Effects of lifestyle intervention on left ventricular regional myocardial function in metabolic syndrome patients from the RESOLVE randomized trial

Journal article


Serrano-Ferrer, Juan, Crendal, Edward, Walther, Guillaume, Vinet, Agnes, Dutheil, Frederic, Naughton, Geraldine Ann, Lesourd, Bruno, Chapier, Robert, Courteix, Daniel and Obert, Philippe 2016. Effects of lifestyle intervention on left ventricular regional myocardial function in metabolic syndrome patients from the RESOLVE randomized trial. Metabolism. 65 (9), pp. 1350 - 1360. https://doi.org/10.1016/j.metabol.2016.05.006
AuthorsSerrano-Ferrer, Juan, Crendal, Edward, Walther, Guillaume, Vinet, Agnes, Dutheil, Frederic, Naughton, Geraldine Ann, Lesourd, Bruno, Chapier, Robert, Courteix, Daniel and Obert, Philippe
Abstract

Aims: The purpose of our study was to determine the effect of lifestyle intervention on left ventricular (LV) regional myocardial function in patients with metabolic syndrome (MetS) and investigate the relationships of the changes in myocardial function to changes in epicardial adipose tissue (EAT), inflammatory profile and MetS components. Methods: Eighty-seven MetS patients were enrolled in a 6 month lifestyle intervention program based on dietary management and increased physical activity, and compared with 44 aged and sex-matched healthy controls. MetS individuals were allocated to different groups randomized (computer-generated randomization) on exercise modalities (high-intensity dominant resistance or aerobic training, and moderate-intensity of both modes). EAT was measured by transthoracic echocardiography and LV longitudinal strains and strain rates were obtained using vector velocity imaging. Blood chemistry allowed assessments of adipocytokines (TNF-α: tumor necrosis factor α, PAI active: active plasminogen activator inhibitor-1 and adiponectin) and glucose tolerance markers. Results: Regardless of exercise training modalities, lifestyle intervention improved significantly LV strains and strain rates (p < 0.001) as well as metabolic and inflammatory profiles. Stepwise multiple regression analyses revealed EAT (β = 0.73, p < 0.01), log adiponectin (β = − 0.13, p < 0.05) and log TNF-α (β = 0.15, p < 0.05) as independent predictors of LV longitudinal strain (R2 = 0.74, p < 0.001) while myocardial function improvement consecutive to lifestyle intervention was explained by EAT changes only (R2 = 0.54, p < 0.001). Conclusion: The mechanisms through which regional myocardial function is impaired in MetS and improved consecutive to intervention involved EAT, possibly via paracrine effects of adipocytokines. EAT should be considered as a future therapeutic target of interest in the treatment of metabolic-related cardiac diseases.

Keywordsmetabolic syndrome; epicardial fat; inflammation; myocardial dysfunction; lifestyle intervention
Year2016
JournalMetabolism
Journal citation65 (9), pp. 1350 - 1360
PublisherChurchill Livingstone
ISSN0026-0495
Digital Object Identifier (DOI)https://doi.org/10.1016/j.metabol.2016.05.006
Page range1350 - 1360
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Place of publicationUnited Kingdom
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Dutheil, Frederic, Lac, Gerard, Lesourd, Bruno, Chapier, Robert, Walther, Guillaume, Vinet, Agnes, Sapin, Vincent, Verney, Julien, Ouchchane, Lemlih and Duclos, Martine 2013. Different modalities of exercise to reduce visceral fat mass and cardiovascular risk in metabolic syndrome : the RESOLVE* randomized trial. International Journal of Cardiology. https://doi.org/10.1016/j.ijcard.2013.05.012
The long-term effects of occupational exposure to vinyl chloride monomer on microcirculation : a cross-sectional study 15 years after retirement
Lopez, Vincent, Chamoux, Alain, Tempier, Marion, Thiel, Helene, Ughetto, Sylvie, Trousselard, Marion, Naughton, Geraldine and Dutheil, Frederic 2013. The long-term effects of occupational exposure to vinyl chloride monomer on microcirculation : a cross-sectional study 15 years after retirement. BMJ Open. https://doi.org/10.1136/bmjopen-2013-002785
Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls
Burt, Lauren, Naughton, Geraldine, Greene, David and Courteix, Daniel 2012. Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls. Osteoporosis International. 23 (4), pp. 1277 - 1286. https://doi.org/10.1007/s00198-011-1677-z
Treatment of Metabolic syndrome by combination of physical activity and diet needs an optimal protein intake: a randomized controlled trial
Dutheil, Frederic, Lac, Gerard, Courteix, Daniel, Dore, Eric, Chapier, Robert, Roszyk, Laurence, Sapin, Vincent and Lesourd, Bruno 2012. Treatment of Metabolic syndrome by combination of physical activity and diet needs an optimal protein intake: a randomized controlled trial. Nutrition Journal. 11 (1). https://doi.org/10.1186/1475-2891-11-72
Bone geometry and strength adaptations to physical constraints inherent in different sports: Comparison between elite female soccer players and swimmers
Ferry, B., Duclos, M., Burt, Lauren A., Therre, P., Le Gall, F., Jaffré, C. and Courteix, D. 2011. Bone geometry and strength adaptations to physical constraints inherent in different sports: Comparison between elite female soccer players and swimmers. Journal of Bone and Mineral Metabolism (print version). 29 (3), pp. 342 - 351. https://doi.org/10.1007/s00774-010-0226-8
Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers
Ferry, Beatrice, Duclos, Martine, Burt, Lauren, Therre, Perrine, Le Gall, Franck, Jaffre, Christelle and Courteix, Daniel 2011. Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers. Journal of Bone and Mineral Metabolism. 29 (3). https://doi.org/10.1007/s00774-010-0226-8
Effect of a six-month training programme on the physical capacities of Romanian schoolchildren
Greene, David, Serbescu, Carmen, Flora, D., Hantiu, Iacob, Benhamou, Claude Laurent and Courteix, Daniel 2006. Effect of a six-month training programme on the physical capacities of Romanian schoolchildren. Acta Paediatrica. 10 (10), pp. 1258 - 1265. https://doi.org/10.1080/08035250600599719