A high-MUFA diet alone does not affect ketone body metabolism, but reduces glycated hemoglobin when combined with exercise training in diabetic rats

作者：Somboonwong Jurai****^*; Huchaiyaphum Khunkhong; Kulaputana Onanong; Prapunwattana Phisit

来源：Asian Biomedicine, 2015, 9(1): 31-40.

DOI：10.5372/1905-7415.0901.365

• Beta-hydroxybutyric acid
• diabetes mellitus
• exercise training
• glycated hemoglobin
• hepatic ketone body synthesis
• ketoacyl-CoA transferase
• monounsaturated fatty acid
• non-esterified fatty acid
• peripheral ketone body utilization

Background: Monounsaturated fat (MUFA) also has glucose-lowering action, but its effect on ketone bodies is unknown.
Objectives: To examine the effects of high-MUFA diet alone or in combination with exercise training, which can improve glucose and ketone body metabolism, in a rat model of diabetes.
Methods: Wistar rats were administered streptozotocin to induce diabetes and then randomly divided into five groups: sedentary rats fed a regular diet (1), a high-saturated-fat diet (2), a high-MUFA diet (3); and exercise-trained rats fed a regular diet (4), and a high-MUFA diet (5). Training was by a treadmill twice daily, 5 days/week. At 12 weeks, glucose, glycated hemoglobin (HbA(1c)), insulin, nonesterified fatty acids (NEFA), and beta-hydroxybutyrate levels were measured in cardiac blood. Activity of the overall ketone synthesis pathway was determined in liver and 3-ketoacyl-CoA transferase activity determined in gastrocnemius muscle.
Results: A high-MUFA diet tended to lower plasma glucose without affecting other biochemical variables. Training did not change glucose metabolism, but significantly reduced serum NEFA. Only the high-MUFA diet plus training significantly decreased HbA1c levels. Hepatic ketone synthesis was decreased and 3-ketoacyl-CoA transferase activity was increased by training alone or in combination with a high-MUFA diet. Changes in NEFA, beta-hydroxybutyrate, and the enzymatic activities in response to training plus a high-MUFA diet were comparable to those caused by training alone.
Conclusion: A high-MUFA diet alone does not alter ketone body metabolism. Combination of a MUFA-rich diet and exercise training is more effective than either MUFA or exercise alone for lowering HbA(1c).

• 出版日期2015-2