Breath acetone change during aerobic exercise is moderated by cardiorespiratory fitness

J Breath Res. 2020 Oct 31;15(1):016006. doi: 10.1088/1752-7163/abba6c.

Abstract

Exhaled breath acetone (BrAce) was investigated during and after submaximal aerobic exercise as a volatile biomarker for metabolic responsiveness in high and lower-fit individuals in a prospective cohort pilot-study. Twenty healthy adults (19-39 years) with different levels of cardiorespiratory fitness (VO2peak), determined by spiroergometry, were recruited. BrAce was repeatedly measured by proton-transfer-reaction time-of-flight mass spectrometry (PTR-TOF-MS) during 40-55 min submaximal cycling exercise and a post-exercise period of 180 min. Activity of ketone and fat metabolism during and after exercise were assessed by indirect calorimetric calculation of fat oxidation rate and by measurement of venous β-hydroxybutyrate (βHB). Maximum BrAce ratios were significantly higher during exercise in the high-fit individuals compared to the lower-fit group (t-test; p= 0.03). Multivariate regression showed 0.4% (95%-CI = -0.2%-0.9%, p= 0.155) higher BrAce change during exercise for every ml kg-1 min-1 higher VO2peak. Differences of BrAce ratios during exercise were similar to fat oxidation rate changes, but without association to respiratory minute volume. Furthermore, the high-fit group showed higher maximum BrAce increase rates (46% h-1) in the late post-exercise phase compared to the lower-fit group (29% h-1). As a result, high-fit young, healthy individuals have a higher increase in BrAce concentrations related to submaximal exercise than lower-fit subjects, indicating a stronger exercise-related activation of fat metabolism.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3-Hydroxybutyric Acid / blood
  • Acetone / analysis*
  • Adult
  • Breath Tests / methods*
  • Cardiorespiratory Fitness / physiology*
  • Exercise / physiology*
  • Exhalation
  • Female
  • Humans
  • Ketone Bodies / metabolism
  • Male
  • Oxidation-Reduction
  • Oxygen Consumption / physiology
  • Pilot Projects
  • Prospective Studies
  • Young Adult

Substances

  • Ketone Bodies
  • Acetone
  • 3-Hydroxybutyric Acid