1. Adipokines as Predictive Biomarkers for Training Adaptation in Subjects with Multimorbidity—A Hypothesis-Generating Study.
- Author
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Maturana, Felipe Mattioni, Rolf, Rebecca, Schweda, Simone, Reimer, Max, Widmann, Manuel, Burgstahler, Christof, Nieß, Andreas M., Krauss, Inga, and Munz, Barbara
- Subjects
ADIPOKINES ,COMORBIDITY ,TYPE 2 diabetes ,LEPTIN ,RESISTIN - Abstract
Background. Physical exercise exerts a positive effect on many chronic conditions, specifically lifestyle-related diseases such as overweight and obesity, type 2 diabetes mellitus (T2DM), cardiovascular conditions and osteoarthritis (OA). As a result of common risk factors, most of these patients present with multiple conditions. Exercise- and disease-related biomarkers, such as adipokines, are emerging tools in training supervision and regulation; however, their significance in subjects with multimorbidities is unknown. Subjects and Methods. To address this issue, adipokines leptin, adiponectin and resistin were assessed in a cohort of subjects with multimorbidities (n = 39) presenting with at least two of the abovementioned conditions or relevant risk factors before and after a six-month exercise and lifestyle intervention program ('MultiPill-Exercise'), and correlated with training adaptation, namely changes in relative maximum oxygen uptake ( V · O 2 max ). Results. There was a significant negative correlation between baseline leptin concentrations and training effect for relative V · O 2 max (after three months: rho = −0.54, p = 0.020 *; after six months: rho = −0.45, p = 0.013 *), with baseline leptin explaining 35% of the variance in delta relative V · O 2 max after three months and 23% after six months. Conclusions. Leptin might be a suitable surrogate biomarker in the context of exercise-based lifestyle intervention programs in subjects with multimorbidity. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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