Leisure time physical activity, liver fat and cardio-metabolic risk factors a monozygotic co-twin control and an observational study

Introduction: Obesity has a strong link with cardio-metabolic risk factors. This fact has raised the necessity to understand the underlying causes of obesity for efficient prevention and treatment strategies. It has been demonstrated that the distribution of the fat in ectopic fat depots, such as li...

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Main Author: Giarmenitis, Dimitrios
Other Authors: Liikuntatieteellinen tiedekunta, Faculty of Sport and Health Sciences, Liikunta- ja terveystieteet, Sport and Health Sciences, Jyväskylän yliopisto, University of Jyväskylä
Format: Master's thesis
Language:eng
Published: 2019
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/63842
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author Giarmenitis, Dimitrios
author2 Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikunta- ja terveystieteet Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä
author_facet Giarmenitis, Dimitrios Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikunta- ja terveystieteet Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä Giarmenitis, Dimitrios Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikunta- ja terveystieteet Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä
author_sort Giarmenitis, Dimitrios
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description Introduction: Obesity has a strong link with cardio-metabolic risk factors. This fact has raised the necessity to understand the underlying causes of obesity for efficient prevention and treatment strategies. It has been demonstrated that the distribution of the fat in ectopic fat depots, such as liver and viscera, associates with features of the metabolic syndrome (MS) and an increased risk for manifesting cardiovascular diseases. Interestingly, MS can be present regardless obesity-defined anthropometric measurements. Hence, abnormal fat content in ectopic fat depots is deemed to increase the risk for developing the cardio-metabolic risk factors in non-obese population. A non-pharmacological method for maintaining physiological quantity of fat in ectopic fat depots is physical activity. Based on the aforementioned, the aim of this study was initially to examine the independent effect of chronic leisure-time physical activity (LTPA) on the intrahepatic triglyceride (IHTG) content. The second aim was to test the association of the IHTG with variables of LTPA, anthropometrics, blood lipids, blood pressure, glucose homeostasis as well as abdominal adipose tissue in healthy non-obese young adults prior to overt cardio-metabolic diseases. Methods: Twenty-three apparently healthy monozygotic (MZ) twin pairs (N=46, mean age= 34 years, range 32-36) had been assessed retrospectively regarding their LTPA level in the FITFATTWIN study. All the subjects were tested for the IHTG content by analyzing magnetic resonance images (MRI) of the liver, the MS criteria as well as variables of the abdominal adipose tissue. For the first aim of the study, ten of those MZ twin pairs (N=20) with the greatest LTPA discordance were divided into two groups of “active” and “inactive” co-twins. We performed a comparison of difference in the IHTG content between the “active” and “inactive” group. In the latter analysis, due to the twinship, both the genetic background and the childhood environment were controlled. Therefore, we examined the independent effect of LTPA on IHTG content. In regard to the second aim, an individual-based correlation analysis of 22 pairs (46 volunteers) was conducted between the IHTG content and retrospectively-tested LTPA indexes, the MS criteria and the abdominal adipose tissue. Results: The comparison between the two groups, concerning the IHTG content, exhibited no statistically significant difference although the average IHTG content tended to be lower in the “active” co-twin group. The individual-based association analysis revealed statistically significant correlations between IHTG content and anthropometrics, abdominal adipose tissue, and glucose homeostasis variables. More specifically, IHTG content correlated with BMI (r=0.313, P=0.006), waist circumference and (r=0.396, P=0.034), and total fat percent (r=0.397, P=0.006). Furthermore, IHTG content associated significantly with the visceral adipose tissue (VAT) (r=0.465, P=0.001) and with the subcutaneous adipose tissue (SAT) r=0.350 (P=0.017). The value of the 30min time point of the oral glucose tolerance test was also related with the IHTG content (r=0.348, P<0.05). IHTG content did not associate neither with LTPA indexes nor with blood pressure. Conclusion: Previous findings have supported the notion that chronic LTPA can act as an independent effect on health variables which associate with cardio-metabolic lesions. The MZ co-twin study aimed to examine the potential causal association between the liver fat and LTPA. The findings of this did not show significant difference on the IHTG content between the groups with the LTPA discordance potentially because subjects were healthy young adults with averagely normal values of IHTG deposition. In the individual-based association analysis, the IHTG deposition correlated with some cardio-metabolic risk factor. It was demonstrated that the higher the IHTG content the higher the values of the measured factors. Even though these associations do not imply causality the results agree with the literature concerning the role of liver fat on the exacerbation of the cardio-metabolic risk factors.
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This fact has raised the necessity\nto understand the underlying causes of obesity for efficient prevention and treatment strategies. It has been\ndemonstrated that the distribution of the fat in ectopic fat depots, such as liver and viscera, associates with\nfeatures of the metabolic syndrome (MS) and an increased risk for manifesting cardiovascular diseases.\nInterestingly, MS can be present regardless obesity-defined anthropometric measurements. Hence, abnormal\nfat content in ectopic fat depots is deemed to increase the risk for developing the cardio-metabolic risk factors\nin non-obese population. A non-pharmacological method for maintaining physiological quantity of fat in\nectopic fat depots is physical activity. Based on the aforementioned, the aim of this study was initially to\nexamine the independent effect of chronic leisure-time physical activity (LTPA) on the intrahepatic\ntriglyceride (IHTG) content. The second aim was to test the association of the IHTG with variables of LTPA,\nanthropometrics, blood lipids, blood pressure, glucose homeostasis as well as abdominal adipose tissue in\nhealthy non-obese young adults prior to overt cardio-metabolic diseases.\nMethods: Twenty-three apparently healthy monozygotic (MZ) twin pairs (N=46, mean age= 34 years, range\n32-36) had been assessed retrospectively regarding their LTPA level in the FITFATTWIN study. All the\nsubjects were tested for the IHTG content by analyzing magnetic resonance images (MRI) of the liver, the\nMS criteria as well as variables of the abdominal adipose tissue. For the first aim of the study, ten of those\nMZ twin pairs (N=20) with the greatest LTPA discordance were divided into two groups of \u201cactive\u201d and\n\u201cinactive\u201d co-twins. We performed a comparison of difference in the IHTG content between the \u201cactive\u201d\nand \u201cinactive\u201d group. In the latter analysis, due to the twinship, both the genetic background and the\nchildhood environment were controlled. Therefore, we examined the independent effect of LTPA on IHTG\ncontent. In regard to the second aim, an individual-based correlation analysis of 22 pairs (46 volunteers) was\nconducted between the IHTG content and retrospectively-tested LTPA indexes, the MS criteria and the\nabdominal adipose tissue.\nResults: The comparison between the two groups, concerning the IHTG content, exhibited no statistically\nsignificant difference although the average IHTG content tended to be lower in the \u201cactive\u201d co-twin group.\nThe individual-based association analysis revealed statistically significant correlations between IHTG\ncontent and anthropometrics, abdominal adipose tissue, and glucose homeostasis variables. More\nspecifically, IHTG content correlated with BMI (r=0.313, P=0.006), waist circumference and (r=0.396,\nP=0.034), and total fat percent (r=0.397, P=0.006). Furthermore, IHTG content associated significantly with\nthe visceral adipose tissue (VAT) (r=0.465, P=0.001) and with the subcutaneous adipose tissue (SAT)\nr=0.350 (P=0.017). The value of the 30min time point of the oral glucose tolerance test was also related with\nthe IHTG content (r=0.348, P<0.05). IHTG content did not associate neither with LTPA indexes nor with\nblood pressure.\nConclusion: Previous findings have supported the notion that chronic LTPA can act as an independent effect\non health variables which associate with cardio-metabolic lesions. The MZ co-twin study aimed to examine\nthe potential causal association between the liver fat and LTPA. 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spellingShingle Giarmenitis, Dimitrios Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study non-alcoholic fatty liver disease hepatic steatosis Liikuntafysiologia Exercise Physiology 5011 metabolinen oireyhtymä maksa rasvamaksa fyysinen aktiivisuus maksataudit rasvakudokset riskitekijät glukoosi metabolic syndrome liver fatty liver physical activeness liver diseases adipose tissues risk factors glucose
title Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study
title_full Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study
title_fullStr Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study
title_full_unstemmed Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study
title_short Leisure time physical activity, liver fat and cardio-metabolic risk factors
title_sort leisure time physical activity liver fat and cardio metabolic risk factors a monozygotic co twin control and an observational study
title_sub a monozygotic co-twin control and an observational study
title_txtP Leisure time physical activity, liver fat and cardio-metabolic risk factors : a monozygotic co-twin control and an observational study
topic non-alcoholic fatty liver disease hepatic steatosis Liikuntafysiologia Exercise Physiology 5011 metabolinen oireyhtymä maksa rasvamaksa fyysinen aktiivisuus maksataudit rasvakudokset riskitekijät glukoosi metabolic syndrome liver fatty liver physical activeness liver diseases adipose tissues risk factors glucose
topic_facet 5011 Exercise Physiology Liikuntafysiologia adipose tissues fatty liver fyysinen aktiivisuus glucose glukoosi hepatic steatosis liver liver diseases maksa maksataudit metabolic syndrome metabolinen oireyhtymä non-alcoholic fatty liver disease physical activeness rasvakudokset rasvamaksa risk factors riskitekijät
url https://jyx.jyu.fi/handle/123456789/63842 http://www.urn.fi/URN:NBN:fi:jyu-201905092503
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