Diet-induced insulin resistance precedes other aspects of the metabolic syndrome

This study wasdesigned to examine the effects of a high-fat refined-sugar (HFS) or alow-fat complex-carbohydrate (LFCC) diet on insulin-stimulated skeletalmuscle glucose transport, plasma insulin, blood pressure, plasmatriglycerides, plasma glycerol, body weight, and body fat in femaleFischer rats. Insulin-stimulated glucose transport was significantlyreduced in the HFS group at 2 wk, 2 mo, and 2 yr, whereas serum insulinwas significantly elevated at all time points. Blood pressure was notsignificantly elevated in the HFS group until 12 mo, and all HFSanimals were hypertensive by 18 mo. Glycerol, triglycerides, andabdominal fat cell size were not significantly different at 2 wk butwere significantly elevated in the HFS rats at 2 and 6 mo. Body weight was similar in both groups until 20 wk on the diet, when the HFS ratsstarted to gain more weight. These results demonstrate that insulinresistance and hyperinsulinemia occur before the other manifestationsof the metabolic syndrome and that diet, not obesity, is the underlyingcause.