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APPETITE, OBESITY, AND DIGESTION
1Center for Advanced Imaging and Department of Radiology, 2Center for Interdisciplinary Research in Cardiovascular Sciences, 3Department of Community Medicine, 4Department of Physiology and Pharmacology, 6Departments of Biochemistry, Microbiology, and Immunology, and 8Department of Exercise Physiology, West Virginia University, Morgantown, West Virginia; 5Department of Radiology, University of California, Los Angeles, California; and 7Magnetic Resonance Imaging and Spectroscopy Section, National Institute on Aging, National Institutes of Health, Baltimore, Maryland
Submitted 17 April 2008 ; accepted in final form 28 July 2008
The link between body weight, lipid metabolism, and health risks is poorly understood and difficult to study. Magnetic resonance spectroscopy (MRS) permits noninvasive investigation of lipid metabolism. We extended existing two-dimensional MRS techniques to permit quantification of intra- and extramyocellular lipid (IMCL and EMCL, respectively) compartments and their degree of unsaturation in human subjects and correlated these results with body mass index (BMI). Using muscle creatine for normalization, we observed a statistically significant (P < 0.01) increase in the IMCL-to-creatine ratio with BMI (n = 8 subjects per group): 5.9 ± 1.7 at BMI < 25, 10.9 ± 1.82 at 25 < BMI < 30, and 13.1 ± 0.87 at BMI > 30. Similarly, the degree of IMCL unsaturation decreased significantly (P < 0.01) with BMI: 1.51 ± 0.08 at BMI < 25, 1.30 ± 0.11 at 25 < BMI < 30, and 0.90 ± 0.14 at BMI > 30. We conclude that important aspects of lipid metabolism can be evaluated by two-dimensional MRS and propose that degree of unsaturation measured noninvasively may serve as a biomarker for lipid metabolic defects associated with obesity.
magnetic resonance spectroscopy; lipid unsaturation; intramyocellular lipid; extramyocellular lipid
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