Metabolic responses to feeding and exercise in men and women
Nutrition and physical activity are the main strategies to improve metabolic healthamong individuals who are obese. However, nutrition (e.g. energy intake reduction)and physical activity are often considered independently rather than interactively;hence, these strategies are not always effective. Th...
Saved in:
Main Author: | |
---|---|
Format: | thesis |
Language: | eng |
Published: |
2019
|
Subjects: | |
Online Access: | https://ir.upsi.edu.my/detailsg.php?det=6486 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:ir.upsi.edu.my:6486 |
---|---|
record_format |
uketd_dc |
institution |
Universiti Pendidikan Sultan Idris |
collection |
UPSI Digital Repository |
language |
eng |
topic |
QP Physiology |
spellingShingle |
QP Physiology Nurul Fadhilah Abdullah Metabolic responses to feeding and exercise in men and women |
description |
Nutrition and physical activity are the main strategies to improve metabolic healthamong individuals who are obese. However, nutrition (e.g. energy intake reduction)and physical activity are often considered independently rather than interactively;hence, these strategies are not always effective. The purpose of this thesis was toinvestigate how nutrition and physical activity interact to influence metabolic relevantfactors in obesity. In a first study it was observed, in a group of obese oroverweight/centrally obese men, that an acute bout of aerobic exercise performedin the overnight-fasted state substantially increased whole-body exercise fatoxidation and Type I fibre intramyocellular triacylglycerol (IMTG) utilisation ascompared to exercise performed in the fed state. In a second study, it wasdemonstrated that, like men, obese or overweight/centrally obese womenresponded to overnight-fasted vs. fed state exercise by considerably increasedwhole-body fat oxidation during exercise. Additionally, consuming breakfast afterexercise as compared to before exercise suppressed appetite sensations anddecreased subsequent energy intake at a later ad libitum style lunch. Comparisonsbetween the men and women provided initial evidence that the magnitude of changein substrate utilisation with pre-exercise feeding was greater in women as comparedto men. In a final study, a sex-difference in the response to feeding was confirmed,with women exhibiting an earlier metabolic response to glucose feeding and quickerreturn to baseline than men. In conclusion, the findings from this thesis havedeveloped new insights in the understanding of the impact of feeding on substrateutilisation during exercise and the influences of biological sex on metabolicresponses to feeding. This understanding may have practical implications on currentpractice, for example in terms of guiding future experimental research whereby sexdifferencesshould be accounted in the metabolic research. The findings also canbe applied in promoting healthy lifestyle behaviours and informing public healthpolicy. |
format |
thesis |
qualification_name |
|
qualification_level |
Doctorate |
author |
Nurul Fadhilah Abdullah |
author_facet |
Nurul Fadhilah Abdullah |
author_sort |
Nurul Fadhilah Abdullah |
title |
Metabolic responses to feeding and exercise in men and women |
title_short |
Metabolic responses to feeding and exercise in men and women |
title_full |
Metabolic responses to feeding and exercise in men and women |
title_fullStr |
Metabolic responses to feeding and exercise in men and women |
title_full_unstemmed |
Metabolic responses to feeding and exercise in men and women |
title_sort |
metabolic responses to feeding and exercise in men and women |
granting_institution |
Universiti Pendidikan Sultan Idris |
granting_department |
Fakulti Sains Sukan dan Kejurulatihan |
publishDate |
2019 |
url |
https://ir.upsi.edu.my/detailsg.php?det=6486 |
_version_ |
1747833269365243904 |
spelling |
oai:ir.upsi.edu.my:64862021-11-30 Metabolic responses to feeding and exercise in men and women 2019 Nurul Fadhilah Abdullah QP Physiology Nutrition and physical activity are the main strategies to improve metabolic healthamong individuals who are obese. However, nutrition (e.g. energy intake reduction)and physical activity are often considered independently rather than interactively;hence, these strategies are not always effective. The purpose of this thesis was toinvestigate how nutrition and physical activity interact to influence metabolic relevantfactors in obesity. In a first study it was observed, in a group of obese oroverweight/centrally obese men, that an acute bout of aerobic exercise performedin the overnight-fasted state substantially increased whole-body exercise fatoxidation and Type I fibre intramyocellular triacylglycerol (IMTG) utilisation ascompared to exercise performed in the fed state. In a second study, it wasdemonstrated that, like men, obese or overweight/centrally obese womenresponded to overnight-fasted vs. fed state exercise by considerably increasedwhole-body fat oxidation during exercise. Additionally, consuming breakfast afterexercise as compared to before exercise suppressed appetite sensations anddecreased subsequent energy intake at a later ad libitum style lunch. Comparisonsbetween the men and women provided initial evidence that the magnitude of changein substrate utilisation with pre-exercise feeding was greater in women as comparedto men. In a final study, a sex-difference in the response to feeding was confirmed,with women exhibiting an earlier metabolic response to glucose feeding and quickerreturn to baseline than men. In conclusion, the findings from this thesis havedeveloped new insights in the understanding of the impact of feeding on substrateutilisation during exercise and the influences of biological sex on metabolicresponses to feeding. This understanding may have practical implications on currentpractice, for example in terms of guiding future experimental research whereby sexdifferencesshould be accounted in the metabolic research. The findings also canbe applied in promoting healthy lifestyle behaviours and informing public healthpolicy. 2019 thesis https://ir.upsi.edu.my/detailsg.php?det=6486 https://ir.upsi.edu.my/detailsg.php?det=6486 text eng closedAccess Doctoral Universiti Pendidikan Sultan Idris Fakulti Sains Sukan dan Kejurulatihan ACHTEN, J., GLEESON, M. & JEUKENDRUP, A E. 2002. Determination of theexercise intensity that elicits maximal fat oxidation. Medicine and Science inSports and Exercise, 34(1),92-97.ACHTEN, J. & JEUKENDRUP, A E. 2003. Effects of pre-exercise ingestion ofcarbohydrate on glycaemic and insulinaemic responses during subsequentexercise at differing intensities. European Journal of Applied Physiology,88(4-5),466-471.ACHTEN, J., VENABLES, M. C. & JEUKENDRUP, A E. 2003. Fat oxidation ratesare higher during running compared with cycling over a wide range ofintensities. Metabolism: Clinical and Experimental, 52(6),747-752.ADAMS, J. M., PRATIPANAWATR, T., BERRIA, R., WANG, E., DEFRONZO, R. A,SULLARDS, M. C. & MANDARINO, L. J. 2004. Ceramide content isincreased in skeletal muscle from obese insulin-resistant humans. Diabetes,53, 25-31.AHLBORG, G., FELlG, P., HAGENFELDT, L., HENDLER, R. & WAHREN, J. 1974.Substrate turnover during prolonged exercise in man. Splanchnic and legmetabolism of glucose, free fatty acids, and amino acids. The Journal ofClinical Investigation, 53(4), 1080-1090.ARNER, P., KRIEGHOLM, E., ENGFELDT, P. & BOLINDER, J. 1990. Adrenergicregulation of lipolysis in situ at rest and during exercise. The Journal ofClinical Investigation, 85(3), 893-898.BACKHOUSE, S. H., WILLIAMS, C., STEVENSON, E. & NUTE, M. 2007. Effectsof the glycemic index of breakfast on metabolic responses to brisk walking infemales. European Journal of Clinical Nutrition, 61 (5), 590-596.BARTLETT, J. D., HAWLEY, J. A & MORTON, J. P. 2015. Carbohydrate availabilityand exercise training adaptation: too much of a good thing? EuropeanJournal of Sport Science, 15(1), 3-12.BERGMAN, B. C. & BROOKS, G. A 1999. Respiratory gas-exchange ratios duringgraded exercise in fed and fasted trained and untrained men. Journal ofapplied physiology, 86, 479-487.BERGSTROM, J., HERMANSEN, L., HULTMAN, E. & SALTIN, B. 1967. Diet,muscle glycogen and physical performance. Acta PhysiologicaScandinavica, 71, 140-150.BLAAK, E. E., VAN AGGEL-LEIJSSEN, D. P., WAGENMAKERS, A J., SARIS, W.H. & VAN BAAK, M. A 2000. Impaired oxidation of plasma-derived fatty acidsin type 2 diabetic subjects during moderate-intensity exercise. Diabetes, 49,2102-2107.BLAAK, E. E., VAN BAAK, M. A, KEMERINK, G. J., PAKBIERS, M. T.,HEIDENDAL, G. A & SARIS, W. H. 1994. Beta-adrenergic stimulation ofenergy expenditure and forearm skeletal muscle metabolism in lean andobese men. The American Journal of Physiology, 267, E306-15.BLOMQVIST, C. G. & SALTIN, B. 1983. Cardiovascular adaptations to physicaltraining. Annual Review of Physiology, 45, 169-189.BODEN, G., LEBED, B., SCHATZ, M., HOMKO, C. & LEMIEUX, S. 2001. Effects ofacute changes of plasma free fatty acids on intramyocellular fat content andinsulin resistance in healthy subjects. Diabetes, 50, 1612-1617.BROOKS, G. A & MERCIER, J. 1994. Balance of carbohydrate and lipid utilizationduring exercise: the "crossover" concept. Journal of Applied Physiology, 76,2253-2261.CALBET, J. A, HOLMBERG, H. C., ROSDAHL, H., VAN HALL, G., JENSENURSTAD,M. & SALTIN, B. 2005. Why do arms extract less oxygen than legsduring exercise? American Journal of Physiology. Regulatory, Integrativeand Comparative Physiology, 289, R1448-58.CAMPBELL, S. E., ANGUS, D. J. & FEBBRAIO, M. A 2001. Glucose kinetics andexercise performance during phases of the menstrual cycle: effect of glucoseingestion. American Journal of Physiology: Endocrinology and Metabolism,281: E817-E825.CARTER, S., MCKENZIE, S., MOURTZAKIS, M., MAHONEY, D. J. &TARNOPOLSKY, M. A 2001. Short-term 17beta-estradiol decreasesglucose R(a) but not whole body metabolism during endurance exercise.Journal of Applied Physiology, 90, 139-146.CHOWDHURY, E. A, RICHARDSON, J. D., TSINTZAS, K., THOMPSON, D. &BETTS, J. A 2015. Carbohydrate-rich breakfast attenuates glycaemic,insulinaemic and ghrelin response to ad libitum lunch relative to morningfasting in lean ad ults. The British Journal of Nutrition, 114, 98-107.CLUBERTON, L. J., MCGEE, S. L., MURPHY, R. M. & HARGREAVES, M. 2005.Effect of carbohydrate ingestion on exercise-induced alterations in metabolicgene expression. Journal of Applied Physiology, 99, 1359-1363.COKER, R. H., WILLIAMS, R. H., YEO, S. E., KORTEBEIN, P. M., BODENNER, D.L., KERN, P. A & EVANS, W. J. 2009. The impact of exercise trainingcompared to caloric restriction on hepatic and peripheral insulin resistance inobesity. The Journal of Clinical Endocrinology and Metabolism, 94, 4258-4266.COLBERG, S. R., SIMONEAU, J. A, THAETE, F. L. & KELLEY, D. E. 1995. Skeletalmuscle utilization of free fatty acids in women with visceral obesity. TheJournal of Clinical Investigation, 95, 1846-1853.COMITATO, R., SABA, A, TURRINI, A, ARGANINI, C. & VIRGILI, F. 2015. Sexhormones and macronutrient metabolism. Critical Reviews in Food Scienceand Nutrition, 55, 227-241.CORPELEIJN, E., SARIS, W. & BLAAK, E. 2009. Metabolic flexibility in thedevelopment of insulin resistance and type 2 diabetes; effects of lifestyle.Obesity Reviews, 10, 16.COYLE, E. F., JEUKENDRUP, A E., OSETO, M. C., HODGKINSON, B. J. &ZDERIC, T. W. 2001. Low-fat diet alters intramuscular substrates andreduces lipolysis and fat oxidation during exercise. American Journal ofPhysiology. Endocrinology and Metabolism, 280, E391-8.COYLE, E. F., JEUKENDRUP, A E., WAGENMAKERS, A & SARIS, W. 1997.Fatty acid oxidation is directly regulated by carbohydrate metabolism duringexercise. American Journal of Physiology, Endocrinology and Metabolism -Clinical and Experimental, 273, E268-E275.DE BOCK, K., RICHTER, E. A, RUSSELL, A P., EIJNDE, B. 0., DERAVE, W.,RAMAEKERS, M., KONINCKX, E., LEGER, B., VERHAEGHE, J. &HESPEL, P. 2005. Exercise in the fasted state facilitates fibre type-specificintramyocellular lipid breakdown and stimulates glycogen resynthesis inhumans. The Journal of Physiology, 564,649-660.DERAVE, K. D. B., EIJNDE, B., HESSELlNK, M., KONINCKX, E., ROSE, A,SCHRAUWEN, P., BON EN, A, RICHTER, E. & HESPE, P. 2008. Effect oftraining in the fasted state on metabolic responses during exercise withcarbohydrate intake. Journal of Applied Physiology, 10, 11.DERAVE, W., MERTENS, A, MULS, E., PARDAENS, K. & HESPEL, P. 2007.Effects of post-absorptive and postprandial exercise on glucoregulation inmetabolic syndrome. Obesity, 15, 704-711.DEVRIES, M. C., HAMADEH, M. J., GRAHAM, T. E. & TARNOPOLSKY, M. A2005. 17beta-estradiol supplementation decreases glucose rate ofappearance and disappearance with no effect on glycogen utilization duringmoderate intensity exercise in men. The Journal of Clinical Endocrinologyand Metabolism, 90, 6218-6225.DEVRIES, M. C., HAMADEH, M. J., PHILLIPS, S. M. & TARNOPOLSKY, M. A2006. Menstrual cycle phase and sex influence muscle glycogen utilizationand glucose turnover during moderate-intensity endurance exercise.American Journal of Physiology: Regulatory, Integrative and ComparativePhysiology, 291: R1120-R1128.Diabetes UK 2010. Diabetes in the UK 2010: Key statistics on diabetes. London:Diabetes UK.ELLIS, B. A, POYNTEN, A, LOWY, A J., FURLER, S. M., CHISHOLM, D. J.,KRAEGEN, E. W. & COONEY, G. J. 2000. Long-chain acyl-CoA esters asindicators of lipid metabolism and insulin sensitivity in rat and human muscle.American Journal of Physiology, Endocrinology and Metabolism, 279, E554-E560.FARAH, N. & GILL, J. 2013. Effects of exercise before or after meal ingestion on fatbalance and postprandial metabolism in overweight men. British Journal ofNutrition, 109, 2297-2307.FELlG, P. & WAHREN, J. 1975. Fuel homeostasis in exercise. The New EnglandJournal of Medicine, 293, 1078-1084.FROBERG, K. & PEDERSEN, P. 1984. Sex differences in endurance capacity andmetabolic response to prolonged, heavy exercise. European Journal ofApplied Physiology and Occupational Physiology, 52, 446-450.FU, M.-H. H., MAHER, A C., HAMADEH, M. J., YE, C. & TARNOPOLSKY, M. A2009. Exercise, sex, menstrual cycle phase, and 17beta-estradiol influencemetabolism-related genes in human skeletal muscle. PhysiologicalGenomics, 40,34-47.GALGANI, J. E., HEILBRONN, L. K., AZUMA, K., KELLEY, D. E., ALBU, J. B., PISUNYER,X., SMITH, S. R. & RAVUSSIN, E. 2008 Metabolic flexibility inresponse to glucose is not impaired in people type 2 diabetes after controllingfor glucose disposal rate. Diabetes, 57, 841-845.GONZALEZ, J. T., VEASEY, R. C., RUMBOLD, P. L. S. & STEVENSON, E. J. 2013.Breakfast and exercise contingently affect postprandial metabolism andenergy balance in physically active males. The British Journal of Nutrition,110,721-732.GOODPASTER, B. H., HE, J., WATKINS, S. & KELLEY, D. E. 2001. Skeletalmuscle lipid content and insulin resistance: evidence for a paradox inendurance-trained athletes. The Journal of Clinical Endocrinology andMetabolism, 86, 5755-5761.GOODPASTER, B. H., THERIAULT, R., WATKINS, S. C. & KELLEY, D. E. 2000.Intramuscular lipid content is increased in obesity and decreased by weightloss. Metabolism - Clinical and Experimental, 49,467-472.GREENBERG, A S. & OBIN, M. S. 2006. Obesity and the role of adipose tissue ininflammation and metabolism. The American Journal of Clinical Nutrition, 83,461S-465S.GRUNDY, S. M. 2004. Obesity, metabolic syndrome, and cardiovascular disease.The Journal of Clinical Endocrinology and Metabolism, 89, 2595-2600.GRUNDY, S. M. 2008. Metabolic syndrome pandemic. Arteriosclerosis,Thrombosis, and Vascular Biology, 28, 629-636.GUILHERME, A, VIRBASIUS, J. V., PURl, V. & CZECH, M. P. 2008. Adipocytedysfunctions linking obesity to insulin resistance and type 2 diabetes. NatureReviews. Molecular Cell Biology, 9,367-377.HACKNEY, A C. 1999. Influence of estrogen on muscle glycogen utilization duringexercise. Acta Physiologica Scandinavica, 167: 273-274.HACKNEY, A C., MCCRACKEN-COMPTON, M. A & AINSWORTH, B. 1994.Substrate responses to submaximal exercise in the midfollicular andmidluteal phases of the menstrual cycle. International Journal of SportNutrition, 4: 299-308.HAMADEH, M. J., DEVRIES, M. C. & TARNOPOLSKY, M. A 2005. Estrogensupplementation reduces whole body leucine and carbohydrate oxidationand increases lipid oxidation in men during endurance exercise. The Journalof Clinical Endocrinology and Metabolism, 90,3592-3599.HARGREAVES, M. 2012. The metabolic systems: carbohydrate metabolism. In:FARRELL, P., JOYNER, M. & CAIOZZO, V. (eds.) Advanced exercisephysiology. 2 ed. Philadelphia: Lippincott, Williams and Wilkins.HELGE, J. W., WATT, P. W., RICHTER, E. A, RENNIE, M. J. & KIENS, B. 2001.Fat utilization during exercise: adaptation to a fat-rich diet increasesutilization of plasma fatty acids and very low density lipoprotein-triacylglycerolin humans. The Journal of Physiology, 537,1009-1020.HENDERSON, G. C. & ALDERMAN, B. L. 2014. Determinants of resting lipidoxidation in response to a prior bout of endurance exercise. Journal ofApplied Physiology, 116, 95-103.HENDERSON, G. C., FATTOR, J. A, HORNING, M. A, FAGHIHNIA, N.,JOHNSON, M. L., MAU, T. L., LUKE-ZEITOUN, M. & BROOKS, G. A 2007.Lipolysis and fatty acid metabolism in men and women during the postexerciserecovery period. The Journal of Physiology, 584,963-981.H0EG, L., ROEPSTORFF, C., THIELE, M., RICHTER, E. A, WOJTASZEWSKI, J.F. P. & KIENS, B. 2009. Higher intramuscular triacylglycerol in women doesnot impair insulin sensitivity and proximal insulin signalling. Journal of AppliedPhysiology, 107,824-831.H0EG, L. D., SJ0BERG, K. A, JEPPESEN, J., JENSEN, T. E., FR0SIG, C., BIRK,J. B., BISIANI, B., HISCOCK, N., PILEGAARD, H., WOJTASZEWSKI, J. F.P., RICHTER, E. A & KIENS, B. 2011. Lipid-induced insulin resistanceaffects women less than men and is not accompanied by inflammation orimpaired proximal insulin signalling. Diabetes, 60,64-73.HOLLOSZY, J. O. & COYLE, E. F. 1984. Adaptations of skeletal muscle toendurance exercise and their metabolic consequences. Journal of AppliedPhysiology: Respiratory, Environmental and Exercise Physiology, 56, 831-838.HOLLOWAY, G. & SPRIET, L. 2012. The metabolic systems: interaction of lipid andcarbohydrate metabolism. In: FARRELL, P., JOYNER, M. & CAIOZZO, V.(eds.) Advanced exercise physiology. 2nd ed. Philadelphia: Lippincott,Williams and Wilkins.HOPKINS, M., KING, N. A. & BLUNDELL, J. E. 2010. Acute and long-term effectsof exercise on appetite control: is there any benefit for weight control? CurrentOpinion in Clinical Nutrition and Metabolic Care, 13, 635-640.HOROWITZ, J. F. 2003. Fatty acid mobilization from adipose tissue during exercise.Trends in Endocrinology and Metabolism: TEM, 14, 386-392.HOROWITZ, J. F., MORA-RODRIQUEZ, R., BYERLEY, L. O. & COYLE, E. F. 1997.Lipolytic suppression following carbohydrate ingestion limits fat oxidationduring exercise. pdf. American Journal of Physiology, Endocrinology andMetabolism, 273, E768-E775.HORTON, T. J., PAGLIASSOTTI, M. J., HOBBS, K. & HILL, J. O. 1998. Fuelmetabolism in men and women during and after long-duration exercise.Journal of Applied Physiology, 85, 1823-1832.HULVER, M. W., BERGGREN, J. R., CORTRIGHT, R. N., DUDEK, R. W.,THOMPSON, R. P., PORIES, W. J., MACDONALD, K. G., CLINE, G. W.,SHULMAN, G. I., DOHM, G. L. & HOUMARD, J. A. 2003. Skeletal musclelipid metabolism with obesity. American Journal of Physiology, Endocrinologyand Metabolism, 284, E741-7.HULVER, M. W. & DOHM, G. L. 2004. The molecular mechanism linking muscle fataccumulation to insulin resistance. Proceedings of the Nutrition Society, 63,375-380.ITANI, S. I., RUDERMAN, N. B., SCHMIEDER, F. & BODEN, G. 2002. Lipid-inducedinsulin resistance in human muscle is associated with changes indiacylglycerols, Protein Kinase C, and IKB-a. Diabetes, 51, 2005-2011.IWAYAMA, K., KAWABUCHI, R., NABEKURA, Y., KURIHARA, R., PARK, I.,KOBAYASHI, M., OGATA, H., KAYABA, M., OMI, N., SATOH, M. &TOKUYAMA, K. 2017. Exercise before breakfast increases 24-h fat oxidationin female subjects. PloS One, 12, e0180472.IWAYAMA, K., KURIHARA, R., NABEKURA, Y., KAWABUCHI, R., PARK, I.,KOBAYASHI, M., OGATA, H., KAYABA, M., SATOH, M. & TOKUYAMA, K.2015. Exercise Increases 24-h Fat Oxidation Only When It Is PerformedBefore Breakfast. EBioMedicine, 2,2003-2009.JAHOOR, F., PETERS, E. J. & WOLFE, R. R. 1990. The relationship betweengluconeogenic substrate supply and glucose production in humans. TheAmerican Journal of Physiology, 258, E288-96.JENSSEN, T., NURJHAN, N., CONSOLI, A & GERICH, J. E. 1990. Failure ofsubstrate-induced gluconeogenesis to increase overall glucose appearancein normal humans. Demonstration of hepatic autoregulation without a changein plasma glucose concentration. The Journal of Clinical Investigation, 86,489-497.JEQUIER, E. 1994. Carbohydrates as a source of energy. The American Journal ofClinical Nutrition, 59, 682S-685S.JEUKENDRUP, A, RABEN, A, GIJSEN, A, STEGEN, J., BROUNS, F., SARIS, W.& WAGENMAKERS, A 1999. Glucose kinetics during prolonged exercise inhighly trained human subjects: effect of glucose ingestion. Journal ofPhysiology, 515(2), 579-589.JEUKENDRUP, A, SARIS, W. & WAGENMAKERS, A 1998. Fat metabolism duringexercise: a review. Part I: fatty acid mobilization and muscle metabolism.International Journal of Sports Medicine, 19, 1-16.JEUKENDRUP, A E. 2002. Regulation of Fat Metabolism in Skeletal Muscle.Annals of the New York Academy of Sciences, 967,217-235.JEUKENDRUP, A E. 2003. Modulation of carbohydrate and fat utilization by diet,exercise and environment. Biochemical Society Transactions, 31, 1270-1273.KAHN, B. B. & FLIER, J. S. 2000. Obesity and insulin resistance. The Journal ofClinical Investigation, 106,473-481.KELLEY, D., GOODPASTER, B., WING, R. & SIMONEAU, J. 1999. Skeletal musclefatty acid metabolism in association with insulin resistance, obesity, andweight loss. American Journal of Physiology, Endocrinology and Metabolism277,12.KELLEY, D. E. & SIMONEAU, J. A 1994. Impaired free fatty acid utilization byskeletal muscle in non-insulin-dependent diabetes mellitus. The Journal ofClinical Investigation, 94, 2349-2356.KIENS, B. & HELGE, J. W. 1998. Effect of high-fat diets on exercise performance.The Proceedings of the Nutrition Society, 57, 73-75.KIM, Y.-B., SHULMAN, G. I. & KAHN, B. B. 2002. Fatty Acid Infusion SelectivelyImpairs Insulin Action on Akt1 and Protein Kinase C M? but Not on GlycogenSynthase Kinase-3. Journal of Biological Chemistry, 277, 32915-32922.KING, N. A, HOPKINS, M., CAUDWELL, P., STUBBS, R. J. & BLUNDELL, J. E.2008. Individual variability following 12 weeks of supervised exercise:34 identification and characterization of compensation for exercise-inducedweight loss. International Journal of Obesity, 32, 177-184.KROUGH, A & LlNDHARD, J. 1920. The relative value of fat and carbohydrate assources of muscular energy. Biochemical Journal, 14(3-4),290-363.KRSSAK, M., PETERSEN, K. F., DRESNER, A, DIPIETRO, L., VOGEL, S. M.,ROTHMAN, D. L., SHULMAN, G. I. & RODEN, M. 1999. Intramyocellular lipidconcentrations are correlated with insulin sensitivity in humans; a 1 H NMRspectroscopy study. Diabetologia, 42.KUHL, J., HILDING, A, OSTENSON, C. G., GRILL, V., EFENDIC, S. &BAvENHOLM, P. 2005. Characterisation of subjects with early abnormalitiesof glucose tolerance in the Stockholm Diabetes Prevention Programme: theimpact of sex and type 2 diabetes heredity. Diabetologia, 48, 35-40.LAMBERT, J. E. & PARKS, E. J. 2012. Postprandial metabolism of meal triglyceridein humans. Biochimica et Biophysica Acta, 1821, 721-726.LAMONT, L. S. 2005. Gender differences in amino acid use during enduranceexercise. Nutrition Reviews, 63, 419-422.LAMONT, L. S., MCCULLOUGH, A J. & KALHAN, S. C. 2001. Gender differencesin leucine, but not lysine, kinetics. Journal of Applied Physiology, 91, 357-362.LANGFORT, J., PLOUG, T., IHLEMANN, J., HOLM, C. & GALBO, H. 2000.Stimulation of hormone-sensitive lipase activity by contractions in rat skeletalmuscle. BioChemical Journal, 351, 207-214.LANGFORT, J., PLOUG, T., IHLEMANN, J., SALDO, M., HOLM, C. & GALBO, H.1999. Expression of hormone-sensitive lipase and its regulation byadrenaline in skeletal muscle. Biochemical Journal, 340, 459-465.LANGIN, D., DICKER, A, TAVERNIER, G., HOFFSTEDT, J., MAIRAL, A, RYDEN,M., ARNER, E., SICARD, A, JENKINS, C. M., VIGUERIE, N., VANHARMELEN, V., GROSS, R. W., HOLM, C. & ARNER, P. 2005. Adipocytelipases and defect of lipolysis in human obesity. Diabetes, 54, 3190-3197.LAURENT, D., HUNDAL, R. S., DRESNER, A, PRICE, T. B., VOGEL, S. M.,PETERSEN, K. F. & SHULMAN, G. I. 2000. Mechanism of muscle glycogenautoregulation in humans. American Journal of Physiology, Endocrinologyand Metabolism, 278, E663-8.LIM, S. S., VOS, T., FLAXMAN, A D., DANAEI, G., SHIBUYA, K., ADAIR-ROHANI,H., AMANN, M., ANDERSON, H. R., ANDREWS, K. G., ARYEE, M., et al.2012. A comparative risk assessment of burden of disease and injuryattributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.Lancet, 380, 2224-2260.LUNDSGAARD, A-M. & KIENS, B. 2014. Gender differences in skeletal musclesubstrate metabolism - molecular mechanisms and insulin sensitivity.Frontiers in Endocrinology, 5, 1-6.MAHER, A C., AKHTAR, M. & TARNOPOLSKY, M. A 2010. Men supplementedwith 17beta-estradiol have increased beta-oxidation capacity in skeletalmuscle. Physiological Genomics, 42, 342-347.MARTIN, W. H., DALSKY, G. P., HURLEY, B. F., MATTHEWS, D. E., BIER, D. M.,HAGBERG, J. M., ROGERS, M. A, KING, D. S. & HOLLOSZY, J. O. 1993.Effect of endurance training on plasma free fatty acid turnover and oxidationduring exercise. The American Journal of Physiology, 265, E708-E714.MITTENDORFER, B., HOROWITZ, J. F. & KLEIN, S. 2001. Gender differences inlipid and glucose kinetics during short-term fasting. American Journal ofPhysiology, Endocrinology and Metabolism, 281, E1333-E1339.MORO, C., BAJPEYI, S. & SMITH, S. R. 2008. Determinants of intramyocellulartriglyceride turnover: implications for insulin sensitivity. American Journal ofPhysiology, Endocrinology and Metabolism, 294, E203-13.MUST, A, SPADANO, J., COAKLEY, E. H., FIELD, A E., COLDITZ, G. & DIETZ,W. H. 1999. The Disease Burden Associated With Overweight and Obesity.The Journal of the American Medical Association, 282, 1523-1529.NICKLAS, B. J., HACKNEY, A C. & SHARP, R. L. 1989. The menstrual cycle andexercise: performance, muscle glycogen, and substrate responses.International Journal of Sports Medicine, 10: 264-269.OLSHANSKY, S. J., PASSARO, D. J., HERSHOW, R. C., LAYDEN, J., CARNES,B. A, BRODY, J., HAYFLlCK, L., BUTLER, R. N., ALLISON, D. B. &LUDWIG, D. S. 2005. A Potential Decline in Life Expectancy in the UnitedStates in the 21 st Century. The New England Journal of Medicine, 352, 1138-1145.OOSTHUYSE, T. & BOSCH, A N. 2012. Estrogen's regulation of fat metabolismduring exercise and gender specific effects. Current Opinion inPharmacology, 12, 363-371.OWEN, O. E., MORGAN, A P., KEMP, H. G., SULLIVAN, J. M., HERRERA, M. G.& CAHILL, G. F. 1967. Brain metabolism during fasting. The Journal ofClinical Investigation, 46, 1589-1595.PAN, D., LlLLlOJA, S., KRIKETOS, A, MILNER, M., BAUR, L., BOGARDUS, C.,JENKINS, A & STORLlEN, L. 1997. Skeletal muscle triglyceride levels areinversely related to insulin action. Diabetes, 46, 983-988.PHILLIPS, D. I., CADDY, S., ILlC, V., FIELDING, B. A, FRAYN, K. N.,BORTHWICK, A C. & TAYLOR, R. 1996a. Intramuscular triglyceride and36 muscle insulin sensitivity: evidence for a relationship in non-diabetic subjects.Metabolism: Clinical and Experimental, 45,947-950.PHILLIPS, S. M., GREEN, H. J., TARNOPOLSKY, M. A, HEIGENHAUSER, G. F.,HILL, R. E. & GRANT, S. M. 1996b. Effects of training duration on substrateturnover and oxidation during exercise. Journal of Applied Physiology, 81,2182-2191.RATTARASARN, C., LEELAWATTANA, R. & SOONTHORNPUN, S. 2010.Contribution of skeletal muscle mass on sex differences in 2-hour plasmaglucose levels after oral glucose load in Thai subjects with normal glucosetolerance. Metabolism: Clinical and Experimental, 59, 172-176.RENNIE, K. L. & JEBB, S. A 2005. Prevalence of obesity in Great Britain. ObesityReview, 6, 11-12.ROMIJN, J. A, COYLE, E. F., SIDOSSIS, L. S., GASTALDELLI, A, HOROWITZ,J. F., ENDERT, E. & WOLFE, R. R. 1993. Regulation of endogenous fat andcarbohydrate metabolism in relation to exercise intensity and duration.American Journal of Physiology, 265, E380-E391.ROSS, R., DAGNONE, D., JONES, P. J. H., SMITH, H., PADDAGS, A, HUDSON,R. & JANSSEN, I. 2000. The effects of losing weight through diet or exerciseprograms on obesity. Annals of Internal Medicine, 133, 92-92.RUBY, B. C., ROBERGS, R. A, WATERS, D. L., BURGE, M., MERMIER, C. &STOLARCZYK, L. 1997. Effects of estradiol on substrate turnover duringexercise in amenorrheic females. Medicine and Science in Sports andExercise, 29, 1160-1169.SAVAGE, D. B., PETERSEN, K. F. & SHULMAN, G. I. 2007. Disordered lipidmetabolism and the pathogenesis of insulin resistance. PhysiologicalReviews, 87,507-520.SCHMITZ-PEIFFER, C. 2000. Signalling aspects of insulin resistance in skeletalmuscle. Cellular Signalling, 12, 583-594.SCHRAUWEN-HINDERLlNG, V. B., SCHRAUWEN, P., HESSELlNK, M. K., VANENGELSHOVEN, J. M., NICOLAY, K., SARIS, W. H., KESSELS, A G. &KOOI, M. E. 2003. The increase in intramyocellular lipid content is a veryearly response to training. The Journal of Clinical Endocrinology andMetabolism, 88, 1610-1616.SHAW, C. S., CLARK, J. & WAGENMAKERS, A J. M. 2010. The Effect of Exerciseand Nutrition on Intramuscular Fat Metabolism and Insulin Sensitivity. AnnualReview of Nutrition, 30, 13-34.SIDOSSIS, L. S., STUART, C. A, SHULMAN, G. I., LOPASCHUK, G. D. & WOLFE,R. R. 1996. Glucose plus insulin regulate fat oxidation by controlling the rate of fatty acid entry into the mitochondria. The Journal of Clinical Investigation,98,2244-2250.SIMONEAU, J. A, COLBERG, S. R, THAETE, F. L. & KELLEY, D. E. 1995. Skeletalmuscle glycolytic and oxidative enzyme capacities are determinants of insulinsensitivity and muscle composition in obese women. FASEB journal: officialpublication of the Federation of American Societies for Experimental Biology,9,273-278.SPRIET, L. 2012. The metabolic systems: lipid metabolism. In: FARRELL, P.,JOYNER, M. & CAIOZZO, V. (eds.) Advanced Exercise Physiology.Philadelphia: Lippincott, Williams and Wilkins.SPRIET, L. L. 2002. Regulation of skeletal muscle fat oxidation during exercise inhumans. Medicine and Science in Sports and Exercise, 34, 1477-1484.STACHENFELD, N. S. & TAYLOR, H. S. 2014. Challenges and methodology fortesting young healthy women in physiological studies. American Journal ofPhysiology, Endocrinology and Metabolism, 306, E849-E853.STANNARD, S. R, BUCKLEY, A J., EDGE, J. A & THOMPSON, M. W. 2010.Adaptations to skeletal muscle with endurance exercise training in the acutelyfed versus overnight-fasted state. Journal of Science and Medicine in Sport,13,465-469.STEVENS, G. A, SINGH, G. M., LU, Y., DANAEI, G., LIN, J. K., FINUCANE, M. M.,BAHALlM, A N., MCINTIRE, R K., GUTIERREZ, H. R., COWAN, M.,PACIOREK, C. J., FARZADFAR, F., RILEY, L., EZZAT I , M. & GLOBALBURDEN OF METABOLIC RISK FACTORS OF CHRONIC DISEASESCOLLABORATING, G. 2012. National, regional, and global trends in adultoverweight and obesity prevalence. Population Health Metrics, 10, 22-22.TARNOPOLSKY, L. J., MACDOUGALL, J. D., ATKINSON, S. A, TARNOPOLSKY,M. A & SUTTON, J. R. 1990. Gender differences in substrate for enduranceexercise. Journal of Applied Physiology, 68,302-308.TARNOPOLSKY, M. A 2000. Gender differences in metabolism; nutrition andsupplements. Journal of Science and Medicine in Sport, 3,287-298.TARNOPOLSKY, M. A 2008. Sex differences in exercise metabolism and the roleof 17-beta estradiol. Medicine and Science in Sports and Exercise, 40, 648-654.TARNOPOLSKY, M. A, ATKINSON, S. A, PHILLIPS, S. M. & MACDOUGALL, J.D. 1995. Carbohydrate loading and metabolism during exercise in men andwomen. Journal of Applied Physiology, 78, 1360-1368.THOMPSON, D., PEACOCK, O. J. & BETTS, J. A 2014. Substitution andcompensation Erode the energy deficit from exercise interventions. Medicineand Science in Sports and Exercise, 46,423.TURCOTTE, L. P., RICHTER, E. A. & KIENS, B. 1992. Increased plasma FFAuptake and oxidation during prolonged exercise in trained vs. untrainedhumans. The American Journal of Physiology, 262, E791-9.VAN HALL, G. 2015. The physiological regulation of skeletal muscle fatty acidsupply and oxidation during moderate-intensity exercise. Sports Medicine, 45Suppl 1, S23-32.VAN HALL, G., SACCHETTI, M., RADEGRAN, G. & SALTIN, B. 2002. Humanskeletal muscle fatty acid and glycerol metabolism during rest, exercise andrecovery. The Journal of Physiology, 543, 1047-1058.VAN LOON, L. J. C. 2004. Use of intramuscular triacylglycerol as a substrate sourceduring exercise in humans. Journal of Applied Physiology, 97, 1170-1187.VAN LOON, L. J. C., GREENHAFF, P. L., CONSTANTIN-TEODOSIU, D., SARIS,W. H. M. & WAGENMAKERS, A. J. M. 2001. The effects of increasingexercise intensity on muscle fuel utilisation in humans. The Journal ofPhysiology, 536,295-304.VAN LOON, L. J. C., KOOPMAN, R., STEGEN, J. H. C. H., WAGENMAKERS, A.J. M., KEIZER, H. A. & SARIS, W. H. M. 2003. Intramyocellular lipids forman important substrate source during moderate intensity exercise inendurance-trained males in a fasted state. Journal of Physiology, 553.2,611-625.VAN PROEYEN, K., SZLUFCIK, K., NIELENS, H., PELGRIM, K., DELDICQUE, L.,HESSELlNK, M., VAN VELDHOVEN, P. P. & HESPEL, P. 2010. Training inthe fasted state improves glucose tolerance during fat-rich diet. The Journalof Physiology, 588,4289-4302.VAN PROEYEN, K., SZLUFCIK, K., NIELENS, H., RAMAEKERS, M. & HESPEL,P. 2011. Beneficial metabolic adaptations due to endurance exercise trainingin the fasted state. Journal of Applied Physiology, 110, 236-245.VENABLES, M. C. & JEUKENDRUP, A. E. 2008. Endurance training and obesity:effect on substrate metabolism and insulin sensitivity. Medicine and Sciencein Sports and Exercise, 40,495-502.VENABLES, M. C. & JEUKENDRUP, A. E. 2009. Physical inactivity and obesity:links with insulin resistance and type 2 diabetes mellitus.Diabetes/Metabolism Research and Reviews, 25 Suppl 1, S18-S23.VIEIRA, A. F., COSTA, R. R., MACEDO, R. C. 0., COCONCELLI, L. & KRUEL, L.F. M. 2016. Effects of aerobic exercise performed in fasted v. fed state on fatand carbohydrate metabolism in adults: a systematic review and metaanalysis.The British Journal of Nutrition, 116, 1153-1164.VOGELS, N., DIEPVENS, K. & WESTERTERP-PLANTENGA, M. 2005. Predictorsof long-term weight maintenance. Obesity Research, 13,2162-2168.WAGENMAKERS, A, BROOKES, J., COAKLEY, J., REILLY, T. & EDWARDS, R.1989. Exercise-induced activation of the branched-chain 2-oxo aciddehydrogenase in human muscle. European Journal of Applied Physiology,59,9.WAGENMAKERS, A J. M. 1991. Carbohydrate supplementation glycogendepletion and amino acid metabolism during exercise. American Journal ofPhysiology, 260, E883-E890.WALLIS, G. A & GONZALEZ, J. T. 2019. Is exercise best served on an emptystomach? The Proceedings ofthe Nutrition Society, 78,110-117.WASSERMAN, D. 2009. Four grams of glucose. American Journal of Physiology,Endocrinology and Metabolism, 296(1), E11-E21.WATT, M. J., HEIGENHAUSER, G. J. & SPRIET, L. L. 2002a. Intramusculartriacylglycerol utilization in human skeletal muscle during exercise; is there acontroversy. Journal of Applied Physiology, 93(4), 1185-1195.WATT, M. J., HEIGENHAUSER, G. J. F., DYCK, D. J. & SPRIET, L. L. 2002b.Intramuscular triacylglycerol, glycogen and acetyl group metabolism during 4h of moderate exercise in man. The Journal of Physiology, 541,969-978.WHO 2000. Obesity preventing and managing the global epidemic. Report of aWHO consultation. World Health Tech Rep Ser. 894: i-xii. World HealthOrganization, 95.WHO 2013. Obesity and overweight. World Health Organization.WOLFE, R R 1998. Metabolic interactions between glucose and fatty acids inhumans. The American Journal of Clinical Nutrition, 67, 519S-526S.WOLFE, R R., KLEIN, S., CARRARO, F. & WEBER, J. M. 1990. Role oftriglyceride-fatty acid cycle in controlling fat metabolism in humans during andafter exercise. The American Journal of Physiology, 258, E382-9.WU, C.-L., NICHOLAS, C., WILLIAMS, C., TOOK, A & HARDY, L. 2003. Theinfluence of high-carbohydrate meals with different glycaemic indices onsubstrate utilisation during subsequent exercise. The British Journal ofNutrition, 90, 1049-1056.YEO, W. K., CAREY, A L., BURKE, L., SPRIET, L. L. & HAWLEY, J. A 2011. Fatadaptation in well-trained athletes: effects on cell metabolism. AppliedPhysiology, Nutrition and Metabolism, 36, 12-22.ZDERIC, T. W., COGGAN, A R & RUBY, B. C. 2001. Glucose kinetics andsubstrate oxidation during exercise in the follicular and luteal phases. Journalof Applied Physiology, 90: 447-453.ZEHNDER, M., CHRIST, E. R., ITH, M., ACHESON, K. J., POUTEAU, E., KREIS,R, TREPP, R, DIEM, P., BOESCH, C. & DECOMBAZ, J. 2006.40 Intramyocellular lipid stores increased markedly in athletes after 1.5 days lipidsupplementation and are utilized during exercise in proportion to theircontent. European Journal of Applied Physiology, 98, 341-354.BASKIN, M. L., ARD, J., FRANKLIN, F. & ALLISON, D. B. 2005. Prevalence ofobesity in the United States. Obesiy Reviews, 6,5-7.BENNARD, P. & DOUCET, E. R. 2006. Acute effects of exercise timing andbreakfast meal glycemic index on exercise-induced fat oxidation. AppliedPhysiology Nutrition and Metabolism, 31,502-511.BERGSTROM, J. 1975. Percutaneous needle biopsy of skeletal muscle inphysiological and clinical research. Scandinavian Journal of Clinical andLaboratory Investigation, 35, 609-616.BORG, G. 1982. Ratings of perceived exertion and heart rates during short-termcycle exercise and their use in a new cycling strength test. InternationalJournal of Sports Medicine, 3, 153-158.CHOW, L. S., MASHEK, D. G., WANG, Q., SHEPHERD, S. 0., GOODPASTER, B.H. & DUBE, J. J. 2017. Effect of acute physiological free fatty acid elevationin the context of hyperinsulinemia on fiber type-specific IMCL accumulation.Journal of Applied Physiology, 123, 71-78.COHEN, J. 1988. Statistical power analysis for the behavioural sciences. 2nd ed.Hillsdale (NJ): Lawrence Erlbaum Associates, 22-25.COYLE, E. F., JEUKENDRUP, A E., WAGENMAKERS, A & SARIS, W. 1997.Fatty acid oxidation is directly regulated by carbohydrate metabolism duringexercise. American Journal of Physiology, Endocrinology and Metabolism -Clinical and Experimental, 273, E268-E275.CUMMING, G. & Finch, S. 2001. A primer on the understanding, use, andcalculation of confidence intervals that are based on central and noncentraldistributions. Educational and Psychological Measurement, 61 (4), 532-574.DE BOCK, K., RICHTER, E. A, RUSSELL, A P., EIJNDE, B. 0., DERAVE, W.,RAMAEKERS, M., KONINCKX, E., LEGER, B., VERHAEGHE, J. &HESPEL, P. 2005. Exercise in the fasted state facilitates fibre type-specificintramyocellular lipid breakdown and stimulates glycogen resynthesis inhumans. The Journal of Physiology, 564, 649-660.DEENEY, J. T., GROMADA, J., H0Y, M., OLSEN, H. L., RHODES, C. J., PRENTKI,M., BERGGREN, P. o. & CORKEY, B. E. 2000. Acute stimulation with longchain acyl-CoA enhances exocytosis in insulin-secreting cells (HIT T-15 andNMRI beta-cells). The Journal of Biological Chemistry, 275,9363-9368.DERAVE, W., MERTENS, A, MULS, E., PARDAENS, K. & HESPEL, P. 2007.Effects of post-absorptive and postprandial exercise on glucoregulation inmetabolic syndrome. Obesity, 15, 704-711.FARAH, N. & GILL, J. 2013. Effects of exercise before or after meal ingestion on fatbalance and postprandial metabolism in overweight men. British Journal ofNutrition, 109,2297-2307.FAO. 2004. Human energy requirements. Report of a Joint FAOIWHO/UNU ExpertConsultation, Rome, 17-24 October 2001.FRAYN, K. N. 1983. Calculation of substrate oxidation rates in vivo from gaseousexchange. Journal of Applied Physiology: Respiratory, Environmental andExercise Physiology, 55,628-634.GALLUS, S., LUGO, A., MURISIC, B., BOSETTI, C., BOFFETTA, P. & LAVECCHIA, C. 2015. Overweight and obesity in 16 European countries.European Journal of Nutrition, 54, 679-689.GOODPASTER, B. H., HE, J., WATKINS, S. & KELLEY, D. E. 2001. Skeletalmuscle lipid content and insulin resistance: evidence for a paradox inendurance-trained athletes. The Journal of Clinical Endocrinology andMetabolism, 86, 5755-5761.GOODPASTER, B. H., THAETE, F. L., JEAN-AIME, S. & KELLEY, D. E. 1997.Subcutaneous abdominal fat and thigh muscle composition predict insulinsensitivity independently of visceral fat. Diabetes, 46, 1579-1585.GOODPASTER, B. H., THERIAULT, R, WATKINS, S. C. & KELLEY, D. E. 2000.Intramuscular lipid content is increased in obesity and decreased by weightloss. Metabolism - Clinical and Experimental, 49,467-472.HOLM, S. 1979. A simple sequentially rejective multiple test procedure.Scandinavian Journal of Statistics, 6,65-70.HOROWITZ, J. F., MORA-RODRIQUEZ, R., BYERLEY, L. O. & COYLE, E. F. 1997.Lipolytic suppression following carbohydrate ingestion limits fat oxidationduring exercise. pdf. American Journal of Physiology, Endocrinology andMetabolism, 273, E768-E775.HULVER, M. W. & DOHM, G. L. 2004. The molecular mechanism linking muscle fataccumulation to insulin resistance. Proceedings of the Nutrition Society, 63,375-380.IPAVEC-LEVASSEUR, S., CROCI, I., CHOQUETTE, S., BYRNE, N. M., COWIN,G., O'MOORE-SULLIVAN, T. M., PRINS, J. B. & HICKMAN, I. J. 2015. Effectof t-h moderate-intensity aerobic exercise on intramyocellular lipids in obesemen before and after a lifestyle intervention. Applied Physiology, Nutrition,and Metabolism, 40, 1262-1268.IWAYAMA, K., KURIHARA, R., NABEKURA, Y., KAWABUCHI, R, PARK, I.,KOBAYASHI, M., OGATA, H., KAYABA, M., SATOH, M. & TOKUYAMA, K.2015. Exercise Increases 24-h Fat Oxidation Only When It Is PerformedBefore Breakfast. EBioMedicine, 2,2003-2009.KLEIN, S., BURKE, L. E., BRAY, G. A., BLAIR, S., ALLISON, D. B., PI-SUNYER,X., HONG, Y. & ECKEL, R H. 2004. Clinical Implications of Obesity With Specific Focus on Cardiovascular Disease. A Statement for ProfessionalsFrom the American Heart Association Council on Nutrition, Physical Activity,and Metabolism: Endorsed by the American College of CardiologyFoundation, 110, 2952-2967.KRSSAK, M., PETERSEN, K. F., DRESNER, A, DIPIETRO, L., VOGEL, S. M.,ROTHMAN, D. L., SHULMAN, G. I. & RODEN, M. 1999. Intramyocellular lipidconcentrations are correlated with insulin sensitivity in humans; a 1 H NMRspectroscopy study. Diabetologia, 42, 113-116.LARSON-MEYER, D. E., SMITH, S. R, HEILBRONN, L. K., KELLEY, D. E.,RAVUSSIN, E., NEWCOMER, B. R & LOOK, A A R. G. 2006. Muscleassociatedtriglyceride measured by computed tomography and magneticresonance spectroscopy. Obesity, 14,73-87.MCGARRY, J. D. & DOBBINS, R L. 1999. Fatty acids, lipotoxicity and insulinsecretion. Diabetologia, 42, 128-138.MORO, C., BAJPEYI, S. & SMITH, S. R. 2008. Determinants of intramyocellulartriglyceride turnover: implications for insulin sensitivity. American Journal ofPhysiology, Endocrinology and Metabolism, 294, E203-E213.NELLEMANN, B., SONDERGAARD, E., JENSEN, J., PEDERSEN, S. B., JESSEN,N., JORGENSEN, J. O. & NIELSEN, S. 2014. Kinetics and utilization of lipidsources during acute exercise and acipimox. American Journal ofPhysiology, Endocrinology and Metabolism, 307, E199-E208.NICE 2014. Obesity identification, assessment and management.https://www.nice.org.uk/guidance/cg189/chapter/1-ecommendations#identification-and-c1assification-of-overweight-andobesity.National Institute for Health and Care Excellence.RENNIE, K. L. & JEBB, S. A 2005. Prevalence of obesity in Great Britain. ObesityReview, 6, 11-12.ROSE, A J., HOWLETT, K., KING, D. S. & HARGREAVES, M. 2001. Effect of priorexercise on glucose metabolism in trained men. American Journal ofPhysiology, Endocrinology and Metabolism, 281, E766-E771.ROSS, R., DAGNONE, D., JONES, P. J. H., SMITH, H., PADDAGS, A, HUDSON,R. & JANSSEN, I. 2000. THe effects of losing weight through diet or exerciseprograms on obesity. Annals of Internal Medicine, 133, 92-92.RUSSELL, A P. 2004. Lipotoxicity: the obese and endurance-trained paradox.International Journal of Obesity and Related Metabolic Disorders: Journal ofthe International Association for the Study of Obesity, 28 Suppl 4, S66-S71.SHAW, C. S., CLARK, J. & WAGENMAKERS, A J. M. 2010. The Effect of Exerciseand Nutrition on Intramuscular Fat Metabolism and Insulin Sensitivity. AnnualReview of Nutrition, 30, 13-34.SHEPHERD, S. 0., COCKS, M., TIPTON, K. D., RANASINGHE, A M., BARKER,T. A, BURNISTON, J. G., WAGENMAKERS, A J. M. & SHAW, C. S. 2012. Preferential utilization of perilipin 2-associated intramuscular triglyceridesduring 1 h of moderate-intensity endurance-type exercise. ExperimentalPhysiology, 97,970-980.VAN LOON, L. J. C. 2004. Use of intramuscular triacylglycerol as a substrate sourceduring exercise in humans. Journal of Applied Physiology, 97, 1170-1187.VAN LOON, L. J. C., KOOPMAN, R., STEGEN, J. H. C. H., WAGENMAKERS, A.J. M., KEIZER, H. A. & SARIS, W. H. M. 2003. Intramyocellular lipids forman important substrate source during moderate intensity exercise inendurance-trained males in a fasted state. The Journal of Physiology, 553,611-625.VAN PROEYEN, K., SZLUFCIK, K., NIELENS, H., PELGRIM, K., DELDICQUE, L.,HESSELlNK, M., VAN VELDHOVEN, P. P. & HESPEL, P. 2010. Training inthe fasted state improves glucose tolerance during fat-rich diet. The Journalof Physiology, 588,4289-4302.VIEIRA, A. F., COSTA, R. R., MACEDO, R. C. 0., COCONCELLI, L. & KRUEL, L.F. M. 2016. Effects of aerobic exercise performed in fasted v. fed state on fatand carbohydrate metabolism in adults: a systematic review and metaanalysis.The British journal of Nutrition, 116, 1153-1164.WATT, M. J., KRUSTRUP, P., SECHER, N. H., SALTIN, B., PEDERSEN, B. K. &FEBBRAIO, M. A. 2004. Glucose ingestion blunts hormone-sensitive lipaseactivity in contracting human skeletal muscle. American Journal ofPhysiology, Endocrinology and Metabolism, 286, E 144-E 150.WEIR, J. B. D. B. 1949. New methods for calculating metabolic rate with specialreference to protein metabolism. The Journal of Physiology, 109, 1-9.WHO 2000. Obesity preventing and managing the global epidemic. Report of aWHO consultation. World Health Tech Rep Ser. 894:i-xii. World HealthOrganization, 9 5.WHO & IDF 2006. Definition and diagnosis of diabetes mellitus and intermediatehyperglycaemia: report of a WHO/IDF consultation. World HealthOrganization and International Diabetes Federation.WU, C.-L., NICHOLAS, C., WILLIAMS, C., TOOK, A. & HARDY, L. 2003. Theinfluence of high-carbohydrate meals with different glycaemic indices onsubstrate utilisation during subsequent exercise. The British Journal ofNutrition, 90, 1049-1056.YANEY, G. C., KORCHAK, H. M. & CORKEY, B. E. 2000. Long-chain acyl CoAregulation of protein kinase C and fatty acid potentiation of glucosestimulatedinsulin secretion in clonal beta-cells. Endocrinology, 141, 1989-1998.BACHMAN, J. L., DEITRICK, R. W. & HILLMAN, A R. 2016. Exercising in the fastedstate reduced 24-hour energy intake in active male adults. Journal of Nutritionand Metabolism, 1-7.BORG, G. 1982. Ratings of perceived exertion and heart rates during short-termcycle exercise and their use in a new cycling strength test. InternationalJournal of Sports Medicine, 3, 153-158.BROOKS, G. A, BUTTE, N. F., RAND, W. M., FLATT, J.-P. & CABALLERO, B.2004. Chronicle of the Institute of Medicine physical activity recommendation:how a physical activity recommendation came to be among dietaryrecommendations. The American Journal of Clinical Nutrition, 79, 921 S-930S.BROOM, D. R., BATTERHAM, R. L., KING, J. A. & STENSEL, D. J. 2009. Influenceof resistance and aerobic exercise on hunger, circulating levels of acylatedghrelin, and peptide YY in healthy males. American Journal of Physiology.Regulatory, Integrative and Comparative Physiology, 296, R29-R35.BROOM, D. R., STENSEL, D. J., BISHOP, N. C., BURNS, S. F. & MIYASHITA, M.2007. Exercise-induced suppression of acylated ghrelin in humans. Journalof Applied Physiology, 102, 2165-2171.CLAYTON, D. J., STENSEL, D. J. & JAMES, L. J. 2016. Effect of breakfast omissionon subjective appetite, metabolism, acylated ghrelin and GLP-17-36 duringrest and exercise. Nutrition, 32, 179-185.COHEN, J. 1988. Statistical power analysis for the behavioural sciences. 2nd ed.Hillsdale (NJ): Lawrence Erlbaum Associates, 22-25.COLBERG, S. R., HAGBERG, J. M., MCCOLE, S. D., ZMUDA, J. M., THOMPSON,P. D. & KELLEY, D. E. 1996. Utilization of glycogen but not plasma glucoseis reduced in individuals with NIDDM during mild-intensity exercise. Journalof Applied Physiology, 81,2027-2033.CRAIG, C. L., MARSHALL, A L., SJOSTROM, M., BAUMAN, A E., BOOTH, M. L.,AINSWORTH, B. E., PRATT, M., EKELUND, U., YNGVE, A, SALLIS, J. F.& OJA, P. 2003. International physical activity questionnaire: 12-countryreliability and validity. Medicine and Science in Sports and Exercise, 35,1381-1395.CUMMING, G. & Finch, S. 2001. A primer on the understanding, use, andcalculation of confidence intervals that are based on central and noncentraldistributions. Educational and Psychological Measurement, 61 (4),532-574.DERAVE, W., MERTENS, A, MULS, E., PARDAENS, K. & HESPEL, P. 2007.Effects of post-absorptive and postprandial exercise on glucoregulation inmetabolic syndrome. Obesity, 15,704-711.ENEVOLDSEN, L. H., SIMONSEN, L., MACDONALD, I. A & BOLOW, J. 2004. Thecombined effects of exercise and food intake on adipose tissue andsplanchnic metabolism. The Journal of Physiology, 561,871-882.FARAH, N. & GILL, J. 2013. Effects of exercise before or after meal ingestion on fatbalance and postprandial metabolism in overweight men. British Journal ofNutrition, 109, 2297-2307.FLINT, A, RABEN, A, BLUNDELL, J. E. & ASTRUP, A 2000. Reproducibility,power and validity of visual analogue scales in assessment of appetitesensations in single test meal studies. International Journal of Obesity andRelated Metabolic Disorders: Journal of the International Association for theStudy of Obesity, 24, 38-48.GONZALEZ, J. T., FUCHS, C. J., SMITH, F. E., THELWALL, P. E., TAYLOR, R.,STEVENSON, E. J., TRENELL, M. I., CERMAK, N. M. & VAN LOON, L. J.2015. Ingestion of glucose or sucrose prevents liver but not muscle glycogendepletion during prolonged endurance-type exercise in trained cyclists.American Journal of Physiology, Endocrinology and Metabolism, 309,E1 032-E1 039.GONZALEZ, J. T., VEASEY, R. C., RUMBOLD, P. L. S. & STEVENSON, E. J. 2013.Breakfast and exercise contingently affect postprandial metabolism andenergy balance in physically active males. The British Journal of Nutrition,110,721-732.HAGOBIAN, T. A, SHAROFF, C. G. & BRAUN, B. 2008. Effects of short-termexercise and energy surplus on hormones related to regulation of energybalance. Metabolism: Clinical and Experimental, 57, 393-398.HAINER, V., KUNESOVA, M., PARlzKOVA, J., STICH, V., MIKULOVA, R. &SLABA, S. 2000. Respiratory quotient in obesity: its association with an abilityto retain weight loss and with parental obesity. Sbornik Lekarsky, 101, 99-104.HENDERSON, G. C. & ALDERMAN, B. L. 2014. Determinants of resting lipidoxidation in response to a prior bout of endurance exercise. Journal ofApplied Physiology, 116, 95-103.HENDERSON, G. C., FATTOR, J. A, HORNING, M. A, FAGHIHNIA, N.,JOHNSON, M. L., MAU, T. L., LUKE-ZEITOUN, M. & BROOKS, G. A. 2007.Lipolysis and fatty acid metabolism in men and women during thepostexercise recovery period. The Journal of Physiology, 584, 963-981.HOKANSON, J. E. & AUSTIN, M. A 1996. Plasma triglyceride level is a risk factorfor cardiovascular disease independent of high-density lipoproteincholesterol level: a meta-analysis of population-based prospective studies.Journal of Cardiovascular Risk, 3, 213-219.HORTON, T. J., PAGLIASSOTTI, M. J., HOBBS, K. & HILL, J. O. 1998. Fuelmetabolism in men and women during and after long-duration exercise.Journal of Applied Physiology, 85, 1823-1832.IMBEAULT, P., SAINT-PIERRE, S., ALMERAS, N. & TREMBLAY, A 1997. Acuteeffects of exercise on energy intake and feeding behaviour. The BritishJournal of Nutrition, 77,511-521.KELLEY, D. E., WILLIAMS, K. V., PRICE, J. C., MCKOLANIS, T. M.,GOODPASTER, B. H. & THAETE, F. L. 2001. Plasma fatty acids, adiposity,and variance of skeletal muscle insulin resistance in type 2 diabetes mellitus.The Journal of Clinical Endocrinology and Metabolism, 86, 5412-5419.KIM, J. Y., HICKNER, R. C., CORTRIGHT, R. L., DOHM, G. L. & HOUMARD, J. A.2000. Lipid oxidation is reduced in obese human skeletal muscle. AmericanJournal of Physiology, Endocrinology and Metabolism, 279, E1 039-E1 044.KING, J. A, WASSE, L. K., EWENS, J., CRYSTALLlS, K., EMMANUEL, J.,BATTERHAM, R. L. & STENSEL, D. J. 2011. Differential acylated ghrelin,peptide YY3-36, appetite, and food intake responses to equivalent energydeficits created by exercise and food restriction. The Journal of ClinicalEndocrinologyandM, 96, 1114-1121.KING, N. A, BURLEY, V. J. & BLUNDELL, J. E. 1994. Exercise-inducedsuppression of appetite: effects on food intake and implications for energybalance. European Journal of Clinical Nutrition, 48, 715-724.LI, J., O'CONNOR, L. E., ZHOU, J. & CAMPBELL, W. W. 2014. Exercise patterns,ingestive behaviors, and energy balance. Physiology and Behavior, 134, 70-75.MARTINS, C., MORGAN, L. M., BLOOM, S. R. & ROBERTSON, M. D. 2007. Effectsof exercise on gut peptides, energy intake and appetite. The Journal ofEndocrinology, 193, 251-258.MITTENDORFER, B., HOROWITZ, J. F. & KLEIN, S. 2001. Gender differences inlipid and glucose kinetics during short-term fasting. American Journal ofPhysiology, Endocrinology and Metabolism, 281, E1333-E1339.NICE 2014. Obesity identification, assessment and management.https:llwww.nice.org.uk/guidance/cg189/chapter/1 ecommendations#identification-and-classification-of-overweight-and-obesity. National Institute forHealth and Care Excellence.SEIDELL, J. C., MULLER, D. C., SORKIN, J. D. & ANDRES, R. 1992. Fastingrespiratory exchange ratio and resting metabolic rate as predictors of weightgain: the Baltimore Longitudinal Study on Aging. International Journal ofObesity and Related Metabolic Disorders : Journal of the InternationalAssociation for the Study of Obesity, 16, 667-674.STRICKER, R., EBERHART, R., CHEVAILLER, M.-C., QUINN, F. A, BISCHOF, P.& STRICKER, R. 2006. Establishment of detailed reference values forluteinizing hormone, follicle stimulating hormone, estradiol, and progesteroneduring different phases of the menstrual cycle on the Abbott ARCHITECTanalyzer. Clinical Chemistry and Laboratory Medicine, 44, 883-887.TARNOPOLSKY, M. A 2000. Gender differences in metabolism; nutrition andsupplements. Journal of Science and Medicine in Sport, 3,287-298.VIEIRA, A F., COSTA, R. R., MACEDO, R. C. 0., COCONCELLI, L. & KRUEL, L.F. M. 2016. Effects of aerobic exercise performed in fasted v. fed state on fatand carbohydrate metabolism in adults: a systematic review and metaanalysis.The British Journal of Nutrition, 116, 1153-1164.WHO & IDF 2006. Definition and diagnosis of diabetes mellitus and intermediatehyperglycaemia: report of a WHO/IDF consultation. World HealthOrganization and International Diabetes Federation.ZURLO, F., LlLLlOJA, S., ESPOSITO-DEL PUENTE, A., NYOMBA, B. L., RAZ, I.,SAAD, M. F., SWINBURN, B. A, KNOWLER, W. C., BOGARDUS, C. &RAVUSSIN, E. 1990. Low ratio of fat to carbohydrate oxidation as predictorof weight gain: study of 24-h RQ. American Journal of Physiology,Endocrinology and Metabolism, 259, E650-E657.ANDERWALD, C., GASTALDELLI, A, TURA, A, KREBS, M., PROMINTZERSCHIFFERL,M., KAUTZKY-WILLER, A, STADLER, M., DEFRONZO, R.,PACINI, G. & BISCHOF, M. 2011. Mechanism and effects of glucoseabsorption during an oral glucose tolerance test among females and males.The Journal of Clinical Endocrinology and Metabolism, 96(2), 515-524.BLAAK, E. E., VAN AGGEL-LEIJSSEN, D. P., WAGENMAKERS, A J., SARIS, W.H. & VAN BAAK, M. A 2000. Impaired oxidation of plasma-derived fatty acidsin type 2 diabetic subjects during moderate-intensity exercise. Diabetes, 49,2102.BORG, G. 1982. Ratings of perceived exertion and heart rates during short-termcycle exercise and their use in a new cycling strength test. InternationalJournal of Sports Medicine, 3, 153-158.BROOKS, G. A, BUTTE, N. F., RAND, W. M., FLATT, J.-P. & CABALLERO, B.2004. Chronicle of the Institute of Medicine physical activity recommendation:how a physical activity recommendation came to be among dietaryrecommendations. The American Journal of Clinical Nutrition, 79, 921 S-930S.CAMPBELL, S. E. & FEBBRAIO, M. A 2001. Effects of ovarian hormones onexercise metabolism. Current Opinion in Clinical Nutrition and MetabolicCare, 4, 515-520.CARTER, S., MCKENZIE, S., MOURTZAKIS, M., MAHONEY, D. J. &TARNOPOLSKY, M. A 2001. Short-term 17beta-estradiol decreasesglucose R(a) but not whole body metabolism during endurance exercise.Journal of Applied Physiology, 90, 139-146.CLAUSEN, J. 0., BORCH-JOHNSEN, K., IBSEN, H., BERGMAN, R. N.,HOUGAARD, P., WINTHER, K. & PEDERSEN, O. 1996. Insulin sensitivityindex, acute insulin response, and glucose effectiveness in a populationbasedsample of 380 young healthy Caucasians. Analysis of the impact ofgender, body fat, physical fitness, and life-style factors. The Journal ofClinical Investigation, 98, 1195-1209.COHEN, J. 1988. Statistical power analysis for the behavioural sciences. 2nd ed.Hillsdale (NJ): Lawrence Erlbaum Associates, 22-25.CORPELEIJN, E., SARIS, W. & BLAAK, E. 2009. Metabolic flexibility in thedevelopment of insulin resistance and type 2 diabetes; effects of lifestyle.Obesity Reviews, 10, 16.CRAIG, C. L., MARSHALL, A L., SJOSTROM, M., BAUMAN, A E., BOOTH, M. L.,AINSWORTH, B. E., PRATT, M., EKELUND, U., YNGVE, A, SALLIS, J. F.& OJA, P. 2003. International physical activity questionnaire: 12-countryreliability and validity. Medicine and Science in Sports and Exercise, 35,1381-1395.CUMMING, G. & Finch, S. 2001. A primer on the understanding, use, andcalculation of confidence intervals that are based on central and noncentraldistributions. Educational and Psychological Measurement, 61 (4), 532-574.DAVIDSON, L. E., WANG, J., THORNTON, J. C., KALEEM, Z., SILVA-PALACIOS,F., PIERSON, R. N., HEYMSFIELD, S. B. & GALLAGHER, D. 2011.Predicting fat percent by skinfolds in racial groups: Durnin and Womersleyrevisited. Medicine and Science in Sports and Exercise, 43,542-549.DEVRIES, M. C., HAMADEH, M. J., PHILLIPS, S. M. & TARNOPOLSKY, M. A2006. Menstrual cycle phase and sex influence muscle glycogen utilizationand glucose turnover during moderate-intensity endurance exercise.American Journal of Physiology. Regulatory, Integrative and ComparativePhysiology, 291, R 1120-8.FRAYN, K. N. 1983. Calculation of substrate oxidation rates in vivo from gaseousexchange. Journal of Applied Physiology: Respiratory, Environmental andExercise Physiology, 55,628-634.GALGANI, J. E., MORO, C. & RAVUSSIN, E. 2008a. Metabolic flexibility and insulinresistance. American Journal of Physiology, Endocrinology and Metabolism,295, E1 009-E1 017.GALGANI, J. E., PI-SUNYER, X., HEILBRONN, L. K., SMITH, S. R., AZUMA, K. &RAVUSSIN, E. 2008b. Metabolic flexibility in response to glucose is notimpaired in people with type 2 diabetes after controlling for glucose disposalrate. Diabetes, 57,5.HALL, L. M. L., MORAN, C. N., MILNE, G. R., WILSON, J., MACFARLANE, N. G.,FOROUHI, N. G., HARIHARAN, N., SALT, I. P., SATTAR, N. & GILL, J. M.R. 2010. Fat oxidation, fitness and skeletal muscle expression ofoxidative/lipid metabolism genes in South Asians: implications for insulinresistance? PloS One, 5, e14197.HENDERSON, G. C. 2014. Sexual dimorphism in the effects of exercise onmetabolism of lipids to support resting metabolism. Frontiers inEndocrinology, 5, 1-8.H0EG, L., ROEPSTORFF, C., THIELE, M., RICHTER, E. A, WOJTASZEWSKI, J.F. P. & KIENS, B. 2009. Higher intramuscular triacylglycerol in women doesnot impair insulin sensitivity and proximal insulin signaling. Journal of AppliedPhysiology, 107, 824-831.H0EG, L. D., SJ0BERG, K. A, JEPPESEN, J., JENSEN, T. E., FR0SIG, C., BIRK,J. B., BISIANI, B., HISCOCK, N., PILEGAARD, H., WOJTASZEWSKI, J. F.P., RICHTER, E. A & KIENS, B. 2011. Lipid-induced insulin resistance affects women less than men and is not accompanied by inflammation orimpaired proximal insulin signaling. Diabetes, 60,64-73.HOLM, S. 1979. A simple sequentially rejective multiple test procedure.Scandinavian Journal of Statistics, 6,65-70.HORTON, T. J., PAGLIASSOTTI, M. J., HOBBS, K. & HILL, J. O. 1998. Fuelmetabolism in men and women during and after long-duration exercise.Journal of Applied Physiology, 85, 1823-1832.KELLEY, D., GOODPASTER, B., WING, R. & SIMONEAU, J. 1999. Skeletal musclefatty acid metabolism in association with insulin resistance, obesity, andweight loss. American Journal of Physiology, Endocrinology and Metabolism,277(96), E1130-E1141.KELLEY, D. E. & MANDARINO, L. J. 2000. Fuel selection in human skeletal musclein insulin resistance. Diabetes, 49(5), 677-683.KUHL, J., HILDING, A, OSTENSON, C. G., GRILL, V., EFENDIC, S. &BAvENHOLM, P. 2005. Characterisation of subjects with early abnormalitiesof glucose tolerance in the Stockholm Diabetes Prevention Programme: theimpact of sex and type 2 diabetes heredity. Diabetologia, 48, 35-40.LUNDSGAARD, A-M. & KIENS, B. 2014. Gender differences in skeletal musclesubstrate metabolism - molecular mechanisms and insulin sensitivity.Frontiers in endocrinology, 5, 1-6.MITTENDORFER, B., HOROWITZ, J. F. & KLEIN, S. 2001. Gender differences inlipid and glucose kinetics during short-term fasting. American Journal ofPhysiology, Endocrinology and Metabolism, 281, E1333-E1339.MONTAIN, S. J., HOPPER, M. K., COGGAN, A R. & COYLE, E. F. 1991. Exercisemetabolism at different time intervals after a meal. Journal of AppliedPhysiology, 70,882-888.RATTARASARN, C., LEELAWATIANA, R. & SOONTHORNPUN, S. 2010.Contribution of skeletal muscle mass on sex differences in 2-hour plasmaglucose levels after oral glucose load in Thai subjects with normal glucosetolerance. Metabolism: Clinical and Experimental, 59, 172-176.ROBERTSON, M. D., LIVESEY, G. & MATHERS, J. C. 2002. Quantitative kineticsof glucose appearance and disposal following a 13C-labelled starch-richmeal: comparison of male and female subjects. The British Journal ofNutrition, 87,569-577.SANLIOGLU, A D., ALTUNBAS, H. A, BALCI, M. K., GRIFFITH, T. S. &SANLIOGLU, S. 2013. Clinical utility of insulin and insulin analogs. Islets, 5,67-78.STORLlEN, L., OAKES, N. & KELLEY, D. 2004. Metabolic flexibility. Proceeding ofthe Nutrition Society, 63, 363-368.STRICKER, R., EBERHART, R., CHEVAILLER, M.-C., QUINN, F. A, BISCHOF, P.& STRICKER, R. 2006. Establishment of detailed reference values forluteinizing hormone, follicle stimulating hormone, estradiol, and progesteroneduring different phases of the menstrual cycle on the Abbott ARCHITECTanalyzer. Clinical Chemistry and Laboratory Medicine, 44, 883-887.TARNOPOLSKY, L. J., MACDOUGALL, J. D., ATKINSON, S. A, TARNOPOLSKY,M. A & SUTTON, J. R. 1990. Gender differences in substrate for enduranceexercise. Journal of Applied Physiology, 68, 302-308.TARNOPOLSKY, M. 2004. Protein requirements for endurance athletes. Nutrition,20,662-668.TARNOPOLSKY, M. A 2000. Gender differences in metabolism; nutrition andsupplements. Journal of Science and Medicine in Sport, 3,287-298.TARNOPOLSKY, M. A 2008. Sex differences in exercise metabolism and the roleof 17 -beta estradiol. Medicine and Science in Sports and Exercise, 40, 648-654.The DECOTE Study Group. 2003. Age- and Sex-specific prevalence of diabetesand impaired glucose regulation in 13 European Cohorts. Diabetes Care, 26,61-69.VILSB0LL, T. & HOLST, J. J. 2004. Incretins, insulin secretion and Type 2 diabetesmellitus. Diabetologia, 47, 357-366.WILD, S., ROGLlC, G., GREEN, A, SICREE, R. & KING, H. 2004. Globalprevalence of diabetes: estimates for the year 2000 and projections for 2030.Diabetes Care, 27, 1047-1053.WOHL, P., GIRMAN, P. & PELIKANOVA, T. 2004. Inflexibility of energy substrateoxidation in type 1 diabetic patients. Metabolism - Clinical and Experimental,53(5),655-659.COYLE, E. F., JEUKENDRUP, A E., WAGENMAKERS, A & SARIS, W. 1997.Fatty acid oxidation is directly regulated by carbohydrate metabolism duringexercise. American Journal of Physiology, Endocrinology and Metabolism -Clinical and Experimental, 273, E268-E275.DE BOCK, K., RICHTER, E. A, RUSSELL, A P., EIJNDE, B. 0., DERAVE, W.,RAMAEKERS, M., KONINCKX, E., LEGER, B., VERHAEGHE, J. &HESPEL, P. 2005. Exercise in the fasted state facilitates fibre type-specificintramyocellular lipid breakdown and stimulates glycogen resynthesis inhumans. The Journal of Physiology, 564,649-660.DERAVE, K. D. B., EIJNDE, B., HESSELlNK, M., KONINCKX, E., ROSE, A,SCHRAUWEN, P., BON EN, A, RICHTER, E. & HESPE, P. 2008. Effect oftraining in the fasted state on metabolic responses during exercise withcarbohydrate intake. Journal of Applied Physiology, 10(4), 1045-1055.DERAVE, W., MERTENS, A, MULS, E., PARDAENS, K. & HESPEL, P. 2007.Effects of post-absorptive and postprandial exercise on glucoregulation inmetabolic syndrome. Obesity, 15,704-711.EDINBURGH, R. M., HENGIST, A, SMITH, H. A, TRAVERS, R. L., BETTS, J. A,THOMPSON, D., WALHIN, J.-P., WALLIS, G. A, HAMILTON, D. L.,STEVENSON, E. J., TIPTON, K. D. & GONZALEZ, J. T. 2019. Skippingbreakfast before exercise creates a more negative 24-hour energy balance:A randomized controlled trial in healthy physically active young men. TheJournal of Nutrition, 149,1-9.ELLIS, A C., HYATT, T. C., HUNTER, G. R. & GOWER, B. A 2010. RespiratoryQuotient Predicts Fat Mass Gain in Premenopausal Women. Obesity, 18,2255-2259.ESSEN-GUSTAVSSON, B. & TESCH, P. A 1990. Glycogen and triglycerideutilization in relation to muscle metabolic characteristics in men performingheavy-resistance exercise. European Journal of Applied Physiology, 61, 5-10.FARAH, N. & GILL, J. 2013. Effects of exercise before or after meal ingestion on fatbalance and postprandial metabolism in overweight men. British Journal ofNutrition, 109, 2297-2307.FERRO, Y., GAZZARUSO, C., COPPOLA, A, ROMEO, S., MIGLIACCIO, V.,GIUSTINA, A, PUJIA, A & MONTALCINI, T. 2013. Fat utilization and arterialhypertension in overweight/obese subjects. Journal of TranslationalMedicine, 11 (159), 1-6.GOODPASTER, B. H., THERIAULT, R., WATKINS, S. C. & KELLEY, D. E. 2000.Intramuscular lipid content is increased in obesity and decreased by weightloss. Metabolism - Clinical and Experimental, 49,467-472.HAGOBIAN, T., SHAROFF, C., STEPHENS, B., WADE, G., SILVA, J., CHIPKIN,S. & BRAU, N. B. 2009. Effects of exercise on energy regulating hormonesand appetite in men and women. The American Journal of Physiology -Regulatory, Integrative and Comparative Physiology, .296, R233-R242.IWAYAMA, K., KAWABUCHI, R., NABEKURA, Y., KURIHARA, R., PARK, I.,KOBAYASHI, M., OGATA, H., KAYABA, M., OMI, N., SATOH, M. &TOKUYAMA, K. 2017. Exercise before breakfast increases 24-h fat oxidationin female subjects. PloS One, 12, e0180472.IWAYAMA, K., KURIHARA, R., NABEKURA, Y., KAWABUCHI, R., PARK, I.,KOBAYASHI, M., OGATA, H., KAYABA, M., SATOH, M. & TOKUYAMA, K.2015. Exercise Increases 24-h Fat Oxidation Only When It Is PerformedBefore Breakfast. EBioMedicine, 2, 2003-2009.KELLEY, D., GOODPASTER, B., WING, R. & SIMONEAU, J. 1999. Skeletal musclefatty acid metabolism in association with insulin resistance, obesity, andweight loss. American Journal of Physiology, Endocrinology and Metabolism,277(6), E1130-E1141.LARSON-MEYER, D. E., SMITH, S. R., HEILBRONN, L. K., KELLEY, D. E.,RAVUSSIN, E., NEWCOMER, B. R. & LOOK, A A R. G. 2006. Muscleassociatedtriglyceride measured by computed tomography and magneticresonance spectroscopy. Obesity, 14,73-87.MARRA, M., SCALFI, L., CONTALDO, F. & PASANISI, F. 2004. Fasting respiratoryquotient as a predictor of long-term weight changes in non-obese women.Annals of Nutrition and Metabolism, 48, 189-192.MONTALCINI, T., GAZZARUSO, C., FERRO, Y., MIGLIACCIO, V., ROTUNDO, S.,CASTAGNA, A & PUJIA, A 2013. Metabolic fuel utilization and subclinicalatherosclerosis in overweight/obese subjects. Endocrine, 44, 380-385.NELLEMANN, B., SONDERGAARD, E., JENSEN, J., PEDERSEN, S. B., JESSEN,N., JORGENSEN, J. O. & NIELSEN, S. 2014. Kinetics and utilization of lipidsources during acute exercise and acipimox. American Journal ofPhysiology, Endocrinology and Metabolism, 307, E199-E208.PAN, D., L1LLlOJA, S., KRIKETOS, A, MILNER, M., BAUR, L., BOGARDUS, C.,JENKINS, A & STORLlEN, L. 1997. Skeletal muscle triglyceride levels areinversely related to insulin action. Diabetes, 46,983-988.PHILLIPS, D. I., CADDY, S., ILlC, V., FIELDING, B. A, FRAYN, K. N.,BORTHWICK, A C. & TAYLOR, R. 1996. Intramuscular triglyceride and muscle insulin sensitivity: evidence for a relationship in nondiabetic subjects.Metabolism: Clinical and Experimental, 45, 947-950.PUJIA, A, GAZZARUSO, C., FERRO, Y., MAZZA, E., MAUROTTI, S., RUSSO, C.,LAZZARO, V., ROMEO, S. & MONTALCINI, T. 2016. Individuals withMetabolically Healthy Overweight/Obesity Have Higher Fat Utilization thanMetabolically Unhealthy Individuals. Nutrients, 8(2), 1-11.SHOOK, R., HAND, G., PALUCH, A, WANG, X., MORAN, R., HEBERT, J.,JAKICIC, J. & BLAIR, S. 2015. High respiratory quotient is associated withincreases in body weight and fat mass in young adults. European Journal ofClinical Nutrition, 70, 1197-1202.STANDL, E., LOTZ, N., DEXEL, T., JANKA, H. U. & KOLB, H. J. 1980. Muscletriglycerides in diabetic subjects. Effect of insulin deficiency and exercise.Diabetologia, 18, 463-469.STEFFENSEN, C. H., ROEPSTORFF, C., MADSEN, M. & KIENS, B. 2002.Myocellular triacylglycerol breakdown in females but not in males duringexercise. American Journal of Physiology Endocrinology and Metabolism,282, E634-E642.VAN LOON, L. J. C., KOOPMAN, R., STEGEN, J. H. C. H., WAGENMAKERS, AJ. M., KEIZER, H. A & SARIS, W. H. M. 2003. Intramyocellular lipids forman important substrate source during moderate intensity exercise inendurance-trained males in a fasted state. The Journal of Physiology, 553,611-625.VAN PROEYEN, K., SZLUFCIK, K., NIELENS, H., PELGRIM, K., DELDICOUE, L.,HESSELlNK, M., VAN VELDHOVEN, P. P. & HESPEL, P. 2010. Training inthe fasted state improves glucose tolerance during fat-rich diet. The Journalof Physiology, 588, 4289-4302.VOGELS, N., DIEPVENS, K. & WESTERTERP-PLANTENGA, M. 2005. Predictorsof long-term weight maintenance. Obesity Research, 13,2162-2168.WALLIS, G. A & GONZALEZ, J. T. 2019. Is exercise best served on an emptystomach? The Proceedings of the Nutrition Society, 78, 110-117.ZURLO, F., L1LLlOJA, S., ESPOSITO-DEL PUENTE, A, NYOMBA, B. L., RAZ, I.,SAAD, M. F., SWINBURN, B. A, KNOWLER, W. C., BOGARDUS, C. &RAVUSSIN, E. 1990. Low ratio of fat to carbohydrate oxidation as predictorof weight gain: study of 24-h RO. American Journal of Physiology,Endocrinology and Metabolism, 259, E650-E657.BLAAK, E. E., VAN AGGEL-LEIJSSEN, D. P., WAGENMAKERS, A J., SARIS, W.?. & VAN ?AA?, M. A 2000. Impaired oxidation of plasma-derived fatty acidsIn type 2 diabetic subjects during moderate-intensity exercise. Diabetes 492102. ' ,BORG, G. 1982. Ratings of Perceived Exertion and Heart-Rates during Short-TermCycle Exercise and Their Use in a New Cycling Strength Test. InternationalJournal of Sports Medicine, 3, 153-58.BROOKS, G. A, BUTTE, N. F., RAND, W. M., FLATT, J. P. & CABALLERO, B.2004. Chronicle of the Institute of Medicine physical activity recommendation:how a physical activity recommendation came to be among dietaryrecommendations. The American Journal of Clinical Nutrition, 79(5), 921 S-930S.CLAUSEN, J. 0., BORCH-JOHNSEN, K., IBSEN, H., BERGMAN, R. N.,HOUGAARD, P., WINTHER, K. & PEDERSEN, O. 1996. Insulin sensitivityindex, acute insulin response, and glucose effectiveness in a populationbasedsample of 380 young healthy Caucasians. Analysis of the impact ofgender, body fat, physical fitness, and life-style factors. The Journal ofClinical Investigation, 98(5), 1195-1209.CORPELEIJN, E., SARIS, W. & BLAAK, E. 2009. Metabolic flexibility in thedevelopment of insulin resistance and type 2 diabetes; effects of lifestyle.Obesity Reviews, 10, 16.CRAIG, C. L., MarshaLL, A L., SJOSTROM, M., BAUMAN, A E., BOOTH, M. L.,AINSWORTH, B. E., PRATT, M., EKELUND, U. L. F., YNGVE, A, SALLIS,J. F. & OJA, P. 2003. International physical activity questionnaire: 12-countryreliability and validity. Medicine and Science In Sports and Exercise, 35(8),1381-1395.DAVIDSON, L. E., WANG, J., THORNTON, J. C., KALEEM, Z., SILVA-PALACIOS,F., PIERSON, R. N., HEYMSFIELD, S. B. & GALLAGHER, D. 2011.Predicting fat percent by skinfolds in racial groups: Durnin and Womersleyrevisited. Medicine and Science in Sports and Exercise, 43(3), 542-549.FRAYN, K. N. 1983. Calculation of substrate oxidation rates in vivo from gaseousexchange. Journal of Applied Physiology, 55,628-634.GALGANI, J. E., MORO, C. & RAVUSSIN, E. 2008. Metabolic flexibility and insulinresistance. American Journal of Physiology. Endocrinology and Metabolism,295(5), E1009-E1017.GERSH, B. J., SLIWA, K., MAYOSI, B. M. & YUSUF, S. 2010. Novel concepts the therapeutic epidemic of cardiovascular disease in the developing world: global implications. European Heart Journal, 31(6),642-648.HENDERSON, G.C., 2014. Sexual dimorphism in the effects of exercise on metabolism of lipids to support resting metabolism. Frontiers inEndocrinology, 5, 1-8.H0EG, L., ROEPSTORFF, C., THIELE, M., RICHTER, E. A, WOJTASZEWSKI, J.F. P. & KIENS, B. 2009. Higher intramuscular triacylglycerol in women doesnot impair insulin sensitivity and proximal insulin signaling. Journal of AppliedPhysiology, 107,824-831.H0EG, L.D., SJ0BERG, K.A, JEPPESEN, J., JENSEN, T. E., FR0SIG, C., BIRK,J.B., BISIANI, B., HISCOCK, N., PILEGAARD, H., WOJTASZEWSKI, J. F.P., RICHTER, E. A & KIENS, B. 2011. Lipid-induced insulin resistanceaffects women less than men and is not accompanied by inflammation orimpaired proximal insulin signalling. Diabetes, 60, 64-73.KHAN, B. B. & FLIER, J. S. 2000. Obesity and insulin resistance. Clinics inDermatology, 42(4), .473-481.KRSSAK, M., PETERSEN, K. F., DRESNER, A, DIPIETRO, L., VOGEL, S. M.,ROTHMAN, D. L., SHULMAN, G. I. & RODEN, M. 1999. Intramyocellular lipidconcentrations are correlated with insulin sensitivity in humans: a 1H NMRspectroscopy study. Diabetologia, 42, 113-116.KUHL, J., HILDING, A, OSTENSON, C. G., GRILL, V., EFENDIC, S. &BAVENHOLM, P. 2005. Characterisation of subjects with early abnormalitiesof glucose tolerance in the Stockholm Diabetes Prevention Programme: Theimpact of sex and Type 2 diabetes heredity. Diabetologia, 48(1), 35-40.LUNDSGAARDS, A M. & KIENS, B. 2014. Gender differences in skeletal musclesubstrate metabolism - molecular mechanism and insulin sensitivity.Frontiers in Endocrinology, 5(195),1-16.MIFFLIN, M. D., ST JEOR, S. T., HILL, L. A, SCOTT, B. J., DAUGHERTY, S. A &KOH, Y. O. 1990. A new predictive equation for resting energy expenditurein healthy individuals. The American Journal of Clinical Nutrition, 51 (2), 241-247.POPKIN, B. M. 2010. Recent dynamics suggest selected countries catching up toUS obesity. American Journal of Clinical Nutrition, 91 (1), 284-288.STORLlEN, L., OAKES, N. D. & KELLEY, D. E. 2004. Metabolic flexibility. TheProceedings of the Nutrition Society, 63(2), 363-368.WANG, Y. C., MCPHERSON, K., MARSH, T., GORTMAKER, S. L. & BROWN, M.2011. Health and economic burden of the projected obesity trends in the USAand the UK. The Lancet, 378(9793), 815-825. |