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Cardiovascular Research Advance Access first published online on December 1, 2008
This version [Corrected Proof] published online on December 18, 2008

Cardiovascular Research, doi:10.1093/cvr/cvn332
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Aerobic interval training vs. continuous moderate exercise in the metabolic syndrome of rats artificially selected for low aerobic capacity

Per Magnus Haram1,2,{dagger}, Ole J. Kemi1,3,{dagger}, Sang Jun Lee4, Marianne Ø. Bendheim5, Qusay Y. Al-Share4, Helge L. Waldum5, Lori J. Gilligan6, Lauren G. Koch6, Steven L. Britton6, Sonia M. Najjar4,{ddagger} and Ulrik Wisløff1,{ddagger},*

1 Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Medical Technology Research Centre, Olav Kyrres Gate 9, N-7489 Trondheim, Norway
2 Department of Cardiothoracic and Vascular Surgery, University Hospital, North-Norway and Institute of Clinical Medicine, Faculty of Medicine, University of Tromsø, Tromsø, Norway
3 Institute of Biomedical and Life Sciences, University of Glasgow, Glasgow, UK
4 Department of Physiology, Pharmacology, Metabolism, and Cardiovascular Sciences, University of Toledo, College of Medicine, OH, USA
5 Department of Internal Medicine, Section of Gastroenterology, St Olavs Hospital, Trondheim, Norway
6 Functional Genomics Laboratory, Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA

* Corresponding author. Tel: +47 73598621; fax: +47 73598613. E-mail address: ulrik.wisloff{at}ntnu.no

Aims: The recent development of a rat model that closely resembles the metabolic syndrome allows to study the mechanisms of amelioration of the syndrome by exercise training. Here, we compared the effectiveness for reducing cardiovascular risk factors by exercise training programmes of different exercise intensities.

Methods and results: Metabolic syndrome rats were subjected to either continuous moderate-intensity exercise (CME) or high-intensity aerobic interval training (AIT). AIT was more effective than CME at reducing cardiovascular disease risk factors linked to the metabolic syndrome. Thus, AIT produced a larger stimulus than CME for increasing maximal oxygen uptake (VO2max; 45 vs. 10%, P < 0.01), reducing hypertension (20 vs. 6 mmHg, P < 0.01), HDL cholesterol (25 vs. 0%, P < 0.05), and beneficially altering metabolism in fat, liver, and skeletal muscle tissues. Moreover, AIT had a greater beneficial effect than CME on sensitivity of aorta ring segments to acetylcholine (2.7- vs. 2.0-fold, P < 0.01), partly because of intensity-dependent effects on expression levels of nitric oxide synthase and the density of caveolae, and a greater effect than CME on the skeletal muscle Ca2+ handling (50 vs. 0%, P < 0.05). The two exercise training programmes, however, were equally effective at reducing body weight and fat content.

Conclusion: High-intensity exercise training was more beneficial than moderate-intensity exercise training for reducing cardiovascular risk in rats with the metabolic syndrome. This was linked to more superior effects on VO2max, endothelial function, blood pressure, and metabolic parameters in several tissues. These results demonstrate that exercise training reduces the impact of the metabolic syndrome and that the magnitude of the effect depends on exercise intensity.

KEYWORDS Endothelium; Metabolism; Exercise; Hypertension


Time for primary review: 34 days

{dagger} These authors share first authorship.

{ddagger} These authors share senior authorship.


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