J. P. Kirwan

Insulin Resistance in Aging Is Related to Abdominal Obesity

Studies have shown that insulin resistance increases with age, independent of changes in total adiposity. However, there is growing evidence that the development of insulin resistance may be more closely related to abdominal adiposity. To evaluate the independent effects of aging and regional and total adiposity on insulin resistance, we performed hyperinsulinemic euglycemic clamps on 17 young (21–33 yr) and 67 older (60–72 yr) men and women. We assessed FFM and total and regional adiposity by hydrodensitometry and anthropometry. Insulin-stimulated GORs at a plasma insulin concentration of ∼450 pM averaged 45.6 ± 3.3 μmol · kg FFM−1 · min−1 (mean ± SE) in the young subjects, 45.6 ± 10.0 μmol · kg FFM−1 · min−1 in 24 older subjects who were insulin sensitive, and 23.9 ± 11.7 μmol · kg FFM−1 · min−1 in 43 older subjects who were insulin resistant. Few significant differences were apparent in skin-fold and circumference measurements between young and insulin-sensitive older subjects, but measurements at most central body sites were significantly larger in the insulin-resistant older subjects. Waist girth accounted for >40% of the variance in insulin action, whereas age explained only 10–20% of the total variance and <2% of the variance when the effects of waist circumference were statistically controlled. These results suggest that insulin resistance is more closely associated with abdominal adiposity than with age.

Physiological responses to successive days of intense training in competitive swimmers

To examine the physiological responses to successive days of intense training, 12 male collegiate swimmers doubled their training distance (4,266 +/- 264 to 8,970 +/- 161 m.d-1) while maintaining the intensity at approximately 95% VO2max for 10 d. Blood samples were obtained pre-exercise and immediately and 5 min after a sub-maximal (approximately 95% VO2max) front crawl swim (365.8 m) on days 0, 5, and 11. Swim performance was assessed from a maximal front crawl swim (365.8 m), two maximal front crawl sprints (22.9 m), and a semi-tethered swim power test. No significant changes were observed in performance. Pre-exercise serum cortisol (17.5 +/- 1.5, 19.5 +/- 1.6, and 20.6 +/- 1.2 micrograms.dl-1 for days 0, 5, and 11, respectively) and creatine kinase (56.2 +/- 7.7, 93.1 +/- 10.1, and 119.0 +/- 23.1 U.l-1 for days 0, 5, and 11, respectively) values were significantly elevated (P less than 0.05) on days 5 and 11 compared to day 0. Resting plasma catecholamine concentrations were higher but not significantly different (P greater than 0.05) at the end of the training period. Measurements of hemoglobin and hematocrit indicated a relative increase of 11.4 +/- 2.7% (P less than 0.05) in estimated plasma volume during the training period. Resting blood glucose values were unaffected by the training regimen while small but significant decreases in resting blood lactate values (1.01 +/- 0.06, 0.85 +/- 0.06, and 0.86 +/- 0.06 mmol.l-1 for days 0, 5, and 11, respectively) were observed on days 5 and 11. Resting heart rate and systolic blood pressure were not affected by the increased training load.(ABSTRACT TRUNCATED AT 250 WORDS)