Document Detail


Serum leptin levels are reduced in response to exercise training, but not hormone replacement therapy, in older women.
MedLine Citation:
PMID:  8923847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to evaluate the effects of exercise training and hormone replacement therapy (HRT) on serum leptin levels in older women. Previously sedentary, healthy women, aged 60-72 yr, were assigned to control (n = 16), exercise (n = 17), HRT (n = 15), or exercise + HRT (n = 13) groups. Exercise training consisted of a 2-month flexibility-exercise program followed by a 9-month exercise program that included walking, jogging, and stair climbing. HRT consisted of 11 months of continuous conjugated estrogens (0.625 mg/day) and medroxyprogesterone acetate (5 mg/day) for 13 days every third month. Body composition was assessed by dual-energy x-ray absorptiometry, and serum insulin levels were measured in the fasted state and in response to a glucose challenge. Leptin levels were reduced by 23 +/- 25% and 22 +/- 27% (both P < 0.01) in response to exercise and exercise + HRT, respectively. There was no effect of HRT on leptin. Fat mass was the strongest predictor of serum leptin concentration, both before (r = 0.81; P < 0.001) and after (r = 0.85; P < 0.001) the study period, and the change in fat mass in the exercisers was significantly correlated with the change in leptin (r = 0.55; P < 0.01). There did not seem to be an effect of exercise, independent of the reduction in fat mass, on leptin. Insulin levels were significantly correlated with leptin levels, but this was not independent of the association with adiposity. The curvilinear relationship between leptin level and fat mass and the finding that the ratio of leptin mass to fat mass decreased after weight loss suggest that fat cell size is an important determinant of circulating leptin levels.
Authors:
W M Kohrt; M Landt; S J Birge
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of clinical endocrinology and metabolism     Volume:  81     ISSN:  0021-972X     ISO Abbreviation:  J. Clin. Endocrinol. Metab.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-01-17     Completed Date:  1997-01-17     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0375362     Medline TA:  J Clin Endocrinol Metab     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  3980-5     Citation Subset:  AIM; IM    
Affiliation:
Washington University School of Medicine, Department of Internal Medicine, Saint Louis, Missouri 63110, USA. wkohrt@imgate.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
Adipose Tissue / anatomy & histology,  cytology
Aged
Body Weight
Cell Size
Estrogen Replacement Therapy*
Exercise / physiology*
Female
Humans
Insulin / blood
Leptin
Middle Aged
Obesity / blood,  pathology,  therapy
Physical Education and Training
Proteins / metabolism*
Grant Support
ID/Acronym/Agency:
5-M01-RR00036/RR/NCRR NIH HHS; AG-05562/AG/NIA NIH HHS; AR-40705/AR/NIAMS NIH HHS
Chemical
Reg. No./Substance:
0/Leptin; 0/Proteins; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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