Fat Oxidation Preference refers to the metabolic state of an organism characterized by the preferential utilization of fatty acids over glucose as the primary substrate for energy production during periods of rest and moderate activity. This flexibility in substrate utilization, often termed metabolic flexibility, is a hallmark of robust metabolic health and efficient hormonal signaling. A strong preference for fat oxidation conserves glycogen stores and improves insulin sensitivity.
Origin
This concept is foundational to exercise physiology and clinical endocrinology, stemming from the understanding of respiratory quotient (RQ) and the crossover concept of fuel utilization. The term emphasizes the physiological advantage of being “fat-adapted,” which historically provided an evolutionary edge by conserving limited carbohydrate stores. Clinical relevance is centered on its association with reduced risk for metabolic syndrome and type 2 diabetes.
Mechanism
The shift toward fat oxidation is mediated by several hormonal signals, including low insulin and high glucagon or epinephrine levels, which activate hormone-sensitive lipase (HSL) to release fatty acids from adipose tissue. These fatty acids are then transported to the mitochondria of muscle and other cells, where they undergo beta-oxidation to produce acetyl-CoA for the Krebs cycle. Chronic training or nutritional ketosis can upregulate the expression of mitochondrial enzymes necessary for this process.
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