10.1080/17461391.2018.1483428
ISI #: 000443868800009
Rights: © 2018 European College of Sport Science
Category: A1
Type: Journal Contribution
Validations: ecoom 2019
Appears in Collections:Research publications

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