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The effect of a ketogenic diet on mitochondria function in human skeletal muscle during adaptation to chronic exercise training and the potential involvement of metabolic dysregulation

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서명/저자사항The effect of a ketogenic diet on mitochondria function in human skeletal muscle during adaptation to chronic exercise training and the potential involvement of metabolic dysregulation.
개인저자Miller, Vincent J.
단체저자명The Ohio State University. Ohio State University Nutrition.
발행사항[S.l.]: The Ohio State University., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항141 p.
기본자료 저록Dissertations Abstracts International 81-02B.
Dissertation Abstract International
ISBN9781085581318
학위논문주기Thesis (Ph.D.)--The Ohio State University, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-02, Section: B.
Advisor: Volek, Jeff.
이용제한사항This item must not be sold to any third party vendors.
요약Objective: The prominent influence of skeletal muscle mitochondria on health and physical capacity can be enhanced through diet and exercise. Ketogenic diets have great potential to drive this enhancement, but prior research is limited, particularly in humans. Therefore, the objective of the present research was to characterize changes in skeletal muscle mitochondria function induced by a ketogenic diet during adaptation to chronic exercise. Methods: Twenty-nine participants completed a 12-week supervised exercise program while following a ketogenic diet (KD, n=15, males=13) or their habitual mixed diet (MD, n=14, males=12). Body composition was measured using dual-energy x-ray absorptiometry (iDXA, GE Healthcare, Chicago, IL). Blood was drawn in a fasted and resting state and serum insulin and glucose were measured using an enzyme-linked immunosorbent assay kit (Calbiotech, El Cajon, CA) and a hexokinase reagent set (Pointe Scientific, Canton, MI), respectively. Homeostatic model assessment of insulin resistance (HOMA-IR) was calculated based on insulin and glucose values. Respiratory quotient (RQ) was measured through gas exchange (TruOne 2400, Parvo Medics, Sandy, UT). Muscle biopsies were collected from the Vastus lateralis, from which mitochondria were isolated. O2 consumption and membrane potential were measured with a Clark-type electrode fitted with a tetraphenylphosphonium electrode. H2O2 and ATP production were measured using fluorescence (Amplex Ultra Red) and luminescence (luciferase) assays, respectively. Each test was repeated with a carbohydrate- (pyruvate), fat- (palmitoyl-L-carnitine), and ketone-based (棺-hydroxybutyrate+acetoacetate) substrate. Results: Participants were matched by age, gender, and body fat (KD vs MD: 27.4짹1.8 vs 24.6짹2.4 yrs, 25.6짹1.3% vs 22.0짹2.3%). At baseline, HOMA-IR was greater in KD (2.1짹0.3 vs 1.5짹0.2, p=0.056) and decreased during the intervention (2.11짹0.3 to 1.11짹0.1, p=0.008). Weight loss was greater for KD (-6.9짹0.9 vs 0.7짹0.4 kg, p<0.001), as was decrease in body fat percentage (-5.4짹0.7 vs -0.7짹0.5 %, p<0.001). Mean daily blood 棺-hydroxybutyrate concentration for KD was 1.2짹0.2 mM and RQ decreased only in KD (0.82 to 0.75, p=0.001), all indicating the ketogenic diet induced a profound shift in energy metabolism towards reliance on fat oxidation. An effect of time was observed for increases in mitochondrial protein (p=0.019) and respiratory control ratio (RCR, p=0.003). Time by diet interactions indicate a lesser increase in H2O2 (p=0.098) and a relative increase in ATP production (p=0.003) and efficiency (based on ATP/O2 and ATP/H2O2, p<0.005) for KD. With the fat-based substrate, RCR and ATP production increased only for KD (4.7짹0.3 to 5.6짹0.2, p=0.009
일반주제명Nutrition.
Kinesiology.
Health sciences.
언어영어
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