Horm Metab Res 2015; 47(03): 225-231
DOI: 10.1055/s-0034-1395637
Endocrine Care
© Georg Thieme Verlag KG Stuttgart · New York

Leptin Level Lowers in Proportion to the Amount of Aerobic Work After Four Weeks of Training in Obesity

A. Salvadori
1   Division of Respiratory Rehabilitation, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
P. Fanari
1   Division of Respiratory Rehabilitation, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
A. Brunani
2   Division of Rehabilitation Medicine, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
P. Marzullo
3   Department of Translational Medicine, University of Piemonte Orientale ‘A. Avogadro’, Novara, Italy
4   Division of General Medicine, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
F. Codecasa
1   Division of Respiratory Rehabilitation, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
I. Tovaglieri
1   Division of Respiratory Rehabilitation, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
M. Cornacchia
1   Division of Respiratory Rehabilitation, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
P. Palmulli
1   Division of Respiratory Rehabilitation, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
,
E. Longhini
1   Division of Respiratory Rehabilitation, H. San Giuseppe, Istituto Auxologico Italiano, Verbania, Italy
› Author Affiliations
Further Information

Publication History

received 20 May 2014

accepted 06 November 2014

Publication Date:
12 December 2014 (online)

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Abstract

Leptin values are higher in obesity. Physical exercise reduces fat mass (FM) and decreases leptin levels. Intensity of physical training seems to play a role in reducing circulating leptin. In 16 obese subjects (8 men and 8 women, age 38.6±3.9 years, BMI 35.9±1.8 kg/m2), leptin was sampled before and after 4 weeks of controlled training. Eight subjects (4 men and 4 women) performed an aerobic training schedule (Group A), the remainders an aerobic training program with a bout of work beyond the anaerobic threshold (AT) (Group B). Training determined a reduction in leptin levels in both groups, which was significant in Group A (12.2 vs. 27.8 μg/l, p<0.05), even when related to the change in FM (0.372 vs. 0.762 μg/l/kg, p<0.05). FM decreased significantly in Group B when compared to Group A (–7.4 vs. –2.6 kg, respectively, p<0.001). While in Group A the slight loss of FM was aggregated to a significant decrease in leptin levels, the opposite occurred in Group B. In Group A, leptin lowering was proportional to the amount of total work performed (p<0.001, R2=0.89). In obesity, a reduction is observed in leptin levels after short-term training, which is seemingly dissociated from concomitant decrease of FM. Aerobic training alone appears to be linked to a greater leptin reduction, which is well correlated with the amount of work performed.