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Effect of caloric restriction on myocardial fatty acid uptake, left ventricular mass, and cardiac work in obese adults
The American Journal of Cardiology, 06/23/09
Viljanen APM et al. – Weight reduction decreases myocardial fatty acid uptake in parallel with myocardial mass and cardiac work. These results show that the increased fatty acid uptake found in the hearts of obese pts can be reversed by weight loss.
Methods- Study of how weight loss influences myocardial metabolism and cardiac work in obese adults
- Subjects: 34 obese (mean body mass index 33.7 ± 0.7 kg/m2) but otherwise healthy pts
- Consumption of a very low calorie diet for 6 wks
- Measurement of cardiac substrate metabolism and work before/after diet
- Fluorine-18-fluoro-6-thia-heptadecanoic acid and positron emission tomography to measure myocardial fatty acid uptake in 18 pts
- Fluorine-18-2-fluoro-2-deoxyglucose to measure myocardial glucose uptake in 16 pts
- Magnetic resonance imaging to measure myocardial structure and cardiac function
- Consumption of very low calorie diet decreased weight (-11.2 ± 0.6 kg)
- Myocardial fatty acid uptake decreased from 4.2 ± 0.4 to 2.9 ± 0.2 micromol/100 g/min
- Myocardial mass decreased by 7%
- Cardiac work decreased by 26%
- Whole-body insulin sensitivity increased by 33%
- Insulin-stimulated myocardial glucose uptake remained unchanged
- Myocardial triglyceride content decreased by 31%
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