Effect of exercise training on A-FABP, lipocalin-2 and RBP4 levels in obese women

K. M. Choi, T. N. Kim, H. J. Yoo, K. W. Lee, G. J. Cho, T. G. Hwang, S. H. Baik, D. S. Choi, S. M. Kim

Research output: Contribution to journalArticlepeer-review

91 Citations (Scopus)


Objective Lipocalin family proteins, including adipocyte fatty acid-binding protein (A-FABP), lipocalin-2 and retinol-binding protein 4 (RBP4), have recently been identified as novel adipokines associated with obesity, type 2 diabetes and the metabolic syndrome. We have evaluated the effect of exercise training on lipocalin family proteins and inflammatory markers. Study subjects Thirty obese Korean women and 15 age-matched nonobese control subjects were studied. Design Concentrations of the lipocalin family proteins were compared between obese and nonobese women and were evaluated before and 3 months after an exercise programme consisting of aerobic exercise (45 min/session, 300 kcal/day) and muscle strength training (20 min/session, 100 kcal/day) five times a week. Results Obese women exhibited higher A-FABP levels compared to nonobese women (21·4 ± 6·4 μg/l vs. 13·6 ± 4·4 μg/l, P < 0·001). However, neither lipocalin-2 nor RBP4 levels were significantly different between the two groups, although the difference in lipocalin-2 was marginally significant (P = 0·054). Circulating A-FABP levels were significantly associated with body mass index (BMI), waist circumference, triglyceride, alanine aminotransferase (ALT), lipocalin-2 and high-sensitivity C-reactive protein (hsCRP) levels. After 3 months of the exercise training programme, serum A-FABP levels decreased significantly from 21·4 ± 6·4 μg/l to 19·3 ± 6·8 μg/l (P = 0·038), along with a reduction in weight, BMI, waist circumference, fasting glucose and total cholesterol levels. There was no significant change in the lipocalin-2 and RBP4 levels, although IL-6 levels increased after the exercise programme. Conclusion Exercise training with weight loss induced a significant reduction in circulating A-FABP levels in obese Korean women.

Original languageEnglish
Pages (from-to)569-574
Number of pages6
JournalClinical Endocrinology
Issue number4
Publication statusPublished - 2009 Apr

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology


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