RT Journal Article SR Electronic T1 Lifestyle-intervention-induced reduction of abdominal fat is reflected by a decreased circulating glycerol level and an increased HDL diameter JF bioRxiv FD Cold Spring Harbor Laboratory SP 718023 DO 10.1101/718023 A1 Marian Beekman A1 Bianca A.M. Schutte A1 Erik B. van den Akker A1 Raymond Noordam A1 Petra Dibbets-Schneider A1 Lioe-Fee de Geus-Oei A1 Joris Deelen A1 Ondine van de Rest A1 Diana van Heemst A1 Edith J.M. Feskens A1 P. Eline Slagboom YR 2019 UL http://biorxiv.org/content/early/2019/07/30/718023.abstract AB Abdominal obesity is one of the main modifiable risk factors of age-related cardiometabolic disease. Cardiometabolic disease risk and its associated high abdominal fat mass, high cholesterol and glucose concentrations can be reduced by a healthier lifestyle. Hence, our aim is to understand the relation between lifestyle-induced changes in body composition, and specifically abdominal fat, and accompanying changes in circulating metabolic biomarkers.Methods and results We used the data from the Growing Old Together (GOTO) study, in which 164 older adults (mean age 63 years, BMI 23-35 kg/m2) changed their lifestyle during 13 weeks by 12.5% caloric restriction plus 12.5% increase in energy expenditure. We show that levels of circulating metabolic biomarkers, even after adjustment for body mass index, specifically associate with abdominal fat mass. Next, we show that the applied lifestyle intervention mainly reduces abdominal fat mass (−2.6%, SD=3.0) and that this reduction, when adjusted for general weight loss, is highly associated with decreased circulating glycerol concentrations and increased HDL diameter.Conclusions The lifestyle-induced reduction of abdominal fat mass is particularly associated, independent of body mass index or general weight loss, with associated with decreased circulating glycerol concentrations and increased HDL diameter.1H-NMRProton Nuclear Magnetic ResonanceApoBApolipoprotein BBCAABranched-Chain Amino AcidBMIBody Mass IndexCVDCardiovascular diseaseDXADual X-ray AbsorptiometryGlolGlycerolGOTOGrowing Old TOgether (Lifestyle intervention study)HDLHigh Density LipoproteinLDLLow Density LipoproteinMUFAMonounsaturated Fatty AcidSDStandard deviationVLDLVery Low Density Lipoprotein