Week 4 - Fat Metabolism Flashcards

1
Q

What is the main fuel source during high intensity exercise?
Why?

A

CHO, not lipids. Specifically muscle glycogen.
You are working at 70/80%+ of VO2max.
Not enough oxygen can get into the body to metabolise the fat.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When are fats used for energy?

A

At lower intensities.
In rests/recovery between bouts.
Ultramarathons.
Fatty acids provide the energy and are found in adipose tissue/within muscle as triacylglycerols.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the anaerobic threshold?
When does it occur?

A

The switch from aerobic to anaerobic metabolism.
Around 60% VO2max.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is insulin involved in fat oxidation?

A

Insulin inhibits fatty acid availability. When insulin is low the inhibition is removed.
Insulin is suppressed during exercise - fatty acid availability increases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is lipolysis?

A

The breakdown of triglycerides into glycerol and fatty acids.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Outline the process of lipolysis
How is it affected by training?

A

Triacylglycerol is broken down into diacylglycerol and a fatty acid by ATGL - adipose triglyceride lipase.
This process happens twice more via HSL - hormone sensitive lipase and MGL - monoglycerol lipase.

Training increases the activity of these enzymes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is lipolysis affected by diet?

A

The first 1-2 hours after eating, lipolysis won’t take place especially if the meal was high in carbohydrates because the body burns what is available to it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is RER calculated?
Describe the different values of RER.

A

VCO2/VO2.
RER reduces as fat metabolism increases.
Working harder produces more CO2 so RER increases as we are burning more CHOs.
Fasted state = fats burning RER = 0.7/0.8
Non-fasted fed state RER = 0.8/0.9 - increase in CHO metabolism
End of VO2 RER = 1.1/1.15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Fat max?
When does it occur?

A

The exercise intensity that elicits maximal fat oxidation.
Around 50-70% if VO2max - similar to anaerobic threshold.
It is usually around 0.5-0.6g/min.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does fat oxidation change with endurance training?

A

The contribution of fat to endurance exercise increases.
This is mainly from muscle-derived fat sources (intra-muscular triglycerides and very-low density lipids).
The oxidation of fat in the blood does not change - no benefit of a high fat diet pre-competition.
Lowers reliance of CHO which spares muscle glycogen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Fat oxidation with low-intensity endurance training.

A

Lipid synthesis goes down (ACC2 gene), lipid hydrolysis/breakdown increases (LPL). This promotes the breakdown stage - better catabolic state.
Training generally increases fat usage and decreases fat storage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Exercise fasted or fed?

A

Breakfast before exercise increases glucose utilisation.
Exercise when fasted almost doubles fat oxidation.
Depends on goal.
One off session not performance setting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the role of carnitine?

A

12 weeks supplementation can increase muscle carnitine through co-ingestion of CHO - an insulin response is needed to push carnitine into the muscle.

Prevents an increase in fat mass with overfeeding of 160g CHO per day - not necessarily a fat loss supplement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Testing the fat concentration in muscles

A

Need a muscle biopsy to properly test - taken from the vastus lateralis (less major blood vessels in the thigh).
Biopsy ‘snap freezed’ in liquid nitrogen immediately to maintain gene expression.
Muscle is sliced using a cryostat to produce really thin layers of muscle.
Sample stained to show the fat droplets.

Oil Red O often used as the chosen stain (pink stain) but LipidTOX is better as greater spatial resolution - you can see the individual lipid droplets). Important as location influences insulin resistance. LipidTOX stains green.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does location of fat droplets influence insulin resistance?

A

Intermyofibrillar - Within the muscle fibres - endurance adaptation - this is good. Around the mitochondria so can be oxidised.
Subsarcolemmal - around the muscle fibre - causes insulin resistance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does injured muscle change lipid content?

A

Eccentric damage to the muscle can disrupt lipid metabolism and increase muscle lipid content.

17
Q

Lipid induced insulin resistance. Role of GLUT4

A

GLUT4 transports glucose within the skeletal muscle cell.
Normal process - insulin binds to insulin receptor. IRS1 and PI3 form a signalling cascade to command GLUT4 to the membrane. Allows glucose to enter the cell producing muscle glycogen.
Insulin resistant process - insulin binds to the receptor but due to the presence of lipid within the muscles the signalling is stopped. GLUT4 is not translocated to the membrane.

18
Q

Describe the athlete’s paradox and why it is not an issue.

A

In obesity and T2D, high muscle lipid levels are associated with insulin resistance.
Athletes have larger and more numerous lipid droplets in muscles similar to patients. Athletes are insulin sensitive.
Lipid droplets are smaller in size in athletes –> larger surface are: volume ratio –> more lipolysis.
Lipid content is greater in type I than type II muscle fibres because you have more mitochondria so can be more easily oxidised.

Athletes’ lipids are rapidly oxidised to produce ATP.
In obesity/diabetes, this accumulates and is not oxidised as quickly, it is only partially oxidised and forms bioactive lipid species.

19
Q

Can we reduce lipid droplets in obesity and T2D?

A

Training programmes can reduce lipid droplet size in T2D. Difficult to reduce the number of lipid droplets.
Can reduce the size not number but does lead to improvements in glycaemic control.

20
Q

Bioactive lipid species

A

Diacylglycerol (DAG) and ceramide stop GLUT4 moving to the membrane - causes insulin resistance.
Ceramide comes from palmitate (saturated fatty acids)
DAG comes from oleate (unsaturated fatty acids)

21
Q

Ceramides and insulin resistance

A

More extensive reach within the body compared to DAG - linked to inflammation, neurodegenerative disorders and other conditions.

22
Q

DAG and insulin resistance

A

Mainly effects the liver.
Mediates lipid-induced liver insulin resistance.
Hepatic DAG activates PKC, which phosphorylates insulin receptor kinase (IRK), causing insulin resistance. Manipulates glucose production - negatively effects blood glucose levels.

23
Q

Endurance training improves the oxidation of what type of fat?

A

Intramuscular triglycerides (IMTG) and VLDL fatty acids but not plasma free fatty acids.