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Elucidation of the athlete paradox and examination of clinical application

Research Project

Project/Area Number 15H03097
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Applied health science
Research InstitutionJuntendo University

Principal Investigator

KAWAMORI ryuzo  順天堂大学, 医学(系)研究科(研究院), 特任教授 (00116021)

Co-Investigator(Kenkyū-buntansha) 筧 佐織  順天堂大学, 医学(系)研究科(研究院), 特任助教 (00450560)
田村 好史  順天堂大学, 国際教養学部, 教授 (80420834)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥15,730,000 (Direct Cost: ¥12,100,000、Indirect Cost: ¥3,630,000)
Fiscal Year 2017: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2016: ¥6,500,000 (Direct Cost: ¥5,000,000、Indirect Cost: ¥1,500,000)
Fiscal Year 2015: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Keywordsアスリートパラドクス / 骨格筋 / 骨格筋細胞内脂質 / インスリン感受性 / 運動 / アスリートパラドックス
Outline of Final Research Achievements

Skeletal muscle from exercised-trained subjects can display high insulin sensitivity, despite intramuscular lipid levels that exceed those of obese and diabetic individuals, a phenomenon described as the “athlete paradox”. However it is unknown whether exercises intensity is reflect to lipid alterations and insulin sensitivity. To clarify its mechanisms, we investigated PGC1 promoter methylation ratio and the role of exercise intensity on intramyocellular lipid level and insulin resistance. As a result, between the athlete and the control, there was a difference in the methylation rate on the PGC1 promoter. On the other hand, the composition of skeletal muscle intracellular lipid and blood lipid differed in change depending on exercise intensity. These results suggest that epigenetic regulation is one of the causes of athlete paradox and setting exercise intensity is important for prevention of metabolic syndrome.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (27 results)

All 2017 2016 2015 2014

All Journal Article (18 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 18 results,  Open Access: 7 results,  Acknowledgement Compliant: 3 results) Presentation (9 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Journal Article] Long-term, but not short-term high-fat diet induces fiber composition changes and impaired contractile force in mouse fast-twitch skeletal muscle2017

    • Author(s)
      Eshima H,Tamura Y, Kakehi S, Kurebayashi N, Murayama T, Nakamura K, Kakigi R,Okada T,Sakurai T, Kawamori R, Watada H
    • Journal Title

      Physiological reports

      Volume: 5 Issue: 7 Pages: e13250-e13250

    • DOI

      10.14814/phy2.13250

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Correlates of insulin clearance in apparently healthy non-obese Japanese men.2017

    • Author(s)
      Kaga H, Tamura Y, Takeno K, Kakehi S, Funayama T, Furukawa Y, Nishitani-Yokoyama M, Shimada K, Daida H, Aoki S, Giacca A, Kanazawa A, Kawamori R, Watada H.
    • Journal Title

      Sci Rep

      Volume: 7 Issue: 1 Pages: 1462-1462

    • DOI

      10.1038/s41598-017-01469-x

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Impaired peripheral insulin sensitivity in non-obese Japanese patients with type 2 diabetes mellitus and fatty liver.2017

    • Author(s)
      Furukawa Y, Tamura Y, Takeno K, Funayama T, Kaga H, Suzuki R, Watanabe T, Kakehi S, Kanazawa A, Kawamori R, Watada H.
    • Journal Title

      J Diabetes Investig.

      Volume: 印刷中 Issue: 3 Pages: 529-535

    • DOI

      10.1111/jdi.12731

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Characteristics of Glucose Metabolism in Underweight Japanese Women.2017

    • Author(s)
      Someya Y, Tamura Y, Suzuki R, Kaga H, Kadowaki S, Sugimoto D, Kakehi S, Funayama T, Furukawa Y, Takeno K, Sato J, Kanazawa A, Kawamori R, Watada H.
    • Journal Title

      J Endocr Soc.

      Volume: 2(3) Issue: 3 Pages: 279-289

    • DOI

      10.1210/js.2017-00418

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of alcohol abstinence on glucose metabolism in Japanese men with elevated fasting glucose: A pilot study.2017

    • Author(s)
      Funayama T, Tamura Y, Takeno K, Kawaguchi M, Kakehi S, Watanabe T, Furukawa Y, Kaga H, Yamamoto R, Kanazawa A, Fujitani Y, Kawamori R, Watada H.
    • Journal Title

      Sci Rep.

      Volume: 9 Issue: 1 Pages: 40277-40277

    • DOI

      10.1038/srep40277

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Relation Between Insulin Sensitivity and Metabolic Abnormalities in Japanese Men With BMI of 23-25 kg/m2.2016

    • Author(s)
      Takeno K, Tamura Y, Kawaguchi M, Kakehi S, Watanabe T, Funayama T, Furukawa Y, Kaga H, Yamamoto R, Kim M, Nishitani-Yokoyama M, Shimada K, Daida H, Aoki S, Taka H, Fujimura T, Sawada SS, Giacca A, Kanazawa A, Fujitani Y, Kawamori R, Watada H.
    • Journal Title

      J Clin Endocrinol Metab

      Volume: 101 Pages: 3676-3684

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A randomized controlled trial of 130 g/day low-carbohydrate diet in type 2 diabetes with poor glycemic control.2016

    • Author(s)
      Sato J, Kanazawa A, Makita S, Hatae C, Komiya K, Shimizu T, Ikeda F, Tamura Y, Ogihara T, Mita T, Goto H, Uchida T, Miyatsuka T, Takeno K, Shimada S, Ohmura C, Watanabe T, Kobayashi K, Miura Y, Iwaoka M, Hirashima N, Fujitani Y, Watada H.
    • Journal Title

      Clin Nutr

      Volume: 16 Issue: 4 Pages: 30169-8

    • DOI

      10.1016/j.clnu.2016.07.003

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Increased intramyocellular lipid/impaired insulin sensitivity is associated with altered lipid metabolic genes in muscle of high responders to a high-fat diet.2016

    • Author(s)
      Kakehi S, Tamura Y, Takeno K, Sakurai Y, Kawaguchi M, Watanabe T, Funayama T, Sato F, Ikeda S, Kanazawa A, Fujitani Y, Kawamori R, Watada H.
    • Journal Title

      Am J Physiol Endocrinol Metab.

      Volume: 310 Issue: 1 Pages: 32-40

    • DOI

      10.1152/ajpendo.00220.2015

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Efficacy and safety of 40 mg or 60 mg duloxetine in Japanese adults with diabetic neuropathic pain: Results from a randomized, 52-week, open-label study.2016

    • Author(s)
      Yasuda H, Hotta N, Kasuga M, Kashiwagi A, Kawamori R, Yamada T, Baba Y, Alev L, Nakajo K.
    • Journal Title

      J Diabetes Investig

      Volume: 7 Issue: 1 Pages: 100-108

    • DOI

      10.1111/jdi.12361

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dynamic prediction model and risk assessment chart for cardiovascular disease based on on-treatment blood pressure and baseline risk factors2016

    • Author(s)
      Teramukai S, Okuda Y, Miyazaki S, Kawamori R, Shirayama M Teramoto T.
    • Journal Title

      Hypertension Research

      Volume: 39 Issue: 2 Pages: 113

    • DOI

      10.1038/hr.2015.120

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Does the treatment of type 2 diabetes mellitus with the DPP -4 inhibitor vildagliptin reduce HbA1c to a greater extent in Japanese patients than in Caucasian patients?2016

    • Author(s)
      James E Foley, Vaishali Bhosekar, Kawamori R.
    • Journal Title

      Vascular Health and Risk Management

      Volume: 12 Pages: 9-12

    • DOI

      10.2147/vhrm.s96971

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of Pioglitazone for Secondary Stroke Prevention in Patients with Impaired Glucose Tolerance and Newly Diagnosed Diabetes: The J-SPIRIT Study2015

    • Author(s)
      Tanaka R, Yamashiro K, Okuma Y, Shimura H, Nakamura S, Ueno Y, Tanaka Y, Miyamoto N, Tomizawa Y, Nakahara T, Furukawa Y, Watada H, Kawamori R, Hattori N, Urabe T.
    • Journal Title

      Journal of Atherosclerosis and Thrombosis

      Volume: 22 Issue: 12 Pages: 1305-1316

    • DOI

      10.5551/jat.30007

    • NAID

      130005112370

    • ISSN
      1340-3478, 1880-3873
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Replication study in a Japanese population to evaluate the association between 10 SNP loci, identified in European genome-wide association studies, and type 2 diabetes.2015

    • Author(s)
      Matsuba R,, Sakai K, Imamura M, Tanaka Y, Iwata M, Hiroshe H, Kaku K, Maegawa H, WatadaH, Tobe K, Kashiwagi A, Kawamori R, Maeda S.
    • Journal Title

      Plos One

      Volume: 10 Issue: 5 Pages: e0126363-e0126363

    • DOI

      10.1371/journal.pone.0126363

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Evaluation of Myocardial Triglyceride Accumulation Assessed on <sup>1</sup>H-Magnetic Resonance Spectroscopy in Apparently Healthy Japanese Subjects2015

    • Author(s)
      Sai E, Shimada K, Yokoyama T, Sato S, Nishizaki Y, Miyazaki T, Hiki M, Tamura Y, Aoki S, Watada H, Kawamori R, Daida H.
    • Journal Title

      Internal Medicine

      Volume: 54 Issue: 4 Pages: 367-373

    • DOI

      10.2169/internalmedicine.54.3024

    • NAID

      130004903049

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Four-year evolution of insulin regimens, glycaemic control, hypoglycaemia and body weight after starting insulin therapy in type 2 diabetes across three continents.2015

    • Author(s)
      Home PD, Dain M-P, Freemantle N, Kawamori R, Pfohl M, Brette S, Pilorget V, Scherbaum WA, Vespasiani G, Vincent M, Balkau B.
    • Journal Title

      Diabetes Res Clin Pract

      Volume: 108 Issue: 2 Pages: 350-9

    • DOI

      10.1016/j.diabres.2015.01.030

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The factors that affect exercise therapy for patients with type 2 diabetes in Japan: a nationwide survey.2015

    • Author(s)
      Arakawa S, Watanabe T, Sone H, Tamura Y, Kobayashi M, Kawamori R, Atsumi Y, Oshida Y, Tanaka S, Suzuki S, Makita S, Ohsawa I, Sato Yuzo.
    • Journal Title

      Diabetol Int

      Volume: 6 Pages: 19-25

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Lipid and Blood Pressure Control for the Prevention of Cardiovascular Disease in Hypertensive Patients: A Subanalysis of the OMEGA Study2015

    • Author(s)
      Teramoto T, Kawamori R, Miyazaki S, Teramukai S, Sato Y, Okuda Y, Shirayama M.
    • Journal Title

      Journal of Atherosclerosis and Thrombosis

      Volume: 22 Issue: 1 Pages: 62-75

    • DOI

      10.5551/jat.25304

    • NAID

      130004684914

    • ISSN
      1340-3478, 1880-3873
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of sitagliptin on ectopic fat contents and glucose metabolism in type 2 diabetic patients with fatty liver: A pilot study2014

    • Author(s)
      Watanabe T, Tamura Y, Kakehi S, Funayama T, Takeno K, Kawaguchi M, Yamamoto L, Sato F, Ikeda S, Taka H, Fujimura T, Fujitani Y, Kawamori R, Watada H
    • Journal Title

      J Diabetes Invest

      Volume: Mar;6(2) Issue: 2 Pages: 164-72

    • DOI

      10.1111/jdi.12262

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Effects of difference in exercise intensity under the same energy consumption on the phospholipid composition in muscle2017

    • Author(s)
      Saori Kakehi, Yoshifumi Tamura, Takashi Funayama, Kageumi Takeno, Ryuzo Kawamori and Hirotaka Watada
    • Organizer
      Cell symposia Exercises Metabolism
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Physical inactivity and high fat diet additively induce diacylglycerol accumulation and insulin resistance2016

    • Author(s)
      Saori Kakehi, Yoshifumi Tamura, Shin-ichi Ikeda, Naoko Kaga, Ryuzo Kawamori, Hirotaka Wata
    • Organizer
      76th American Diabetes Association Scientific Sessions
    • Place of Presentation
      New Orleans, Louisiana
    • Year and Date
      2016-06-10
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 高脂肪食・不活動による骨格筋インスリン抵抗性発生メカニズム2016

    • Author(s)
      筧 佐織
    • Organizer
      第59回日本糖尿尿病学会年次学術集会シンポジウム
    • Place of Presentation
      京都
    • Year and Date
      2016-05-19
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 高脂肪・不活動による骨格筋インスリン抵抗性惹起メカニズム2015

    • Author(s)
      筧 佐織、田村 好史、池田 真一、加賀 直子、河盛 隆造、綿田 裕孝
    • Organizer
      分子糖尿病学シンポジウム
    • Place of Presentation
      東京、千代田区、丸ビルホール&コンファレンススクエア
    • Year and Date
      2015-12-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 24時間の脚ギプス固定は、骨格筋細胞内のジアシルグリセロールを増加させ、インスリン抵抗性を惹起する2015

    • Author(s)
      筧 佐織、田村 好史、池田 真一、河盛 隆造、綿田 裕孝
    • Organizer
      第70回体力医学会大会
    • Place of Presentation
      和歌山、和歌山市、和歌山県民文化会館
    • Year and Date
      2015-09-18
    • Related Report
      2015 Annual Research Report
  • [Presentation] Intramyocellular lipid accumulation after high-fat diet is associated with the gene expression involved in lipid metabolism in skeletal muscle of non-obese men2015

    • Author(s)
      Kakehi S, Tamura Y, Takeno K, Sakurai Y, Kawaguchi M, Watanabe T, Funayama T, Sato F, Ikeda S, Kanazawa A, Fujitani Y, Kawamori R, Watada H
    • Organizer
      2nd Congress, International Academy of Sportology.
    • Place of Presentation
      東京、文京区、順天堂大学
    • Year and Date
      2015-09-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] Physical inactivity and high fat diet synergistically enhance the accumulation of intramyocellular diacylglycerol and induce insulin resistance in murine soleus muscle2015

    • Author(s)
      Kakehi S, Tamura Y, Kawamori R, Watada H
    • Organizer
      Cell Symposia: Exercise Metabolism.
    • Place of Presentation
      アムステルダム、オランダ
    • Year and Date
      2015-07-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] 「Potential usefulness of intrahepatic lipid accumulation and liver function tests to identify insulin resistance phenotype in non-obese type 2 diabetes.」2015

    • Author(s)
      Y. Furukawa, Y. Tamura, K. Takeno, T. Funayama, R. Suzuki, H. Kaga, T. Watanabe, Y. Someya, Y. Fujitani, R. Kawamori, H. Watada
    • Organizer
      American Diabetes Association 75th scientific sessions
    • Place of Presentation
      ボストン、アメリカ合衆国
    • Year and Date
      2015-06-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] Mechanisums of insulin resistance after 24hours physical inactivity in murine soleus muscle2015

    • Author(s)
      Kakehi S, Tamura Y, Ikeda S, Kawamori R, Watada H
    • Organizer
      62nd Annual Meeting of American College of Sports Medicine.
    • Place of Presentation
      サンディエゴ、アメリカ合衆国
    • Year and Date
      2015-05-26
    • Related Report
      2015 Annual Research Report

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Published: 2015-04-16   Modified: 2019-03-29  

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