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Updated: Jun 7, 2026

Decellularization-Based Quantification of Skeletal Muscle Fatty Infiltration
Published on: June 9, 2023
Bioavailable IGF-I is associated with fat-free mass gains after physical training in women
Bradley C Nindl1, James P McClung, Jeremy K Miller
1Military Performance Division, US Army Research Institute of Environmental Medicine, Natick, MA 01760, USA. Bradley.nindl@us.army.mil
Unlabelled:
The contributions of systemic versus local insulin-like growth factor-I (IGF-I) action for mediating fat-free mass (FFM) accretion have yet to be fully clarified, but circulating IGF-I is the preferred measure in clinical practice, and its merits as a biomarker have been demonstrated for a number of physiological outcomes.
Purpose:
To test the hypothesis that bioavailable IGF-I would have a stronger association with physical activity-induced FFM accretion than total IGF-I and would serve as a prognostic indicator of FFM accretion.
Methods:
Seventy-seven young healthy women (21 ± 5 yr, 62.7 ± 8.5 kg, 27.0% ± 6.0% body fat) participated in 8 wk of Army basic training involving intense physical activity. Total and bioavailable IGF-I; IGF binding proteins (IGFBP) 1, 2, 3, 4, 5, and 6; and body composition parameters were measured before and after the training.
Results:
There were significant (P≤0.05) increases in FFM (6%) and decreases in fat mass (-13%). Total IGF-I and IGFBP-4 to -6 increased, whereas IGFBP-1 and IGFBP-2 decreased. Bioavailable IGF-I (24%) explained three times the amount of variance in relative FFM changes than did total IGF-I (8%). Receiver operator characteristic curve analysis revealed that women with lower baseline bioavailable IGF-I were twice as likely to experience FFM gains >7%. Women gaining >7% FFM had greater increases in total IGF-I, maintained bioavailable IGF-I concentrations and experienced greater decreases in IGFBP-2 and increases in IGFBP-6 than those women gaining <7% FFM.
Conclusions:
Circulating bioavailable IGF-I has a moderate association with physical activity-induced increases in FFM accretion in young, healthy women, and this association is greater than observed for total IGF-I.