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Prodhan UK, Milan AM, Shrestha A, Vickers MH, Cameron-Smith D, Barnett MPG. Circulatory amino acid responses to milk consumption in dairy and lactose intolerant individuals. Eur J Clin Nutr 2022; 76:1415-1422. [PMID: 35459911 PMCID: PMC9550627 DOI: 10.1038/s41430-022-01119-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 02/27/2022] [Accepted: 03/10/2022] [Indexed: 11/09/2022]
Abstract
Background/objectives Self-reported digestive intolerance to dairy foods is common. As dairy can be an important source of dietary protein, this study aimed to identify whether milk protein digestion is compromised in individuals with digestive intolerance. Subjects/methods Adult women (n = 40) were enroled in this double-blinded, randomised cross-over trial, with digestive symptoms characterised using a lactose challenge and self-reported digestive symptom questionnaire. Participants were classified as either lactose intolerant (LI, n = 10), non-lactose dairy intolerant (NLDI, n = 20) or dairy tolerant (DT, n = 10). In a randomised sequence, participants consumed three different kinds of milk (750 ml); conventional milk (CON), a2 Milk™ (A2M), and lactose-free conventional milk (LF-CON). Circulatory plasma amino acid (AA) concentrations were measured at baseline and every 30 min until 3 h post-ingestion. Results In all participants across all milk types, plasma AA concentrations (AUC0-180) increased after milk ingestion with no significant differences in responses observed between milk types or participants (P > 0.05), with the exception of the suppressed lysine response in the DT group following A2M ingestion, relative to the other two groups and milk types (P < 0.05). Conclusion Milk protein digestion, as determined by circulatory AAs, is largely unaffected by dairy- and lactose- intolerances. ![]()
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Affiliation(s)
- Utpal Kumar Prodhan
- Liggins Institute, The University of Auckland, 85 Park Road, Grafton, Private Bag 92019, Auckland, 1023, New Zealand.,The Riddet Institute, Palmerston North, 4442, New Zealand.,Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, 1902, Bangladesh
| | - Amber Marie Milan
- Liggins Institute, The University of Auckland, 85 Park Road, Grafton, Private Bag 92019, Auckland, 1023, New Zealand.,Smart Foods Innovation Centre of Excellence, AgResearch Limited, Private Bag 11008, Palmerston North, 4442, New Zealand.,The High-Value Nutrition National Science Challenge, Auckland, 1023, New Zealand
| | - Aahana Shrestha
- Liggins Institute, The University of Auckland, 85 Park Road, Grafton, Private Bag 92019, Auckland, 1023, New Zealand.,The Riddet Institute, Palmerston North, 4442, New Zealand
| | - Mark Hedley Vickers
- Liggins Institute, The University of Auckland, 85 Park Road, Grafton, Private Bag 92019, Auckland, 1023, New Zealand
| | - David Cameron-Smith
- Liggins Institute, The University of Auckland, 85 Park Road, Grafton, Private Bag 92019, Auckland, 1023, New Zealand.,The Riddet Institute, Palmerston North, 4442, New Zealand.,Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, 117609, Singapore
| | - Matthew Philip Greig Barnett
- The Riddet Institute, Palmerston North, 4442, New Zealand. .,Smart Foods Innovation Centre of Excellence, AgResearch Limited, Private Bag 11008, Palmerston North, 4442, New Zealand. .,The High-Value Nutrition National Science Challenge, Auckland, 1023, New Zealand.
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2
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Crawford DL, Phillips AR, Williams TR. Evaluation of secondary electronic cigarette inhalation on lipid metabolism in C57BL/6J mice using indirect calorimetry. Metabol Open 2021; 12:100150. [PMID: 34888517 PMCID: PMC8636804 DOI: 10.1016/j.metop.2021.100150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 11/12/2021] [Accepted: 11/13/2021] [Indexed: 11/28/2022] Open
Abstract
The disruption of glucose homeostasis associated with the use of nicotine delivery systems may be due to a shift to lipid metabolism. Indirect calorimetry was used to measure the respiratory exchange ratio (RER) in female (N = 21) and male (N = 21) C57BL/6J mice exposed to room air (control) or e-cigarette vapor in a 1L chamber to test the hypothesis that lipid metabolism predominates in vaped mice. Metabolism was quantified via RER using a GA-200 gas analyzer (iWorx, Inc) and LabScribe v.4 (iWorx, Inc.) software. Blood glucose levels were assessed from a subset of the population using an Accu-Check glucometer (Roche Diagnostics, Inc.). Statistical analyses were conducted using R v.4.0.3. Median RER for controls was lower in females. Older females showed a reduction in RER when exposure occurred in the afternoon (p < 0.001), and in males when exposure occurred in the morning (p = 0.007). Glucose concentrations (mg/dL) were higher after e-cigarette inhalation compared with controls, but this difference was not significant (p = 0.464). The reduction in the respiratory exchange ratio supports the hypothesis that e-cigarette inhalation promotes lipid metabolism, and the magnitude of the effect is influenced by gender, age and time of day.
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Affiliation(s)
- Dolly L. Crawford
- Department of Biology and Toxicology, 401 College Avenue, Ashland University, Ashland, OH, 44905, USA
| | - Alexis R. Phillips
- Department of Biology and Toxicology, 401 College Avenue, Ashland University, Ashland, OH, 44905, USA
| | - Taylor R. Williams
- Department of Biology and Toxicology, 401 College Avenue, Ashland University, Ashland, OH, 44905, USA
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3
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Landecho MF, Alegría-Murillo L, López-Fidalgo J, Colina I, Santesteban V, García-Unciti M, Beloqui O, Frühbeck G, Cuervo M. Unravelling gender-specific factors that link obesity to albuminuria. Eur J Clin Invest 2020; 50:e13307. [PMID: 32511747 DOI: 10.1111/eci.13307] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 05/22/2020] [Accepted: 05/27/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND Obesity is a major public health problem, which continues to be diagnosed and classified by BMI, excluding the most elemental concepts of the precision medicine approach. Obesity does not equally affect males and females, even with the same BMI. Microalbuminuria is a risk marker of cardiovascular disease closely related to obesity. The aim of this study was to evaluate the gender-dependent differences in the development of early obesity-related disease, focusing on pathologic microalbuminuria (PMA). MATERIAL AND METHODS We developed a single-centre cross-sectional study including 1068 consecutive adults from May 2016 to January 2018, divided into two groups: one including the first 787 patients attended, evaluated as a description population; the second group included 281 subjects analysed as an external validation population. Collected data included medical history, anthropometric measures, abdominal bioimpedance and routine laboratory tests. RESULTS First, we confirmed the lack of accuracy of classic obesity measures in predicting microalbuminuria. Second, we tested the utility of a tailored evaluation to predict PMA, with an area under the ROC curve of 0.78 for females and 0.82 for males. We also confirmed the different physiology of visceral adiposity for males when compared to females, in which small variations of fat mass entail major changes in the clinical repercussion. Third, we performed an external validation of our results, achieving a 77% accuracy rate. CONCLUSIONS Our findings support that there is an individual threshold of fat amount necessary to develop obesity-dependent PMA and that gender plays a major role in the interplay between PMA and adiposity.
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Affiliation(s)
- Manuel F Landecho
- General Health Check-up Unit, Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain
| | | | | | - Inmaculada Colina
- General Health Check-up Unit, Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain
| | - Virginia Santesteban
- General Health Check-up Unit, Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain
| | - Marisol García-Unciti
- General Health Check-up Unit, Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain.,Department of Nutrition, Food Science and Physiology, Universidad de Navarra, Pamplona, Spain
| | - Oscar Beloqui
- General Health Check-up Unit, Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain
| | - Gema Frühbeck
- Obesity and Adipobiology Group, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.,Department of Endocrinology and Nutrition, Clínica Universidad de Navarra, Madrid, Spain.,Metabolic Research Laboratory, Department of Endocrinology & Nutrition, Clínica Universidad de Navarra, Pamplona, Spain.,CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Pamplona, Spain
| | - Marta Cuervo
- General Health Check-up Unit, Internal Medicine Department, Clinica Universidad de Navarra, Pamplona, Spain.,Department of Nutrition, Food Science and Physiology, Universidad de Navarra, Pamplona, Spain.,Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.,Center for Nutrition Research, Universidad de Navarra, Pamplona, Spain
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4
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Vikmoen O, Teien HK, Raustøl M, Aandstad A, Tansø R, Gulliksrud K, Skare M, Raastad T. Sex differences in the physiological response to a demanding military field exercise. Scand J Med Sci Sports 2020; 30:1348-1359. [DOI: 10.1111/sms.13689] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Revised: 03/26/2020] [Accepted: 04/09/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Olav Vikmoen
- Comprehensive Defence Division Norwegian Defence Research Establishment Kjeller Norway
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
| | - Hilde Kristin Teien
- Comprehensive Defence Division Norwegian Defence Research Establishment Kjeller Norway
| | - Marius Raustøl
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
| | - Anders Aandstad
- Norwegian Defence Command and Staff College Section for Military Leadership and Sport Norwegian Defence University College Oslo Norway
| | - Rita Tansø
- Comprehensive Defence Division Norwegian Defence Research Establishment Kjeller Norway
| | - Kristine Gulliksrud
- Comprehensive Defence Division Norwegian Defence Research Establishment Kjeller Norway
| | - Magnhild Skare
- Faculty of Education Norwegian Defence University College Oslo Norway
| | - Truls Raastad
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
- Norwegian Defence Command and Staff College Section for Military Leadership and Sport Norwegian Defence University College Oslo Norway
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5
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Gupte R, Brooks W, Vukas R, Pierce J, Harris J. Sex Differences in Traumatic Brain Injury: What We Know and What We Should Know. J Neurotrauma 2019; 36:3063-3091. [PMID: 30794028 PMCID: PMC6818488 DOI: 10.1089/neu.2018.6171] [Citation(s) in RCA: 263] [Impact Index Per Article: 52.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
There is growing recognition of the problem of male bias in neuroscience research, including in the field of traumatic brain injury (TBI) where fewer women than men are recruited to clinical trials and male rodents have predominantly been used as an experimental injury model. Despite TBI being a leading cause of mortality and disability worldwide, sex differences in pathophysiology and recovery are poorly understood, limiting clinical care and successful drug development. Given growing interest in sex as a biological variable affecting injury outcomes and treatment efficacy, there is a clear need to summarize sex differences in TBI. This scoping review presents an overview of current knowledge of sex differences in TBI and a comparison of human and animal studies. We found that overall, human studies report worse outcomes in women than men, whereas animal studies report better outcomes in females than males. However, closer examination shows that multiple factors including injury severity, sample size, and experimental injury model may differentially interact with sex to affect TBI outcomes. Additionally, we explore how sex differences in mitochondrial structure and function might contribute to possible sex differences in TBI outcomes. We propose recommendations for future investigations of sex differences in TBI, which we hope will lead to improved patient management, prognosis, and translation of therapies from bench to bedside.
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Affiliation(s)
- Raeesa Gupte
- Department of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, Kansas
| | - William Brooks
- Department of Neurology, University of Kansas Medical Center, Kansas City, Kansas
- Hoglund Brain Center, University of Kansas Medical Center, Kansas City, Kansas
- The University of Kansas Clinical and Translational Sciences Institute, University of Kansas Medical Center, Kansas City, Kansas
| | - Rachel Vukas
- School of Medicine, Dykes Library of Health Sciences, University of Kansas Medical Center, Kansas City, Kansas
| | - Janet Pierce
- Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, Kansas
| | - Janna Harris
- Department of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, Kansas
- Hoglund Brain Center, University of Kansas Medical Center, Kansas City, Kansas
- Address correspondence to: Janna Harris, PhD, Hoglund Brain Imaging Center, MS 1052, 3901 Rainbow Boulevard, Kansas City, KS 66160
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6
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Sex differences in ischaemic stroke: potential cellular mechanisms. Clin Sci (Lond) 2017; 131:533-552. [PMID: 28302915 DOI: 10.1042/cs20160841] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Revised: 12/16/2016] [Accepted: 01/09/2017] [Indexed: 12/12/2022]
Abstract
Stroke remains a leading cause of mortality and disability worldwide. More women than men have strokes each year, in part because women live longer. Women have poorer functional outcomes, are more likely to need nursing home care and have higher rates of recurrent stroke compared with men. Despite continued advancements in primary prevention, innovative acute therapies and ongoing developments in neurorehabilitation, stroke incidence and mortality continue to increase due to the aging of the U.S. POPULATION Sex chromosomes (XX compared with XY), sex hormones (oestrogen and androgen), epigenetic regulation and environmental factors all contribute to sex differences. Ischaemic sensitivity varies over the lifespan, with females having an "ischaemia resistant" phenotype that wanes after menopause, which has recently been modelled in the laboratory. Pharmacological therapies for acute ischaemic stroke are limited. The only pharmacological treatment for stroke approved by the Food and Drug Administration (FDA) is tissue plasminogen activator (tPA), which must be used within hours of stroke onset and has a number of contraindications. Pre-clinical studies have identified a number of potentially efficacious neuroprotective agents; however, nothing has been effectively translated into therapy in clinical practice. This may be due, in part, to the overwhelming use of young male rodents in pre-clinical research, as well as lack of sex-specific design and analysis in clinical trials. The review will summarize the current clinical evidence for sex differences in ischaemic stroke, and will discuss sex differences in the cellular mechanisms of acute ischaemic injury, highlighting cell death and immune/inflammatory pathways that may contribute to these clinical differences.
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7
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Levin E, McCue MD, Davidowitz G. Sex differences in the utilization of essential and non-essential amino acids in Lepidoptera. ACTA ACUST UNITED AC 2017; 220:2743-2747. [PMID: 28495867 DOI: 10.1242/jeb.154757] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 05/08/2017] [Indexed: 01/04/2023]
Abstract
The different reproductive strategies of males and females underlie differences in behavior that may also lead to differences in nutrient use between the two sexes. We studied sex differences in the utilization of two essential amino acids (EAAs) and one non-essential amino acid (NEAA) by the Carolina sphinx moth (Manduca sexta). On day one post-eclosion from the pupae, adult male moths oxidized greater amounts of larva-derived AAs than females, and more nectar-derived AAs after feeding. After 4 days of starvation, the opposite pattern was observed: adult females oxidized more larva-derived AAs than males. Adult males allocated comparatively small amounts of nectar-derived AAs to their first spermatophore, but this allocation increased substantially in the second and third spermatophores. Males allocated significantly more adult-derived AAs to their flight muscle than females. These outcomes indicate that adult male and female moths employ different strategies for allocation and oxidation of dietary AAs.
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Affiliation(s)
- Eran Levin
- Department of Entomology, University of Arizona, Tucson, AZ 85721, USA
| | - Marshall D McCue
- Department of Biological Sciences, St Mary's University, San Antonio, TX 78228, USA
| | - Goggy Davidowitz
- Department of Entomology, University of Arizona, Tucson, AZ 85721, USA
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8
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Levengood JM, Schaeffer DJ, Ulanov AV. Metabolite Profiles of Male and Female Humboldt Penguins. Vet Sci 2015; 2:349-362. [PMID: 29061948 PMCID: PMC5644650 DOI: 10.3390/vetsci2040349] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2015] [Revised: 09/28/2015] [Accepted: 10/08/2015] [Indexed: 11/18/2022] Open
Abstract
We examined 185 metabolites in 30 adult Humboldt Penguins (Spheniscus humboldti) nesting at the Punta San Juan Marine Protected Area, Peru, in order to examine gender differences in metabolome profiles, particularly those involved in metabolism and energetics. The majority of the compounds identified were fatty (26% of total identified compounds), organic (19%), and amino (16%) acids. We were able to differentiate male and female penguins with 96.6% accuracy on the basis of 12 metabolites, most of which are involved in lipid and carbohydrate metabolism. These included 2-oxoglutarate, erythronic acid, GABA, mannitol, sedoheptulose 7-phosphate, and serine and six metabolites present in higher concentrations in females compared to males (2-aminoadipic acid, O-phosphorylethanolamine, glycerol 2-phosphate, glycerol 3-phosphate, pantothenic acid, and creatinine). Of these, 2-oxoglutarate and glycerol 3-phosphate were key metabolites distinguishing gender. Our results indicated that male and female Humboldt Penguins were characterized by differing metabolic states. Such differences could be important to individual and brood survival in times of environmental stress.
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Affiliation(s)
- Jeffrey M Levengood
- Department of Comparative Biosciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL 61802, USA.
| | - David J Schaeffer
- Department of Comparative Biosciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL 61802, USA.
| | - Alexander V Ulanov
- Metabolomics Center, Roy J. Carver Biotechnology Center, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
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9
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Deaner RO, Carter RE, Joyner MJ, Hunter SK. Men are more likely than women to slow in the marathon. Med Sci Sports Exerc 2015; 47:607-16. [PMID: 24983344 DOI: 10.1249/mss.0000000000000432] [Citation(s) in RCA: 91] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
UNLABELLED Studies on nonelite distance runners suggest that men are more likely than women to slow their pace in a marathon. PURPOSE This study determined the reliability of the sex difference in pacing across many marathons and after adjusting women's performances by 12% to address men's greater maximal oxygen uptake and also incorporating information on racing experience. METHODS Data were acquired from 14 US marathons in 2011 and encompassed 91,929 performances. For 2929 runners, we obtained experience data from a race-aggregating Web site. We operationalized pace maintenance as the percentage change in pace observed in the second half of the marathon relative to the first half. Pace maintenance was analyzed as a continuous variable and as two categorical variables, as follows: "maintain the pace," defined as slowing <10%, and "marked slowing," defined as slowing ≥30%. RESULTS The mean change in pace was 15.6% and 11.7% for men and women, respectively (P < 0.0001). This sex difference was significant for all 14 marathons. The odds for women were 1.46 (95% confidence interval, 1.41-1.50; P < 0.0001) times higher than men to maintain the pace and 0.36 (95% confidence interval, 0.34-0.38; P < 0.0001) times that of men to exhibit marked slowing. Slower finishing times were associated with greater slowing, especially in men (interaction, P < 0.0001). However, the sex difference in pacing occurred across age and finishing time groups. Making the 12% adjustment to women's performances lessened the magnitude of the sex difference in pacing but not its occurrence. Although greater experience was associated with less slowing, controlling for the experience variables did not eliminate the sex difference in pacing. CONCLUSIONS The sex difference in pacing is robust. It may reflect sex differences in physiology, decision making, or both.
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Affiliation(s)
- Robert O Deaner
- 1Department of Psychology, Grand Valley State University, Allendale, MI; 2Department of Health Sciences Research, Mayo Clinic, Rochester, MN; 3Department of Anesthesiology, Mayo Clinic, Rochester, MN; and 4Exercise Science Program, Department of Physical Therapy, Marquette University, Milwaukee, WI
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10
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Zaitseva IP, Skalny AA, Tinkov AA, Berezkina ES, Grabeklis AR, Skalny AV. The influence of physical activity on hair toxic and essential trace element content in male and female students. Biol Trace Elem Res 2015; 163:58-66. [PMID: 25388755 DOI: 10.1007/s12011-014-0172-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 10/31/2014] [Indexed: 10/24/2022]
Abstract
The primary aim of the current study is to estimate the effect of different physical activity levels on hair trace element content in male and female students. A total of 113 students (59 women and 54 men) of P. G. Demidov Yaroslavl State University (Yaroslavl, Russia) took part in the current investigation. According to the level of the physical activity, all students were divided into three groups: high, medium, and low physical activity. Essential and toxic metal content (μg/g) in hair samples was assessed by inductively coupled plasma mass spectrometry using NexION 300D + NWR213 (Perkin-Elmer, USA). The obtained data show that hair iodine, zinc, arsenic, nickel, and tin levels are not related to physical activity in male and female students. At the same time, increased physical activity is associated with decreased hair copper, vanadium, bismuth, and mercury content in comparison to the low physical activity groups. Students with higher physical activity are also characterized by significantly higher hair cobalt, iron, manganese, selenium, cadmium, lithium, and lead concentrations. Finally, statistical analysis has revealed maximal gender differences in hair trace element content in the high physical activity groups, whereas in the low activity groups, the hair metal concentrations were nearly similar in females and males.
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Affiliation(s)
- Irina P Zaitseva
- Department of Physical Education and Sport, Yaroslavl State University, Sovetskaya st., 14, Yaroslavl, Russia, 150000
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11
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Demarest TG, McCarthy MM. Sex differences in mitochondrial (dys)function: Implications for neuroprotection. J Bioenerg Biomembr 2014; 47:173-88. [PMID: 25293493 DOI: 10.1007/s10863-014-9583-7] [Citation(s) in RCA: 122] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Accepted: 09/14/2014] [Indexed: 12/12/2022]
Abstract
Decades of research have revealed numerous differences in brain structure size, connectivity and metabolism between males and females. Sex differences in neurobehavioral and cognitive function after various forms of central nervous system (CNS) injury are observed in clinical practice and animal research studies. Sources of sex differences include early life exposure to gonadal hormones, chromosome compliment and adult hormonal modulation. It is becoming increasingly apparent that mitochondrial metabolism and cell death signaling are also sexually dimorphic. Mitochondrial metabolic dysfunction is a common feature of CNS injury. Evidence suggests males predominantly utilize proteins while females predominantly use lipids as a fuel source within mitochondria and that these differences may significantly affect cellular survival following injury. These fundamental biochemical differences have a profound impact on energy production and many cellular processes in health and disease. This review will focus on the accumulated evidence revealing sex differences in mitochondrial function and cellular signaling pathways in the context of CNS injury mechanisms and the potential implications for neuroprotective therapy development.
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Affiliation(s)
- Tyler G Demarest
- Program in Neuroscience, University of Maryland School of Medicine, Baltimore, MD, USA,
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12
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Pasiakos SM, Austin KG, Lieberman HR, Askew EW. Efficacy and safety of protein supplements for U.S. Armed Forces personnel: consensus statement. J Nutr 2013; 143:1811S-1814S. [PMID: 24027189 DOI: 10.3945/jn.113.176859] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
To provide evidence-based guidance regarding the efficacy and safety of dietary protein supplement (PS) use by members of the U.S. Armed Forces, a panel of internationally recognized experts in the fields of protein metabolism and dietary supplement research was convened by the Department of Defense Center Alliance for Dietary Supplement Research and the U.S. Army Medical Research and Material Command. To develop a consensus statement, potential benefits, risks, and strategies to optimize military performance through PS use were considered in the context of specific warfighter populations and occupational demands. To maintain muscle mass, strength, and performance during periods of substantial metabolic demand and concomitant negative energy balance the panel recommended that warfighters consume 1.5-2.0 g · kg(-1) · d(-1) of protein. However, if metabolic demand is low, such as in garrison, protein intake should equal the current Military Dietary Reference Intake (0.8-1.5 g · kg(-1) · d(-1)). Although PS use generally appears to be safe for healthy adults, warfighters should be educated on PS quality, given quality-control and contamination concerns with commercial dietary supplements. To achieve recommended protein intakes, the panel strongly urges consumption of high-quality protein-containing whole foods. However, when impractical, the use of PSs (20-25 g per serving or 0.25-0.3 g · kg(-1) per meal), particularly after periods of strenuous physical activity (e.g., military training, combat patrols, and exercise), is acceptable. The committee acknowledges the need for further study of protein requirements for extreme, military-specific environmental conditions and whether unique metabolic stressors associated with military service alter protein requirements for aging warfighters.
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Affiliation(s)
- Stefan M Pasiakos
- Military Nutrition Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA
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13
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Margolis LM, Pasiakos SM, Karl JP, Rood JC, Cable SJ, Williams KW, Young AJ, McClung JP. Differential effects of military training on fat-free mass and plasma amino acid adaptations in men and women. Nutrients 2012; 4:2035-46. [PMID: 23250145 PMCID: PMC3546621 DOI: 10.3390/nu4122035] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2012] [Revised: 11/30/2012] [Accepted: 12/13/2012] [Indexed: 01/14/2023] Open
Abstract
Fat-free mass (FFM) adaptations to physical training may differ between sexes based on disparities in fitness level, dietary intake, and levels of plasma amino acids (AA). This investigation aimed to determine FFM and plasma AA responses to military training, examine whether adaptations differ between male and female recruits, and explore potential associations between FFM and AA responses to training. Body composition and plasma AA levels were assessed in US Army recruits (n = 209, 118 males, 91 females) before (baseline) and every three weeks during basic combat training (BCT), a 10-week military training course. Body weight decreased in men but remained stable in women during BCT (sex-by-time interaction, P < 0.05). Fifty-eight percent of recruits gained FFM during BCT, with more (P < 0.05) females (88%) gaining FFM than males (36%). Total plasma AA increased (P < 0.05) during BCT, with greater (P < 0.05) increases observed in females (17%) then in males (4%). Essential amino acids (EAA) and branched-chain amino acids (BCAA) were increased (P < 0.05) in females but did not change in males (sex-by-time interaction, P < 0.05). Independent of sex, changes in EAA (r = 0.34) and BCAA (r = 0.27) from baseline were associated with changes in FFM (P < 0.05); greater (P < 0.05) increases in AA concentrations were observed for those who gained FFM. Increases in FFM and plasma AA suggest that BCT elicits a more pronounced anabolic response in women compared to men, which may reflect sex-specific differences in the relative intensity of the combined training and physiological stimulus associated with BCT.
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Affiliation(s)
- Lee M. Margolis
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - Stefan M. Pasiakos
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - J. Philip Karl
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - Jennifer C. Rood
- Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA; E-Mail:
| | - Sonya J. Cable
- Experimentation and Analysis Element, Directorate of Basic Combat Training, Fort Jackson, SC 29207, USA; E-Mails: (S.J.C.); (K.W.W.)
| | - Kelly W. Williams
- Experimentation and Analysis Element, Directorate of Basic Combat Training, Fort Jackson, SC 29207, USA; E-Mails: (S.J.C.); (K.W.W.)
| | - Andrew J. Young
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
| | - James P. McClung
- Military Nutrition Division, United States Army Research Institute of Environmental Medicine, 15 Kansas Street, Natick, MA 01760, USA; E-Mails: (L.M.M.); (S.M.P.); (J.P.K.); (A.J.Y.)
- Author to whom correspondence should be addressed; E-Mail: ; Tel.: +1-508-233-4979; Fax: +1-508-233-4869
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14
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Oh TS, Yun JW. DNA microarray analysis reveals differential gene expression in the soleus muscle between male and female rats exposed to a high fat diet. Mol Biol Rep 2012; 39:6569-80. [PMID: 22307788 DOI: 10.1007/s11033-012-1486-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2011] [Accepted: 01/24/2012] [Indexed: 01/15/2023]
Abstract
It is well recognized that diet-induced dysfunctions in skeletal muscle are closely related with many metabolic diseases, such as obesity and diabetes. In the present study, we identified global changes in gender-dependent gene expressions in the soleus muscle of lean and obese rats fed a high fat diet (HFD), using DNA microarray analysis. Prior to microarray analysis, the body weight gains were found to be higher in male HFD rats than the female HFD rats. To better understand the detailed phenotypic differences in response to HFD feeding, we identified differential gene expression in soleus muscle between the genders. To this end, we extracted and summarized the genes that were up- or down-regulated more than 1.5-fold between the genders in the microarray data. As expected, a greater number of genes encoding myofibrillar proteins and glycolytic proteins were expressed higher in males than females when exposed to HFD, reflecting greater muscular activity and higher capacity for utilizing glucose as an energy fuel. However, a series of genes involved in oxidative metabolism and cellular defenses were more up-regulated in females than males. These results allowed us to conclude that compared to males, females have greater fat clearing capacity in skeletal muscle through the activation of genes encoding enzymes for fat oxidation. In conclusion, our microarray data provide a better understanding of the molecular events underlying gender dimorphism in soleus muscle, and will provide valuable information in improving gender awareness in the health care system.
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Affiliation(s)
- Tae Seok Oh
- Department of Biotechnology, Daegu University, Kyungsan, Kyungbuk, Republic of Korea
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15
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Hausswirth C, Le Meur Y. Physiological and nutritional aspects of post-exercise recovery: specific recommendations for female athletes. Sports Med 2012; 41:861-82. [PMID: 21923203 DOI: 10.2165/11593180-000000000-00000] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Gender-based differences in the physiological response to exercise have been studied extensively for the last four decades, and yet the study of post-exercise, gender-specific recovery has only been developing in more recent years. This review of the literature aims to present the current state of knowledge in this field, focusing on some of the most pertinent aspects of physiological recovery in female athletes and how metabolic, thermoregulatory, or inflammation and repair processes may differ from those observed in male athletes. Scientific investigations on the effect of gender on substrate utilization during exercise have yielded conflicting results. Factors contributing to the lack of agreement between studies include differences in subject dietary or training status, exercise intensity or duration, as well as the variations in ovarian hormone concentrations between different menstrual cycle phases in female subjects, as all are known to affect substrate metabolism during sub-maximal exercise. If greater fatty acid mobilization occurs in females during prolonged exercise compared with males, the inverse is observed during the recovery phase. This could explain why, despite mobilizing lipids to a greater extent than males during exercise, females lose less fat mass than their male counterparts over the course of a physical training programme. Where nutritional strategies are concerned, no difference appears between males and females in their capacity to replenish glycogen stores; optimal timing for carbohydrate intake does not differ between genders, and athletes must consume carbohydrates as soon as possible after exercise in order to maximize glycogen store repletion. While lipid intake should be limited in the immediate post-exercise period in order to favour carbohydrate and protein intake, in the scope of the athlete's general diet, lipid intake should be maintained at an adequate level (30%). This is particularly important for females specializing in long-duration events. With protein balance, it has been shown that a negative nitrogen balance is more often observed in female athletes than in male athletes. It is therefore especially important to ensure that this remains the case during periods of caloric restriction, especially when working with female athletes showing a tendency to limit their caloric intake on a daily basis. In the post-exercise period, females display lower thermolytic capacities than males. Therefore, the use of cooling recovery methods following exercise, such as cold water immersion or the use of a cooling vest, appear particularly beneficial for female athletes. In addition, a greater decrease in arterial blood pressure is observed after exercise in females than in males. Given that the return to homeostasis after a brief intense exercise appears linked to maintaining good venous return, it is conceivable that female athletes would find a greater advantage to active recovery modes than males. This article reviews some of the major gender differences in the metabolic, inflammatory and thermoregulatory response to exercise and its subsequent recovery. Particular attention is given to the identification of which recovery strategies may be the most pertinent to the design of training programmes for athletic females, in order to optimize the physiological adaptations sought for improving performance and maintaining health.
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Affiliation(s)
- Christophe Hausswirth
- National Institute of Sport, for Expertise and Performance (INSEP), Research Department, Paris, France.
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16
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March DS, Vanderburgh PM, Titlebaum PJ, Hoops ML. Age, sex, and finish time as determinants of pacing in the marathon. J Strength Cond Res 2011; 25:386-91. [PMID: 20224445 DOI: 10.1519/jsc.0b013e3181bffd0f] [Citation(s) in RCA: 97] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Previous researchers have suggested that faster marathoners tend to run at a more consistent pace compared with slower runners. None has examined the influence of sex and age on pacing. Therefore, the purpose of this study was to determine the simultaneous influences of age, sex, and run time on marathon pacing. Pacing was defined as the mean velocity of the last 9.7 km divided by that of the first 32.5 km (closer to 1.0 indicates better pacing). Subjects were 186 men and 133 women marathoners from the 2005, 2006, and 2007 races of a midwestern U.S. marathon. The course was a 1.6 km (1 mile) loop with pace markers throughout, thus facilitating pacing strategy. Each 1.6-km split time was measured electronically by way of shoe chip. The ambient temperature (never above 5°C) ensured that hyperthermia, a condition known to substantially slow marathon times and affect pacing, was not likely a factor. Multiple regression analysis indicated that age, sex, and run time (p < 0.01 for each) were simultaneously independent determinants of pacing. The lack of any 2- or 3-way interactions (p > 0.05 for each) suggests that the effects of 1 independent variable is not dependent upon the levels of others. We conclude that older, women, and faster are better pacers than younger, men, and slower marathoners, respectively. Coaches can use these findings to overcome such tendencies and increase the odds of more optimal pacing.
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Affiliation(s)
- Daniel S March
- Department of Health and Sport Science, University of Dayton, Dayton, Ohio, USA
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17
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Gustavsson C, Yassin K, Wahlström E, Cheung L, Lindberg J, Brismar K, Ostenson CG, Norstedt G, Tollet-Egnell P. Sex-different hepaticglycogen content and glucose output in rats. BMC BIOCHEMISTRY 2010; 11:38. [PMID: 20863371 PMCID: PMC2955586 DOI: 10.1186/1471-2091-11-38] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2010] [Accepted: 09/23/2010] [Indexed: 02/08/2023]
Abstract
Background Genes involved in hepatic metabolism have a sex-different expression in rodents. To test whether male and female rat livers differ regarding lipid and carbohydrate metabolism, whole-genome transcript profiles were generated and these were complemented by measurements of hepatic lipid and glycogen content, fatty acid (FA) oxidation rates and hepatic glucose output (HGO). The latter was determined in perfusates from in situ perfusion of male and female rat livers. These perfusates were also analysed using nuclear magnetic resonance (NMR) spectroscopy to identify putative sex-differences in other liver-derived metabolites. Effects of insulin were monitored by analysis of Akt-phosphorylation, gene expression and HGO after s.c. insulin injections. Results Out of approximately 3 500 gene products being detected in liver, 11% were significantly higher in females, and 11% were higher in males. Many transcripts for the production of triglycerides (TG), cholesterol and VLDL particles were female-predominant, whereas genes for FA oxidation, gluconeogenesis and glycogen synthesis were male-predominant. Sex-differences in mRNA levels related to metabolism were more pronounced during mild starvation (12 h fasting), as compared to the postabsorptive state (4 h fasting). No sex-differences were observed regarding hepatic TG content, FA oxidation rates or blood levels of ketone bodies or glucose. However, males had higher hepatic glycogen content and higher HGO, as well as higher ratios of insulin to glucagon levels. Based on NMR spectroscopy, liver-derived lactate was also higher in males. HGO was inhibited by insulin in parallel with increased phosphorylation of Akt, without any sex-differences in insulin sensitivity. However, the degree of Thr172-phosphorylated AMP kinase (AMPK) was higher in females, indicating a higher degree of AMPK-dependent actions. Conclusions Taken together, males had higher ratios of insulin to glucagon levels, higher levels of glycogen, lower degree of AMPK phosphorylation, higher expression of gluconeogenic genes and higher hepatic glucose output. Possibly these sex-differences reflect a higher ability for the healthy male rat liver to respond to increased energy demands.
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Lamont LS, Romito R, Rossi K. Fat-free mass and gender influences the rapid-phase excess postexercise oxygen consumption. Appl Physiol Nutr Metab 2010; 35:23-6. [DOI: 10.1139/h09-120] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The purpose of this study was to determine the influence of gender dimorphism and body composition on postexercise oxygen consumption during the rapid recovery phase. We compared the rapid-phase excess postexercise oxygen consumption (EPOC) in men and women matched for age (32.1 years), physical activity status, and maximal oxygen consumption (44.7 mL·kg–1·min–1), but not for body mass or fat-free mass (FFM). All subjects exercised for 1 h at 50% of their peak capacity. Although there were differences between genders in the magnitude of the absolute oxygen consumption and EPOC during the rapid phase of recovery, there were no differences found when EPOC was corrected for FFM. We conclude that the gender differences in the absolute O2 consumption and EPOC are related to the size of the FFM.
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Affiliation(s)
- Linda S. Lamont
- Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA
- Departments of Cardiology and Pediatrics, Case-Western Reserve University School of Medicine, 3395 Scranton Rd, Cleveland, OH 44109, USA
| | - Rochelle Romito
- Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA
- Departments of Cardiology and Pediatrics, Case-Western Reserve University School of Medicine, 3395 Scranton Rd, Cleveland, OH 44109, USA
| | - Karin Rossi
- Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA
- Departments of Cardiology and Pediatrics, Case-Western Reserve University School of Medicine, 3395 Scranton Rd, Cleveland, OH 44109, USA
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Reilly T, Morris T, Whyte G. The specificity of training prescription and physiological assessment: A review. J Sports Sci 2009; 27:575-89. [DOI: 10.1080/02640410902729741] [Citation(s) in RCA: 99] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Sex differences in fat storage, fat metabolism, and the health risks from obesity: possible evolutionary origins. Br J Nutr 2007; 99:931-40. [PMID: 17977473 DOI: 10.1017/s0007114507853347] [Citation(s) in RCA: 342] [Impact Index Per Article: 20.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Human beings are susceptible to sustained weight gain in the modern environment. Although both men and women can get fat, they get fat in different ways, and suffer different consequences. We review differences between men and women in the incidence of obesity, fat deposition patterns, fat metabolism, and the health consequences of obesity, and examine potential evolutionary explanations for these differences. Women generally have a larger proportion of body mass as fat, and are more likely to deposit fat subcutaneously and on their lower extremities; men are more likely to deposit fat in the abdominal region. Excess adipose tissue in the abdominal region, especially visceral fat, is associated with more health risks. Women have higher rates of reuptake of NEFA into adipose tissue; however, they also have higher rates of fat oxidation during prolonged exercise. Oestrogen appears to underlie many of these differences. Women bear higher nutrient costs during reproduction. Fat and fertility are linked in women, through leptin. Low leptin levels reduce fertility. Ovarian function of adult women is associated with their fatness at birth. In our evolutionary past food insecurity was a frequent occurrence. Women would have benefited from an increased ability to store fat in easily metabolisable depots. We suggest that the pattern of central obesity, more commonly seen in men, is not adaptive, but rather reflects the genetic drift hypothesis of human susceptibility to obesity. Female obesity, with excess adiposity in the lower extremities, reflects an exaggeration of an adaptation for female reproductive success.
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