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Bork, J.* ; Markus, M.R.P.* ; Ewert, R.* ; Nauck, M.* ; Templin, C.* ; Völzke, H.* ; Kastenmüller, G. ; Artati, A. ; Adamski, J. ; Dörr, M.* ; Friedrich, N.* ; Bahls, M.*

The metabolic signature of cardiorespiratory fitness.

Scand. J. Med. Sci. Sports 35:e70034 (2025)
Publ. Version/Full Text Research data DOI PMC
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High cardiorespiratory fitness (CRF) is associated with better overall health. This study aimed to find a metabolic signature associated with CRF to identify health-promoting effects. CRF based on cardiopulmonary exercise testing, targeted and untargeted metabolomics approaches based on mass spectrometry, and clinical data from two independent cohorts of the Study of Health in Pomerania (SHIP) were used. Sex-stratified linear regression models were adjusted for age, smoking, and height to relate CRF with individual metabolites. A total of 132 (SHIP-START-2: 483 men with a median age of 58 years and 450 women with a median age of 56 years) and 118 (SHIP-TREND-0: 341 men and 371 women both with a median age of 51 years) metabolites were associated with CRF. Lipids showed bidirectional relations to CRF independent of sex. Specific subsets of sphingomyelins were positively related to CRF in men (SM (OH) C14:1, SM(OH)C22:2 SM C16:0, SM C20:2 SM(OH)C24:1) and inversely in women (SM C16:1, SM C18:0, SM C18:1). Metabolites involved in energy production (citrate and succinylcarnitine) were only associated with CRF in men. In women, xenobiotics (hippurate, stachydrine) were related to CRF. The sex-specific metabolic signature of CRF is influenced by sphingomyelins, energy substrates, and xenobiotics. The greater effect estimates seen in women may emphasize the important role of CRF in maintaining metabolic health. Future research should explore how this profile changes with different types of exercise interventions or diseases in diverse populations and how these metabolites could be implemented in primary prevention settings.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Cardiorespiratory Fitness ; Epidemiology ; Exercise Testing ; Metabolomics; Acid Oxidation Contribute; Plasma Acylcarnitines; Insulin-resistance; Profiles; Obesity; Risk; Age; Association; Sex
ISSN (print) / ISBN 0905-7188
e-ISSN 1600-0838
Quellenangaben Volume: 35, Issue: 3, Pages: , Article Number: e70034 Supplement: ,
Publisher Wiley
Publishing Place Oxford
Non-patent literature Publications
Reviewing status Peer reviewed
Grants Projekt DEAL
German Federal State of Mecklenburg-West Pomerania