Pilot Project to Examine the Effects of Exercise on Nocturnal Lipolysis in Men and Women

This primary goal of this pilot project is to obtain preliminary data demonstrating the
feasibility of measuring lipolysis and fat oxidation during sleep in adult human subjects
using microdialysis, stable isotope labeling techniques, and whole-room indirect calorimetry.
The results of this study will be used in grant applications to perform definitive studies
using these methods. The long term goal of this line of research is to explore the mechanisms
responsible for sex based differences in the effectiveness of physical activity as an
approach to weight loss. Previous longitudinal data have shown that in normal weight and
obese individuals, for any given increase in physical activity, there is a significantly
greater loss of fat mass in men relative to women [Westerterp, 1997]. These data need to be
reconciled, however, with the wealth of data demonstrating that during exercise, women
release and oxidize fat more readily than men [Horton, 2009; Horton 1998, Moro 2007]. This
phenomenon seems counterintuitive, given that men have less body fat than women and are able
to lose more body fat than women when beginning a weight loss program [Bjorntorp, 2007].
Recent data suggests a mechanism to explain this paradox. Specifically, in obese subjects,
24-hour fat oxidation increased following a daytime bout of exercise, and this increase
occurred in men only and was driven by a significant increase in fat oxidation not during the
day but rather during sleep the night following exercise [Bergouignan, 2014]. Since the
predominant source of fuel during sleep is free fatty acids (FFA) released from adipose
tissue (i.e., lipolysis), it may be that enhanced sleeping lipolysis is a key factor in how
exercise stimulates fat oxidation and thus greater fat loss in males vs. females over time.

The primary objective of the proposed study is to demonstrate the feasibility of measuring
nocturnal whole-body and regional lipolysis by using stable isotope techniques and
microdialysis of subcutaneous abdominal adipose tissue respectively with the long term goal
of determining the effects of acute exercise during the daytime on rates of lipolysis at
night in men and women. A secondary objective of this study is to determine if nocturnal
regional lipolysis measured by microdialysis of subcutaneous abdominal adipose tissue and
whole body lipolysis measured by a stable glycerol isotope infusion are related to dietary
and whole body fat oxidation measured by stable isotope labelled fatty acid and whole-room
calorimetry, respectively. Finally, the study aims to determine if sleep quality parameters
measured by EEG and wrist actigraphy correlate with measures of nocturnal fat oxidation and
lipolysis (regional and whole body)

Inclusion Criteria:

- Males and Females, 20-35 years of age

- Sedentary (planned exercise < 3 d/week, < 30 min/session)

- Lifetime maximum BMI of 30 kg/m2

- Weight stable by self-report for at least 2 mo before the study (<5% weight change)

- Habitual sleeping pattern of >7 hours not to exceed 9.25 hours of sleep per night

- Zero to low-moderate caffeine intake (not to exceed 500 mg/d)

- Alcohol use fewer than two standard drinks per day per week for males and one or less
drinks per day per week for females.

Exclusion Criteria:

- Current smoker

- Use of any medication that could affect lipid metabolism, insulin signaling, or sleep

- Pregnant women will not be enrolled in the study

- Current or chronic medical/psychiatric conditions

- Shift work or dwelling below Denver altitude (1,600 m) a year prior to testing

- Travel across more than one time zone 3 wk before study

- Abnormal eating patterns identified by interview and eating questionnaire

- Screening positive for illicit drugs

- Chronic health conditions such as diabetes,

- Hyper or hypothyroidism

- Sleep apnea (Apnea-Hypopnea Index >5)

- Renal or liver disease, anemia, or cancer

- Regularly go to sleep after midnight

- One or more of the following out-of-range values measured on a fasting blood sample:

- glucose > 110 mg/dl,

- thyroid stimulating hormone <0.5 or >5.0 uU/ml,

- hemoglobin < 14.5 g/dl men, <12.3 g/dl women,

- alanine amino transferase > 47 U/l,

- aspartate aminotransferase > 47 U/l,

- alkaline phosphatase <39 or >117 U/l, or

- creatinine >1.1 mg/dl.