1.Protective Effects of Orlistat on Lipid Profile, Cardiac Oxidative Stress Biomarkers and Histology in High-fat Diet-induced Obese Rats
The International Medical Journal Malaysia 2019;18(2):23-28
Introduction: Orlistat is a widely used drug in treating obesity as it promotes weight reduction. The aim
of this study was to determine the protective effects of orlistat (10 mg/kg/day) on cardiovascular
parameters and oxidative stress biomarkers in high-fat diet (HFD)-induced obese rats. Methods: Twenty-four
male rats Sprague Dawley rats were divided into three groups and fed with normal diet (N), HFD and HFD
with orlistat (HFD+O). Orlistat was administered daily by oral gavage and after six weeks, all rats were
sacrificed. Results: Administration of orlistat along with HFD (HFD+O) has brought significant decreases in
Lee obesity index and LDL level compared to HFD group. Activities of cardiac superoxide dismutase (SOD),
glutathione peroxidase (GPx) and catalase (CAT) were significantly higher, whereas level of oxidised LDL was
significantly lower in HFD+O group compared to HFD group. HFD group had significantly higher necrotic patch
area in myocardium while minimal histological changes were seen in HFD+O group. Conclusion: This study
may suggest that administration of orlistat at 10 mg/kg/day for 6 weeks may have protective effects against
the changes on Lee obesity index, lipid profiles, cardiac oxidative stress biomarkers and histology of
myocardium in HFD-induced obese rats possibly through its hypolipidaemic and antioxidant actions.
2.High-intensity interval training induced PGC-1α and AdipoR1 gene expressions and improved insulin sensitivity in obese individuals
Nur Hidayah Asilah Za&rsquo ; don ; Amirul Farhana Muhammad Kamal ; Farhanim Ismail ; Sharifah Izwan Tuan Othman ; Mahendran Appukutty ; Norita Salim ; Nor Farah Mohamad Fauzi ; Arimi Fitri Mat Ludin
The Medical Journal of Malaysia 2019;74(6):461-467
Introduction: High-intensity interval training (HIIT) has been
found to improve cardiometabolic health outcome as
compared to moderate-intensity continuous exercise.
However, there is still limited data on the benefits of HIIT on
the expression of regulatory proteins that are linked to
skeletal muscle metabolism and insulin sensitivity in obese
adults. This study investigated the effects of HIIT
intervention on expressions of peroxisome proliferatoractivated receptor-γ coactivator 1-α (PGC-1α) and
adiponectin receptor-1 (AdipoR1), insulin sensitivity (HOMAIR index), and body composition in overweight/obese
individuals.
Methods: Fifty overweight/obese individuals aged 22-29
years were assigned to either no-exercise control (n=25) or
HIIT (n=25) group. The HIIT group underwent a 12-week
intervention, three days/week, with intensity of 65-80% of
age-based maximum heart rate. Anthropometric
measurements, homeostatic model of insulin resistance
(HOMA-IR) and gene expression analysis were conducted at
baseline and post intervention.
Results: Significant time-by-group interactions (p<0.001)
were found for body weight, BMI, waist circumference and
body fat percentage. The HIIT group had lower body weight
(2.3%, p<0.001), BMI (2.7%, p<0.001), waist circumference
(2.4%, p<0.001) and body fat percentage (4.3%, p<0.001) post
intervention. Compared to baseline, expressions of PGC-1α
and AdipoR1 were increased by approximately three-fold
(p=0.019) and two-fold (p=0.003) respectively, along with
improved insulin sensitivity (33%, p=0.019) in the HIIT group.
Conclusion: Findings suggest that HIIT possibly improved
insulin sensitivity through modulation of PGC-1α and
AdipoR1. This study also showed that improved metabolic
responses can occur despite modest reduction in body
weight in overweight/obese individuals undergoing HIIT
intervention.