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1 Clinical Diabetes and Nutrition Section, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, Arizona 85016; and 2 Laboratory of Human Behavior and Metabolism, Rockefeller University, New York, New York 10021
A high 24-h respiratory quotient (RQ), i.e., low
fat oxidation, predicts weight gain. To determine whether impaired fat
mobilization (lipolysis) may contribute to weight gain, we studied the
relation between lipolytic response to nonselective
-adrenergic
stimulation and RQ measured in a respiratory chamber in 21 males (11 Caucasians, 10 Pima Indians; age 32 ± 5 yr, weight 93 ± 24 kg,
body fat 30 ± 8%; means ± SD) and 23 females (10 Caucasians,
13 Pima Indians; age 32 ± 9 yr, weight 95 ± 26 kg, body fat 44 ± 8%). Lipolytic response was assessed as the relative increase in
dialysate glycerol concentration (% above baseline) when isoproterenol
(1 µmol/l) was added to the perfusate of a microdialysis probe
inserted in the abdominal subcutaneous adipose tissue. In males, but
not in females, basal RQ measured during sleep from 0500 to 0630 and adjusted for waist circumference was negatively correlated to lipolytic
response (r =
0.66,
P = 0.001). The results suggest that
in males, impaired
-adrenergic-mediated lipolysis may contribute to
low rates of fat oxidation, a condition known to predispose to weight
gain.
indirect calorimetry; microdialysis
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