Lipids & metabolic liver disease

Effects of Statins on Fat Oxidation Improvements After Aerobic Exercise Training

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Long-term statin treatment is associated with blunted exercise fat oxidation before exercise training. However, statin use does not attenuate the improvements in exercise fat oxidation (FOMAX) derived from intense aerobic exercise training. This finding should encourage statin users to exercise-train to benefit from increased fat oxidation once their fitness level improves.

Study context

Population
Individuals with metabolic syndrome (dyslipidemic) completing a 16-week supervised high-intensity interval training program
Participants
106 individuals
Exposure
Long-term statin use vs statin naive, response to exercise training
  • Statinn = 46
  • Controln = 60reference
Outcome
Improvement in maximal fat oxidation (FOMAX) after exercise training
Follow-up
48 hours after 16-week training
Methodological details16-week supervised high-intensity interval training
  • 16-week supervised high-intensity interval training

Main finding

As reported in the abstract

Change in FOMAX after training
GroupValue95% CI
Statin0.06 ± 0.08 g·min-10.03-0.08
Control0.05 ± 0.09 g·min-10.03-0.07

Value

Statin0.06 ± 0.08 g·min-1
Control0.05 ± 0.09 g·min-1

95% CI

Statin0.03-0.08
Control0.03-0.07

Observational data: associations, not effects.

Further findings

Increase in V˙O2MAX after training · larger increase with Control

P = 0.013

FOMAX before training · lower with Statin

P = 0.023

Workload at FOMAX before training · lower with Statin

P = 0.015

Workload at FOMAX after training · lower workload with Statin

28% · P = 0.048

V˙O2-workload slope and fat oxidation across workloads · after training

V˙O2-workload slope decreased after training in both groups, with reductions in respiratory exchange ratio-workload slope
both P < .001
Fat oxidation increased at all workloads after training regardless of statin use

Original publication

Effects of Statins on Fat Oxidation Improvements After Aerobic Exercise Training. J Clin Endocrinol Metab. Published 17 November 2022. doi:10.1210/clinem/dgac668

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