OBJECTIVE: To investigate the effect of exercise training and dietary macro
nutrient composition on 24 h substrate oxidation in male, obese subjects.
DESIGN: A 16 month exercise intervention study was executed, including a we
ight loss period with a very low energy diet (VLED) for 2 months at the sta
rt of the study.
SUBJECTS: Twelve male, obese subjects (age 36.3+/-5.1 y; body weight 94.6+/
-13.9 kg; body mass index, BMI 30.8+/-3.0 kg/m(2)) and in an additional stu
dy 15 lean, well-trained subjects (age 36.2+/-7.2 y ; body weight 72.2+/-5.
9 kg; BMI 22.3+/-1.7 kg/m2) participated.
MEASUREMENTS: Substrate oxidation was measured during a standardized 36 h s
tay in the respiration chamber at the start of the study (0 months), and at
4, 10 and 16 months. In the respiration chamber subjects were randomly ass
igned to a high-fat (Hi.F) diet (60% of energy (En%) fat) or a reduced-fat
(Red.F) diet (30 En% fat). The well-trained group was measured once in the
respiration chamber for 36 h according to the same protocol.
RESULTS: At any time point, independent of the diet consumed, the 24 h carb
ohydrate (CHO) balances in the chamber were mostly negative (means ranging
from +31 to -98 g/d) and the fat balances mostly positive (means ranging fr
om -26 to +38 g/d) for the obese a well as for the lean, well-trained group
. For both diets an increased shortage of 70 g of CHO was found at 16 month
s compared with 4 months, and an increase in fat balance of 33 g during the
same time period in the obese subjects, indicating that CHO oxidation had
increased with 12 months endurance training. In the well-trained group the
24 h CHO balance was even more negative for both types of diet (-103 to -18
5 g/d for the Red.F and Hi.F diet, respectively) under similar conditions c
ompared with the trained obese group.
CONCLUSION: The changes in 24 h substrate utilization in the obese, as well
as in the well-trained group, suggest that endurance training increased th
e reliance on carbohydrate oxidation and therefore did not increase 24 fat
oxidation.