The association between regional body composition and metabolic outcomes in athletes with spinal cord injury
Study design: Cross-sectional study comparing athletes with spinal cord injury (SCI) and age and body mass index matched able-bodied controls (AB). Objective: To examine the impact of exercise training on the relation between whole body, regional and intermuscular adipose tissue (IMAT) and glucose t...
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creator | Mojtahedi, M C Valentine, R J Arngrímsson, S A Wilund, K R Evans, E M |
description | Study design:
Cross-sectional study comparing athletes with spinal cord injury (SCI) and age and body mass index matched able-bodied controls (AB).
Objective:
To examine the impact of exercise training on the relation between whole body, regional and intermuscular adipose tissue (IMAT) and glucose tolerance, insulin action and lipid profile.
Setting:
University Research Laboratory, USA.
Methods:
Fourteen college-aged athletes with SCI (seven men; duration of injury 16.5±5.7 years, level of injury T5-L5) and 17 sedentary AB (eight men) were assessed for body composition via dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging. Insulin sensitivity index (ISI) was determined via 2-h oral glucose challenge; standard lipid profile was determined from fasting blood samples.
Results:
Although ISI was 30% higher in SCI, there were no significant differences between groups in glucose and insulin responses or in lipid measures. Adjusting for absolute and relative thigh IMAT area, fasting insulin (13.8±5.3
μ
IU, 16.3±5.6
μ
IU;
P |
doi_str_mv | 10.1038/sj.sc.3102076 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_904462913</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70373832</sourcerecordid><originalsourceid>FETCH-LOGICAL-c480t-720257c3f5382db0dc3035bbd22af175767c70a8277cd9d5cb7ed365cc4246303</originalsourceid><addsrcrecordid>eNp90U2L1TAUBuAgijOOLl0qRVBXvZ58NGmXMvgFA27GdUiTdG5K21xzUob778146wwIukrC--TkhEPISwo7Crz9gOMO7Y5TYKDkI3JOhZJ1I5l4XPZcslrwjp-RZ4gjAHS0a5-SM6oaYK1S52S63vvKIEYbTA5xqXqfb71fquRvytFMVR_dsbJxPkQMv4VZXDX7bPo4BVvFNZfQYxVKkveTz2V_G_K-wkO4u29jciUc13R8Tp4MZkL_YlsvyI_Pn64vv9ZX3798u_x4VVvRQq4VA9Yoy4eGt8z14CwH3vS9Y8wMpXUllVVgWqaUdZ1rbK-847KxVjAhi70g7091Dyn-XD1mPQe0fprM4uOKugMhJOsoL_Ldf6UCrnjLWYFv_oJjXFP5H2rGOq4oSFFQfUI2RcTkB31IYTbpqCnou2lpHDVavU2r-Ndb0bWfvXvQ23gKeLsBg9ZMQzKLDXjvGJQvSNoUtzs5LNFy49NDd_96-dXpwmLymvx9xT_5L-8gtuQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>229371064</pqid></control><display><type>article</type><title>The association between regional body composition and metabolic outcomes in athletes with spinal cord injury</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Mojtahedi, M C ; Valentine, R J ; Arngrímsson, S A ; Wilund, K R ; Evans, E M</creator><creatorcontrib>Mojtahedi, M C ; Valentine, R J ; Arngrímsson, S A ; Wilund, K R ; Evans, E M</creatorcontrib><description>Study design:
Cross-sectional study comparing athletes with spinal cord injury (SCI) and age and body mass index matched able-bodied controls (AB).
Objective:
To examine the impact of exercise training on the relation between whole body, regional and intermuscular adipose tissue (IMAT) and glucose tolerance, insulin action and lipid profile.
Setting:
University Research Laboratory, USA.
Methods:
Fourteen college-aged athletes with SCI (seven men; duration of injury 16.5±5.7 years, level of injury T5-L5) and 17 sedentary AB (eight men) were assessed for body composition via dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging. Insulin sensitivity index (ISI) was determined via 2-h oral glucose challenge; standard lipid profile was determined from fasting blood samples.
Results:
Although ISI was 30% higher in SCI, there were no significant differences between groups in glucose and insulin responses or in lipid measures. Adjusting for absolute and relative thigh IMAT area, fasting insulin (13.8±5.3
μ
IU, 16.3±5.6
μ
IU;
P
<0.05; SCI vs AB respectively) and ISI (4.0±1.4, 3.1±1.3;
P
<0.05) were significantly better among SCI athletes compared to AB. Measures of adiposity did not correlate with glucose response or most lipid measures. Within SCI and AB, respectively, ISI correlated strongly (all
P
<0.05) with absolute (
r
=−0.70, −0.54) and relative IMAT (
r
=−0.54, −0.50), than with trunk (
r
=−0.62, −0.64) and whole body fat mass (
r
=−0.61, −0.64).
Conclusion:
Habitual physical activity can maintain insulin sensitivity in SCI compared to sedentary AB controls. Total body fat mass, central adiposity and thigh IMAT appear to impact risk for metabolic disease in SCI individuals with IMAT playing a larger role in SCI than AB.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sj.sc.3102076</identifier><identifier>PMID: 17502877</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Absorptiometry, Photon ; Adipose Tissue - metabolism ; Adult ; Anatomy ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Body Composition - physiology ; Case-Control Studies ; Cerebrospinal fluid. Meninges. Spinal cord ; Cross-Sectional Studies ; Female ; Glucose - metabolism ; Human Physiology ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Insulin - metabolism ; Insulin Resistance - physiology ; Lipid Metabolism - physiology ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Motor Activity - physiology ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Spinal Cord Injuries - metabolism ; Spinal Cord Injuries - physiopathology ; Sports ; Traumas. Diseases due to physical agents</subject><ispartof>Spinal cord, 2008-03, Vol.46 (3), p.192-197</ispartof><rights>Springer Nature Limited 2008</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Mar 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-720257c3f5382db0dc3035bbd22af175767c70a8277cd9d5cb7ed365cc4246303</citedby><cites>FETCH-LOGICAL-c480t-720257c3f5382db0dc3035bbd22af175767c70a8277cd9d5cb7ed365cc4246303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20133615$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17502877$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mojtahedi, M C</creatorcontrib><creatorcontrib>Valentine, R J</creatorcontrib><creatorcontrib>Arngrímsson, S A</creatorcontrib><creatorcontrib>Wilund, K R</creatorcontrib><creatorcontrib>Evans, E M</creatorcontrib><title>The association between regional body composition and metabolic outcomes in athletes with spinal cord injury</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Cross-sectional study comparing athletes with spinal cord injury (SCI) and age and body mass index matched able-bodied controls (AB).
Objective:
To examine the impact of exercise training on the relation between whole body, regional and intermuscular adipose tissue (IMAT) and glucose tolerance, insulin action and lipid profile.
Setting:
University Research Laboratory, USA.
Methods:
Fourteen college-aged athletes with SCI (seven men; duration of injury 16.5±5.7 years, level of injury T5-L5) and 17 sedentary AB (eight men) were assessed for body composition via dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging. Insulin sensitivity index (ISI) was determined via 2-h oral glucose challenge; standard lipid profile was determined from fasting blood samples.
Results:
Although ISI was 30% higher in SCI, there were no significant differences between groups in glucose and insulin responses or in lipid measures. Adjusting for absolute and relative thigh IMAT area, fasting insulin (13.8±5.3
μ
IU, 16.3±5.6
μ
IU;
P
<0.05; SCI vs AB respectively) and ISI (4.0±1.4, 3.1±1.3;
P
<0.05) were significantly better among SCI athletes compared to AB. Measures of adiposity did not correlate with glucose response or most lipid measures. Within SCI and AB, respectively, ISI correlated strongly (all
P
<0.05) with absolute (
r
=−0.70, −0.54) and relative IMAT (
r
=−0.54, −0.50), than with trunk (
r
=−0.62, −0.64) and whole body fat mass (
r
=−0.61, −0.64).
Conclusion:
Habitual physical activity can maintain insulin sensitivity in SCI compared to sedentary AB controls. Total body fat mass, central adiposity and thigh IMAT appear to impact risk for metabolic disease in SCI individuals with IMAT playing a larger role in SCI than AB.</description><subject>Absorptiometry, Photon</subject><subject>Adipose Tissue - metabolism</subject><subject>Adult</subject><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Body Composition - physiology</subject><subject>Case-Control Studies</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Glucose - metabolism</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Insulin - metabolism</subject><subject>Insulin Resistance - physiology</subject><subject>Lipid Metabolism - physiology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Motor Activity - physiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Spinal Cord Injuries - metabolism</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Sports</subject><subject>Traumas. Diseases due to physical agents</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp90U2L1TAUBuAgijOOLl0qRVBXvZ58NGmXMvgFA27GdUiTdG5K21xzUob778146wwIukrC--TkhEPISwo7Crz9gOMO7Y5TYKDkI3JOhZJ1I5l4XPZcslrwjp-RZ4gjAHS0a5-SM6oaYK1S52S63vvKIEYbTA5xqXqfb71fquRvytFMVR_dsbJxPkQMv4VZXDX7bPo4BVvFNZfQYxVKkveTz2V_G_K-wkO4u29jciUc13R8Tp4MZkL_YlsvyI_Pn64vv9ZX3798u_x4VVvRQq4VA9Yoy4eGt8z14CwH3vS9Y8wMpXUllVVgWqaUdZ1rbK-847KxVjAhi70g7091Dyn-XD1mPQe0fprM4uOKugMhJOsoL_Ldf6UCrnjLWYFv_oJjXFP5H2rGOq4oSFFQfUI2RcTkB31IYTbpqCnou2lpHDVavU2r-Ndb0bWfvXvQ23gKeLsBg9ZMQzKLDXjvGJQvSNoUtzs5LNFy49NDd_96-dXpwmLymvx9xT_5L-8gtuQ</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Mojtahedi, M C</creator><creator>Valentine, R J</creator><creator>Arngrímsson, S A</creator><creator>Wilund, K R</creator><creator>Evans, E M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20080301</creationdate><title>The association between regional body composition and metabolic outcomes in athletes with spinal cord injury</title><author>Mojtahedi, M C ; Valentine, R J ; Arngrímsson, S A ; Wilund, K R ; Evans, E M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-720257c3f5382db0dc3035bbd22af175767c70a8277cd9d5cb7ed365cc4246303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Absorptiometry, Photon</topic><topic>Adipose Tissue - metabolism</topic><topic>Adult</topic><topic>Anatomy</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Body Composition - physiology</topic><topic>Case-Control Studies</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Glucose - metabolism</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Insulin - metabolism</topic><topic>Insulin Resistance - physiology</topic><topic>Lipid Metabolism - physiology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Motor Activity - physiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Spinal Cord Injuries - metabolism</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Sports</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mojtahedi, M C</creatorcontrib><creatorcontrib>Valentine, R J</creatorcontrib><creatorcontrib>Arngrímsson, S A</creatorcontrib><creatorcontrib>Wilund, K R</creatorcontrib><creatorcontrib>Evans, E M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mojtahedi, M C</au><au>Valentine, R J</au><au>Arngrímsson, S A</au><au>Wilund, K R</au><au>Evans, E M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between regional body composition and metabolic outcomes in athletes with spinal cord injury</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>46</volume><issue>3</issue><spage>192</spage><epage>197</epage><pages>192-197</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Cross-sectional study comparing athletes with spinal cord injury (SCI) and age and body mass index matched able-bodied controls (AB).
Objective:
To examine the impact of exercise training on the relation between whole body, regional and intermuscular adipose tissue (IMAT) and glucose tolerance, insulin action and lipid profile.
Setting:
University Research Laboratory, USA.
Methods:
Fourteen college-aged athletes with SCI (seven men; duration of injury 16.5±5.7 years, level of injury T5-L5) and 17 sedentary AB (eight men) were assessed for body composition via dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging. Insulin sensitivity index (ISI) was determined via 2-h oral glucose challenge; standard lipid profile was determined from fasting blood samples.
Results:
Although ISI was 30% higher in SCI, there were no significant differences between groups in glucose and insulin responses or in lipid measures. Adjusting for absolute and relative thigh IMAT area, fasting insulin (13.8±5.3
μ
IU, 16.3±5.6
μ
IU;
P
<0.05; SCI vs AB respectively) and ISI (4.0±1.4, 3.1±1.3;
P
<0.05) were significantly better among SCI athletes compared to AB. Measures of adiposity did not correlate with glucose response or most lipid measures. Within SCI and AB, respectively, ISI correlated strongly (all
P
<0.05) with absolute (
r
=−0.70, −0.54) and relative IMAT (
r
=−0.54, −0.50), than with trunk (
r
=−0.62, −0.64) and whole body fat mass (
r
=−0.61, −0.64).
Conclusion:
Habitual physical activity can maintain insulin sensitivity in SCI compared to sedentary AB controls. Total body fat mass, central adiposity and thigh IMAT appear to impact risk for metabolic disease in SCI individuals with IMAT playing a larger role in SCI than AB.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>17502877</pmid><doi>10.1038/sj.sc.3102076</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
subjects | Absorptiometry, Photon Adipose Tissue - metabolism Adult Anatomy Biological and medical sciences Biomedical and Life Sciences Biomedicine Body Composition - physiology Case-Control Studies Cerebrospinal fluid. Meninges. Spinal cord Cross-Sectional Studies Female Glucose - metabolism Human Physiology Humans Injuries of the nervous system and the skull. Diseases due to physical agents Insulin - metabolism Insulin Resistance - physiology Lipid Metabolism - physiology Magnetic Resonance Imaging Male Medical sciences Motor Activity - physiology Nervous system (semeiology, syndromes) Neurochemistry Neurology Neuropsychology Neurosciences original-article Spinal Cord Injuries - metabolism Spinal Cord Injuries - physiopathology Sports Traumas. Diseases due to physical agents |
title | The association between regional body composition and metabolic outcomes in athletes with spinal cord injury |
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