The research presented in this article was completed in partial fulfillment see more of the MD/PhD dual degree requirements set forth for ELS at Georgia Regents
University and was supported by a Pre-doctoral Fellowship from the American Heart Association to ELS. (12PRE11530009) and a Research Grant from the National Institute of Neurological Disorders and Stroke, National Institutes of Health, USA to DWB (NS050730). “
“The modern way of life, characterized by abundance of energy-enriched foods coupled with sedentary lifestyles is associated with increased obesity and cardiovascular disease (CVD).1 Although men and women are both vulnerable to the ramifications of modern lifestyles, accumulating evidence indicate that CVD affect more women than men.2 This phenomenon is generally attributed to the mounting toll of time simply because women tend to live longer than men. However, another fact that may partly explain the greater cumulative impact of CVD among women is that women usually receive less aggressive treatment for cardiovascular risk factors, and are less often referred to cardiac rehabilitation and CVD prevention programs than men.2 and 3 Such disparity relative
Dasatinib to sex in patient care may partly be related to the misconception that women are protected from CVD by estrogen.4 However, the cardio-protective effects of estrogen erode during menopause.5 and 6 Many women also tend to express more sedentary behavior and reduction in leisure-time physical activity as they move toward and beyond menopause.7 and 8 Therefore, not overweight and obese women are at high risk to develop CVD as they advance from
middle age to older years. A recent meta-analysis showed that insulin resistance, hyperinsulinemia, and hyperglycaemia together with hypertriglyceridemia, low high-density lipoprotein cholesterol (HDL-C) and elevated low-density lipoprotein cholesterol (LDL-C) and central obesity, are associated with 2-fold increase in cardiovascular outcomes and a 1.5-fold increase in all-cause mortality.9 Recent studies have confirmed the benefits of long-term lifestyle changes on these cardiovascular and metabolic risk factors,10 and 11 indicating that the impact of lifestyle decisions on cardiovascular and metabolic health is crucial. However, whether the benefits of lifestyle modifications on reducing the risk of CVD are delivered through exercise or changes in dietary habits is not clear. It also remains to be determined whether the benefits of exercise and dieting on cardio-metabolic health are visible in the short-term. To address these questions we used nuclear magnetic resonance (NMR)-based metabolic profiling technologies for acquiring high throughput “snap shots” of a whole organism’s status12 allowing the study of the molecular response to exercise and dieting.