Purpose: Circulating leptin is low in trained subjects and closely related
to body fat content. However. data are scarce as to whether differences exi
st in the relationship between different estimates of adiposity, metabolic
parameters. and leptin in endurance- and resistance -trained male athletes.
We investigated this relationship with special emphasis on subcutaneous fa
tness and its distribution. Methods: 20 endurance (ET) and 17 resistance (R
T) athletes recruited from different kind of sports were studied. Fat-free
mass (FFM) was estimated by means of impedance and fat mass (FM) was calcul
ated. Subcutaneous fat (SAT) and its distribution was measured by means of
the optical device Lipometer at 15 body sites (SAT-lavers: from 1-neck to 1
5-calf) on the right side of the body. Fifteen SAT-lavers were summed to ca
lculate SAT. Blood samples were obtained for determination for leptin, insu
lin. and glucose. Insulin resistance was calculated through the fasting ins
ulin resistance index (FIRI [insulin x glucose/25]). Results: RT-athletes h
ad a greater body mass and body fat content than ET-athletes. but no differ
ences were found for leptin and metabolic parameters. In all athletes, esti
mates of adiposity were correlated to leptin. However. in ET-athletes FM (P
< 0.05). FFM (P < 0.05), and SAT (P < 0.001) but not metabolic parameters
were correlated to leptin. In RT-athletes, SAT (P < 0.0001), metabolic para
meters (all P < 0.05). but not FM and FFM were in significant relationship
with leptin. Stepwise regression revealed SAT as the main determinant for t
he variation in leptin in all athletes (adj. R-2 = 0.52, P < 0.0001). Concl
usion: The results suggest that estimates of adiposity and metabolic parame
ters are associated with leptin in a sport-specific manner. Whereas leptin
might be regulated by overall subcutaneous fatness in athletes. our study d
oes not imply a main influence of fat patterning on leptin in this group of
trained subjects.