Bhanu Prakash KN1, Venkatesh Gopalan1, Swee Shean Lee1, and Sendhil Velan S1,2
1Laboratory of Metabolic Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 2Singapore Institute for Clinical Sciences, Singapore, Singapore
Synopsis
Quantification
of adipose tissue distribution within the abdomen is
fundamental for investigations in obesity and diabetes. Distribution of fat within the body, and its
accumulation in the abdominal cavity, exert different physiologic effects based
on their anatomical location. Calorie-restriction and exercise interventions
improve obesity risk factors. Fat
accumulation and mobilization can vary depending on the type and quality of fat
in different locations. We have
investigated the quantitative changes in fat volumes at different positions in
the abdomen in diet induced obese rats.Purpose
Understanding the distribution of subcutaneous
adipose tissue (SAT) and visceral adipose tissue (VAT) within the abdomen is
fundamental for the evaluation of obesity and diabetes. Expansion of SAT and
VAT contributes to the metabolic syndrome including obesity and diabetes. VAT
can be further compartmentalized as perirenal, mesentric, gonadal,
retroperitoneal and intraperitoneal based on the locations in abdomen. During
obesity these fat depots can contribute by secreting various bioactive molecules and hormones, such as
adiponectin, leptin, tumour necrosis factor, resistin and interleutin 6 (IL-6)
1.During weight loss interventions like exercise
(EX) and calorie restriction (CR) these fat depots can vary in their response
including secretion of hormones. Studies have shown that lipolysis is
heterogeneous in different adipose tissue regions of SAT and VAT; with intra-abdominal
VAT being most active
2, 3. During endurance exercise, the lipolysis
rate is increased in upper abdominal SAT than in lower body SAT
4.
Loss of fat/weight is associated with improvements in risk factors of obesity
5
making the identification of the measurement of SAT/VAT volume
particularly important for calculating the change in SAT/VAT due to weight-loss
interventions. Several studies utilize a single-slice image at L4–L5 to
estimate the VAT. There have been arguments on which is the most suitable
location for estimating the total volume of VAT using a single slice estimation
6-8.
In this study we have investigated the changes in accumulation and mobilization
in different locations of the abdomen with exercise and diet interventions.
Methods
All in-vivo experiments were in compliance and
approved by institutional animal care and use committee. In-vivo imaging was
performed with a 7T Bruker Clinscan at two time points (pre- and post-scans)
during the study. Transverse turbo spin echo (TSE) abdominal images (from L1 –
L5 of the spine) of Fisher 344 rats, CLEA Japan were acquired during the study.
The rats were fed with high fat diet from 5 to 18 weeks of age to induce
obesity. The rodents were divided into 5 different cohorts (N = 7): control
(CG), exercise (EX-1, EX 2; exercise once /twice a day), and calorie
restriction (CR-15, CR-30; -15% and -30% reduction in calorie intake). The
exercise intervention was induced by making the rodents to run for 30 minutes
at a speed of 20m/min on a treadmill. The weight-loss interventions were
performed for 4 weeks. The body weight was measured on weekdays and food intake
was measured every day. Both scans (pre- and post-intervention) used the same
protocol with an FOV of 65 X 65 mm, base resolution of 256 X 256. Segmentation
of VAT and SAT was performed by an in-house developed hybrid algorithm which
combined level set and fuzzy clustering methods
9, 10. MATLAB was
used to develop and implement the segmentation method. Statistical Analysis: The
pre/post analysis of the MRI estimates of abdominal SAT and VAT volumes, and
fat at each lumbar position for different interventions were analysed using
ANCOVA. The post-intervention scores were used as the dependent variable with
the pre-intervention scores as a covariate and the cohort as the fixed factor.
Both pre/post analyses planned comparisons of the intervention groups were made
with the high fat diet control group with a student’s t-test.
Results
The total SAT and VAT volume based analysis showed
significance (p <0.05) for CR-30, EX-1 and EX-2 cohorts (Fig. 1 and 2),
while the same was not reflected in the lumbar position based analysis. The
percentage change in SAT and VAT volumes at different lumbar positions (L1-L5)
for control group (CG), calorie restriction (CR-15, CR-30) and exercise (EX-1,
EX_2) interventions are shown in Fig. 3. In the detailed lumbar based analysis,
the percentage VAT change at all the lumbar positions (L1 – L5) in exercise groups (EX-1 and EX-2) was
significant; whereas the CR-30 had significant changes in VAT at L5 and L3
positions only. SAT changes were significant for L1 and L3 sections in EX-1 and
EX-2 cohorts; whereas calorie restriction cohorts did not have any significant
changes in SAT.
Conclusions
We have quantitatively assessed the changes in SAT/VAT
at each lumbar position due to weight-loss interventions of exercise and
calorie restriction using MRI in high fat diet fed rat model. Our results
demonstrate the nature of changes in the fat patterns for both calorie
restriction and exercise interventions at each lumbar position. Our results show heterogeneity in fat
accumulation and mobilization during obesity and weight-loss interventions.
Hence, a detailed whole abdomen based analysis is required to accurately assess
the response of various fat depots. The
specific changes in SAT/VAT at each lumbar position might also influence the
quality of fat.
Acknowledgements
No acknowledgement found.References
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