Intramuscular lipid utilization during exercise: a systematic review, meta-analysis, and meta-regression

Jayden R Stokie1, Gavin Abbott1, Kirsten F Howlett1

  • 1Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.

Insights

Intramuscular lipid (IMCL) content decreases after cycling exercise, regardless of feeding status. Analytical techniques significantly influence IMCL degradation assessment in skeletal muscle.

Area of Science:

  • Exercise Physiology
  • Skeletal Muscle Metabolism
  • Biochemistry and Molecular Biology

Background:

  • Controversy exists regarding intramuscular lipid (IMCL) utilization during exercise, with biochemical techniques often failing to show post-exercise IMCL decline.
  • Advanced methods like immunofluorescence microscopy and 1H-magnetic resonance spectroscopy (1H-MRS) offer improved assessment of IMCL content compared to traditional biochemical assays.
  • Understanding IMCL dynamics is crucial for optimizing exercise and nutrition strategies.

Purpose of the Study:

  • To systematically review and meta-analyze the net degradation of IMCL in human skeletal muscle following acute cycling exercise.
  • To compare IMCL degradation assessments across different analytical techniques (biochemical, immunofluorescence, 1H-MRS).
  • To investigate factors influencing IMCL degradation, including feeding status, exercise intensity, and participant characteristics.

Main Methods:

  • Systematic review and meta-analysis of 44 studies employing biochemical, immunofluorescence, and 1H-MRS techniques.
  • Random effects model used for meta-analysis to calculate the percentage change in IMCL content.
  • Meta-regression explored associations between IMCL degradation and exercise duration, V̇o2max, and BMI.

Main Results:

  • Cycling exercise induced a significant net degradation of IMCL, averaging -23.7% across all techniques.
  • No significant difference in IMCL degradation was observed between fasted and fed-state exercise.
  • Immunofluorescence revealed greater IMCL degradation in type I fibers compared to whole muscle (biochemical) and type II fibers, highlighting technique-dependent sensitivity.

Conclusions:

  • Acute cycling exercise demonstrably leads to IMCL degradation in human skeletal muscle.
  • The analytical method employed significantly impacts the observed extent of IMCL degradation, with fiber-specific techniques offering greater sensitivity.
  • Feeding status does not appear to be a critical modulator of acute IMCL utilization during cycling exercise.