Vol. 283, Issue 4, E799-E808, October 2002
Behavioral, metabolic, and molecular correlates of lower
insulin sensitivity in Mexican-Americans
Richard C.
Ho1,
Kevin P.
Davy2,
Matthew S.
Hickey2,
Scott A.
Summers3, and
Christopher L.
Melby1
Departments of 1 Food Science and Human Nutrition,
2 Health and Exercise Science, and
3 Biochemistry and Molecular Biology, Colorado State
University, Fort Collins, Colorado 80523
We determined whether lower insulin
sensitivity persists in young, nonobese, nondiabetic Mexican-American
[MA; n = 13, 27.0 ± 2.0 yr, body mass index
(BMI) 23.0 ± 0.7] compared with non-Hispanic white (NHW;
n = 13, 24.8 ± 1.5 yr, BMI 22.8 ± 0.6)
males and females after accounting for cardiorespiratory fitness
(maximal O2 uptake), abdominal fat distribution (computed
tomography scans), dietary intake (4-day records), and skeletal muscle
insulin-signaling protein abundance from muscle biopsies (Western blot
analysis). MA were significantly less insulin sensitive compared with
their NHW counterparts when estimated by homeostatic model assessment of insulin resistance (MA: 1.53 ± 0.22 vs. NHW: 0.87 ± 0.16, P < 0.05) and the revised quantitative insulin
sensitivity check index (MA: 0.45 ± 0.08 vs. NHW: 0.58 ± 0.19, P = 0.05). However, skeletal muscle protein
abundance of insulin receptor-
(IR
), phosphatidylinositol
3-kinase p85 subunit, Akt1, Akt2, and GLUT4 were not significantly
different. Differences in indexes of insulin sensitivity lost
significance after percent dietary intake of palmitic acid, palmitoleic
acid, and skeletal muscle protein abundance of IR
were accounted
for. We conclude that differences in insulin sensitivity between
nonobese, nondiabetic MA and NHW persist after effects of chronic and
acute exercise and total and abdominal fat distribution are accounted
for. These differences may be mediated, in part, by dietary fat intake.
cardiorespiratory fitness; insulin-signaling proteins