Comparative Medicine Copyright 2005 by the American Association for Laboratory Animal Science Vol 55, No 5 October 2005 Pages 445-451 Noninvasive Measures of Body Fat Percentage in Male Yucatan Swine Carol A. Witczak,1,3 Eric A. Mokelke,1,3,5 Robert Boullion,1,3 James Wenzel,1,3 Duane H. Keisler,4 and Michael Sturek1-3,5,* The purpose of this study was to assess the use of body circumference, ultrasonography, and serum leptin levels as noninvasive measures to estimate body fat percentage in adult, male, Yucatan swine, which are widely used in biomedical research models. Swine (ages, 8 to 15 months) were maintained for 20 weeks: control (n = 7); high-fat, high-cholesterol diet (hyperlipidemic; n = 8); alloxan-induced diabetes with high-fat, high-cholesterol diet (diabetic dyslipidemic; n = 7); and diabetic dyslipidemic plus exercise-trained (n = 6). Anesthetized swine were positioned on their dorsum for the following measurements: 1) neck, mid-abdomen, and widest abdominal girth circumferences; and 2) neck and mid-abdomen ultrasound measurements. Blood samples were obtained for quantification of serum leptin levels. After euthanasia, the carcass and viscera were separated for chemical composition analysis, which demonstrated a significant increase in carcass and visceral fat in the diabetic dyslipidemic swine compared to controls. Serum leptin levels were also increased in the hyperlipidemic and diabetic dyslipidemic swine. Regression analyses demonstrated a significant correlation between carcass fat, visceral fat, and all of the circumference, ultrasound, and serum leptin measures. In conclusion, the widest abdominal girth circumference was the noninvasive measure with the highest predictive value for estimating carcass and visceral fat in adult, male Yucatan miniature swine. The Yucatan miniature swine model has been extensively used for the study of human cardiovascular and metabolic disorders (3, 11, 14, 17, 19, 22, 23, 25-28, 33, 34). The many similarities to human features, including cardiac and coronary anatomy and diet-induced atherosclerosis, make the use of this model highly compelling (7, 17, 26, 27, 34). Despite the widespread use of this model, there surprisingly are no reports on the alterations that occur in body composition as a result of dietary-induced hyperlipidemia, chemical (alloxan)-induced hyperglycemia, or treadmill exercise training interventions routinely used in Yucatan swine. The quantification of body fat is an essential component of any study that assesses physiologic responses to metabolic disorders such as obesity and diabetes (30). Unlike human studies, animal studies can use invasive, terminal procedures (i.e., direct chemical composition analysis) in order to obtain the most accurate assessment of body composition. In commercially bred animals, the ability to predict body fatness and leanness noninvasively is crucial to assessing carcass yield and quality, and for the selection of traits for breeding (31). The validity of noninvasive measures has been established for commercial swine, but predictions of body fat from these same noninvasive measures do not hold for miniature feral swine (32). The utility of having a noninvasive technique that accurately could predict body fat percentage in swine models for biomedical research would be the ability to obtain serial measurements throughout a study while minimizing the number of animals used. In human studies, a number of noninvasive techniques have been used for the assessment of body composition, includReceived: 3/21/05. Revision requested: 7/26/05. Accepted: 7/27/05. Departments of Medical Pharmacology & Physiology1, Internal Medicine2, and the Center for Diabetes & Cardiovascular Health,3 School of Medicine, Department of Animal Sciences,4 School of Agriculture, University of Missouri, Columbia, Missouri; Department of Cellular & Integrative Physiology,5 Indiana University School of Medicine, Indianapolis, Indiana *Corresponding author. ing anthropometry (i.e., body circumference), ultrasonography, water immersion, computed tomography, nuclear magnetic resonance imaging, total body electrical conductivity, electrical impedance, and infrared interactance (4, 16, 30). However because most of these techniques require expensive and cumbersome equipment, in the current study we focused on the use of body circumference and ultrasonography to assess body fat in miniature Yucatan swine. Leptin is a cytokine-like protein that is involved in the regulation of body fat in humans (10, 20, 30). Recent studies in both humans (21) and animals (5) have demonstrated direct correlation between circulating leptin levels and body fat. Because of this direct connection, we also assessed whether serum leptin levels were tightly correlated with alterations in body fat percentage in Yucatan swine. Therefore, the primary purpose of this study was to assess the use of body circumference measurements and ultrasound measurements of subcutaneous fat thickness as noninvasive measures to estimate body composition in the Yucatan swine models of hyperlipidemia, diabetic dyslipidemia, and exercise training. In addition, the relationship between serum leptin levels and body fat was examined to assess this aspect of fat metabolism in these swine. Our results indicate that noninvasive methods can be used to estimate body fatness in young adult male miniature Yucatan swine. Materials and Methods Yucatan models of hyperlipidemia and diabetes. All procedures involving animals were approved by the University of Missouri Animal Care and Use Committee and complied fully with the Guide for the Care and Use of Laboratory Animals (24). Male, Yucatan miniature swine (Sus scrofa domestica) were bred at the Sinclair Research Center (Columbia, Mo.). The Sinclair Research Center is a licensed breeder with the U.S. De- 445 Vol 55, No 5 Comparative Medicine October 2005 partment of Agriculture (43-R-2499) and is accredited by the Association for Assessment and Accreditation of Laboratory Animal Care, International. The colony is free of brucellosis and pseudorabies. The breeding colony is routinely vaccinated for parvovirus, leptovirus, Bordetella pertussis, swine influenza virus, tetanus, and Actinobacillus (Haemophilus) pleuropneumoniae and has quarterly treatment for parasite prevention by alternation between ivermectin and levamisole. All pigs used in the present study were vaccinated for Clostridium perfringens types C and D, A. pleuropneumoniae, Salmonella typhimurium, and S. choleraesuis and received ivermectin for parasite prevention. Swine were obtained at 8 to 15 months of age and transferred to the Laboratory Animal Care Facility at the University of Missouri, School of Medicine. The average age of the pigs was 12 months, and there were no differences in age between the groups. Swine were housed individually in 2.3 m2 pens with expoxy-sealed concrete floors in rooms maintained at 21 to 27°C on a 12:12-h light:dark cycle. Swine were randomly assigned to one of four treatment groups: low-fat diet, sedentary (control, n = 7); high-fat, high-cholesterol diet (hyperlipidemic, n = 8); alloxaninduced diabetes plus high-fat, high-cholesterol diet (diabetic dyslipidemic, n = 7); and alloxan-induced diabetes, high-fat highcholesterol diet, and aerobic exercise-trained (diabetic dyslipidemic plus exercise, n = 6). The low-fat diet consisted of Purina Minipig chow (Purina Mills Inc., St. Louis, Mo.). The low-fat-fed animals were maintained at their normal weight gain of ∼1.0% weekly (3). The high-fat, high-cholesterol diet consisted of 1000 g Purina Minipig chow supplemented with 14.0 g cholesterol, 119.7 g coconut oil, 16.1 g corn oil, 4.9 g sodium cholate, and 241.8 g sucrose (3, 7, 14, 34). The diabetic dyslipidemic, hyperlipidemic, and exercise-trained animals were maintained at a 3% weight gain weekly by increasing food amounts as needed (3). All animals were fed individually once daily and were given free access to water. Alloxan-induced diabetes and fasting blood glucose levels. Diabetes was induced by intravenous administration of 100 mg/kg of the pancreatic beta cell toxin alloxan (3, 7, 14, 23, 25, 34). Diabetic pigs were maintained with plasma glucose levels at 300 to 400 mg/dl for the duration of the study. Feed and insulin algorithms were used to maintain positive energy balance in all experimental groups (3). Fasting blood glucose measurements were obtained in fully conscious, unanesthesized swine via ear veins punctures and Accucheck blood glucose monitors (Boehringer-Ingelheim Corp., North Chicago, Ill.). Treadmill exercise training and heart-rate assessment protocols. Diabetic dyslipidemic swine were acclimated to a motorized treadmill (Good Horsekeeping, Inc., Ash Grove, Mo.) for 2 weeks, during which the grade and speed were increased in small increments as previously described (3). Exercise training consisted of treadmill running performed 4 days per week for 16 weeks. The training bout consisted of four stages: 1) 5-min warm-up at 35-40% of maximum heart rate, 2) 5 min at 40-50% of maximum heart rate, 3) 30 min at 65-75% of maximum heart rate, and 4) a 5-min cool-down at 35-40% of maximum heart rate. Heart rates were determined just prior to the exercise bout and at the middle and end of stage 3. To assess pre-, mid-, and postexercise heart rates, fully conscious, unaesthetized swine were transferred from pens to the motorized treadmill. Once the animals were on the treadmill, pre-exercise heart rates were obtained by placing a stethoscope 446 to the chest wall of the pig and counting heart beats for 1 min. After this step, the exercise bout commenced. To obtain the heart rates at the middle and end of stage 3, the treadmill was briefly stopped, and the stethoscope was positioned carefully on the chest of the pig. Heart beats were counted for 1 min. Throughout the training period, training intensity was maintained in the desired heart rate range by altering the treadmill grade. Efficacy of training was verified by a decrease in resting heart rate and increased tolerance to increasing treadmill grade (3). After 16 weeks of training, each animal was placed in a lowstress sling, and six-way electrodes were attached to the chest to obtain an electrocardiogram recording. After the animals had a 10-min acclimation period in the sling, 8 to 10 1-min intervals were analyzed for heart rate during a 10-min recording phase. These values were averaged together to determine the resting heart rate for each animal. The animals did not exercise for 2 days prior to euthanasia, to separate the acute effects of exercise from the chronic effects of training. Anesthesia. Swine were anesthetized by an intramuscular injection of 0.05 mg/kg atropine, 6.6 mg/kg telazol, and 2.2 mg/kg xylazine; the level of anesthesia was maintained with isoflurane gas (1 to 3%). Swine were positioned on their dorsums for experimental measurements and blood sampling for leptin assays. Circumference measurements. For circumference measurements, anesthetized animals were positioned on their dorsums by using a custom-made stabilizing board. The apex of the sternum was used as an anatomical reference point for the standardization of neck and abdominal circumference measurements between animals. The apex of the sternum was defined as the highest point of the breastbone when the pig was restrained on its dorsum. By using a flexible, plastic measuring tape, circumference measurements were obtained at the following three positions: 1) ventral neck, 2) mid-abdomen, and 3) widest abdominal girth. From the apex of the sternum, the ventral neck location was defined as 20 cm cranial along the central axis of the pig; the mid-abdomen location was defined as 30 cm caudal along the central axis of the pig. The widest girth circumference measurement was defined as the largest circumference measurement around the abdomen of the pig. A graphic depiction of the anatomic sites is provided in Fig. 1. Because each pig was fully anesthetized when circumference measurements were performed, accurate measurements were obtained with one or two attempts at each site. Ultrasound measurements of subcutaneous fat. Immediately after the circumference measurements, ultrasound images were obtained at the neck and mid-abdomen locations for off-line analysis of subcutaneous fat thickness. A Biosound AU3 (Biosound Easoate, Inc., Indianapolis, Ind.) high-resolution ultrasound system was used to obtain two-dimensional images with a linear 2.0-MHz probe and scanning depths of 4 and 10 cm. The ultrasound probe was placed at the intersection of the central axis and either the ventral neck location or the mid-abdomen location for measurements of ventral neck subcutaneous fat or mid-abdomen subcutaneous fat, respectively. The choice of these anatomic coordinates enabled us to easily locate the same position on every animal used in the study. Off-line analysis was performed using the Biosound software package (version 6.0, Biosound Easoate, Inc., Indianapolis, Ind.), whereby ‘electronic calipers’ were used to digitally measure the thickness of the subcutaneous fat layer. To confirm the validity of the subcutaneous Body fat in Yucatan swine Figure 1. Anatomical locations used for the assessment of circumference and subcutaneous fat thickness in male, Yucatan miniature pigs. The apex of the breastbone was used as an anatomical landmark to normalize the ventral neck and mid-abdomen locations at 20 cm cranial and 30 cm caudal, respectively. The widest girth location was defined as the largest circumference around the abdomen. This location was found at a variable distance from the top of the breastbone. fat measurements, we removed an 8 × 2 × 3 cm (length × width × height) section of tissue from a subgroup of animals. Ultrasound images were obtained from this section of carcass to validate the measurements that were obtained from the intact animal. Serum leptin analysis. Blood samples for serum leptin assays were collected from overnight-fasted swine while they were under isoflurane anesthesia, and the serum was assayed for leptin levels as described previously (2). Briefly, standard concentrations of ovine leptin were added to assay tubes in quadruplicate and the total volume balanced to 300 μl per tube with PABET buffer (0.1% gelatin, 0.01 M ethylenediaminetetraacetic acid, 0.9% NaCl, 0.01 M Na2PO4, 0.01% sodium azide, 0.05% Tween-20; pH 7.2). Similarly, 200 μl aliquots of Yucatan plasma samples were added to PABET buffer and the volume balanced to 300 μl per tube; samples were assayed in triplicate. Immedi- ately thereafter, the samples were incubated in rabbit anti-ovine leptin primary antiserum (1:30,000) (Dr. D. H. Keisler, University of Missouri, Columbia, Mo.) for 24 h at 4°C. The samples then were incubated with 100 μl of 125I-labeled ovine leptin (25,000 counts/min) for 20 h at 4°C. The reactions then were incubated for 15 min at 22°C with a pre-precipitated sheep anti-rabbit secondary antiserum (Dr. D. H. Keisler, University of Missouri, Columbia, Mo.) and antibody–antigen complexes precipitated by centrifugation at 3000 ×g for 30 min. The supernatant was removed, and the radioactivity in the pellets was counted for 1 min on a LKB1275 gamma counter (LKB Wallac; Turku, Finland). Surgical euthanasia. Swine were euthanized in accordance with guidelines from the American Veterinary Medical Association Panel on Euthanasia (1). After the experimental procedures, which were performed in swine under isoflurane anesthesia, a scalpel was used to cut through the skin and expose the chest cavity. A rib spreader was used to provide access to the heart. A clamp was placed on the aorta, and then the aorta was severed. The heart then was removed from the animal and used in other experiments (not described in this paper). Analytical chemistry assessment of body composition. After surgical euthanasia, the viscera were removed from the remainder of the carcass and kept separate throughout the subsequent processing of the tissue. The visceral component of the pig consisted of all of the internal organs, including loose adipose tissue, found within the abdominal cavity. Subcutaneous abdominal fat was not included in the visceral fraction. The carcass of each animal was cut into sections by using a band saw and then stored at –20°C for 1 to 5 months. These frozen sections were coarsely ground in a large industrial meat grinder (25 HP, 155 rpm, ratio 11.39 from an electric Lincoln motor [Lincoln Motors, Cleveland, Ohio] with a Falk motorreducer [Falk Corp., Milwaukee, Wis.]) using a 6.2-ml die. The resulting mixture was ground twice more to ensure an even mixture of contents. The coarse mixture was ground to a fine powder using a Hobart industrial grade mixer–processor (two cutting blades, 12 HP, 3500 rpm, with a top stirrer). Dry ice (3.6 to 4.5 kg) per sample was added to ensure that the sample remained frozen without added moisture. Each sample–dry ice mixture was ground for approximately 6 min. A final sample (250 to 350 g) was removed and stored at –20°C. The visceral fraction from each animal was prepared in the Hobart mixer as described, without the course grinding, for separate chemical analysis. Quantitative proximate analysis was performed by the Experiment Station Chemical Laboratories at the University of Missouri (Columbia, Mo.) according to standard Association of Analytical Chemists (AOAC) procedures (15). Briefly, crude fat was determined from 2.0-g samples by using the gravimetric method (AOAC 954.02) with acid hydrolysis preceding ether extraction. Crude protein was determined from 1.0-g samples using the copper catalyst Kjeldahl procedure (AOAC 984.13). Crude ash was determined from 2.0-g samples (AOAC 942.05). The moisture content was determined from 2.0-g freeze-dried samples by vacuum drying in an oven at 95 to 100°C (AOAC 934.01). Statistical analysis. The results of the anthropometric and chemical body composition analysis are presented as mean ± standard error. One-way analysis of variance was performed, and multiple comparisons were made using Bonferroni’s post-hoc analysis. Correlations between the analytical chemistry composition analysis and the circumference, ultrasound, and serum 447 Vol 55, No 5 Comparative Medicine October 2005 Table 1. In vivo characteristics of the porcine model Experimental groups Weeks 0 to 19 Percent change in body weight (%) Control Hyperlipidemic Diabetic dyslipidemic Diabetic dyslipidemic + exercise-trained Statistics (P < 0.05) 20 ± 1 59 ± 2 60 ± 4 57 ± 4 C < H, DD, DDX Week 20 Body weight (kg) 59.9 ± 1.1 79.6 ± 3.1 69.3 ± 3.5 72.7 ± 3.2 C < H, DDX Week 16-17 Fasting blood glucose (mg/dl) 66.0 ± 7.3 74.1 ± 5.6 323.6 ± 22.0 357.5 ± 13.8 C, H < DD, DDX Week 20 Total fasting plasma cholesterol (mg/dl) 54.7 ± 3.9 299.9 ± 38.6 405.5 ± 74.2 354.0 ± 62.2 C < H, DD, DDX Week 20 Total fasting plasma triglycerides (mg/dl) 27.2 ± 3.4 33.9 ± 3.8 61.7 ± 12.0 59.6 ± 17.7 No differences Week 16 Resting heart rate (beats/min) 59.4 ± 3.1 71.1 ± 4.0 75.3 ± 3.8 59.0 ± 2.3 C, DDX < DD C, control; H, hyperlipidemic; DD, diabetic dyslipidemic; DDX, diabetic dyslipidemic plus exercise-trained. Data are presented as the mean ± standard error. Statistical significance was determined by one-way analysis of variance and Bonferroni post-hoc analysis. leptin values were determined using Pearson’s product-moment coefficient of correlation. Simple regression analyses were performed to determine statistical significance of the correlations. Statistical significance was defined as P < 0.05. Statistical analyses were performed using SigmaStat and SPSS software (Systat Software Inc., Richmond, Calif.). Results In vivo indicators of hyperlipidemia and diabetic dyslipidemia in the porcine model. The in vivo indicators of hyperlipidemia, diabetic dyslipidemia, and exercise training are summarized in Table 1. The percentage change in body weight from week 0 to week 19 was significantly (P < 0.05) increased in the hyperlipidemic, diabetic dyslipidemic, and diabetic dyslipidemic plus exercise-trained swine above control values. This finding was expected because all animals fed the high-fat, highcholesterol diet were maintained at a 3% weight gain/week by using feed and insulin algorithms (3). Fasting blood glucose levels were elevated approximately fivefold in the diabetic dyslipidemic and diabetic dyslipidemic plus exercise-trained animals, indicative of alloxan-induced hyperglycemia. Total fasting plasma cholesterol levels were elevated approximately five- to sevenfold in all animals fed the high-fat, high-cholesterol diet. There was no significance difference in total fasting triglyceride levels between groups. The efficacy of the treadmill exercise was indicated by the decreased resting heart rate in the diabetic dyslipidemic plus exercise-trained animals compared with the diabetic dyslipidemic animals. Other indices of training efficacy have been published elsewhere (3, 22, 23). Non-invasive measurements: body circumference and ultrasonography. Anatomical circumference and ultrasound measurements were obtained to assess validity of noninvasive measures to estimate body fat in male, Yucatan miniature swine (Table 2). There were no differences in the neck circumference between groups. Both the mid-abdomen and widest-abdominal girth circumference measurements were significantly (P < 0.05) greater in hyperlipidemic swine than control animals. A ‘proof of concept’ experiment was performed to demonstrate that the ultrasound images that were obtained in the live animals coincided with our visual assessment of subcutaneous fat 448 ex vivo. The group data clearly indicated no difference between ex vivo fat thickness and ultrasound measures, and the r2 values were reasonable: 0.25 for ventral neck and 0.46 for mid-abdomen. Ultrasound neck measurements demonstrated a significant (P < 0.05) increase with hyperlipidemia from control. Ultrasound measurements demonstrated a significant (P < 0.05) increase in mid-abdominal subcutaneous fat in the hyperlipidemic swine, and exercise training attenuated the increase seen in the diabetic dyslipidemic animals. Serum leptin levels. Hyperlipidemic and diabetic dyslipidemic swine groups that exhibited increased body fat also showed significantly (P < 0.05) elevated serum leptin levels compared to control swine (Table 2). This increase in leptin was not simply the result of high fat, high cholesterol feeding, because in our previous studies, pigs that were fed a similar composition of high fat, high cholesterol feed (except sucrose), but in which kcal consumed (and thus body weight) were matched to those of pigs on the control chow diet (3, 14, 25, 34), did not show increased leptin levels compared with those of control-diet pigs. Taken together with the positive correlations of body weight and leptin with percentage body fat in the present study, it seems that body weight (body fat), not the fat and cholesterol composition of the diet, correlates with leptin increases in male Yucatan swine. Exercise training attenuated the diabetic dyslipidemia-induced rise in serum leptin levels compared with those of the diabetic dyslipidemic swine. Direct chemical composition analysis. Proximate chemical composition analysis is the most accurate method for assessing body composition. In these studies we performed individual chemical composition analysis on the carcass and visceral components to assess body fat composition accurately in the each of these compartments separately. Table 2 contains the summary data for the proximate chemical composition analysis. Carcass and visceral fat were significantly (P < 0.05) elevated in the diabetic dyslipidemic swine compared with control values. The lack of statistical difference for the exercise-trained versus control and diabetic dyslipidemic values indicates that exercise training attenuated, but did not completely prevent, the increase in body fat percentage. Linear regression analyses. Linear regression analyses Body fat in Yucatan swine Table 2. Circumference, ultrasound, analytical chemistry composition, and serum leptin analyses Experimental groups Control Hyperlipidemic Diabetic dyslipidemic Diabetic dyslipidemic + exercise-trained Statistics (P < 0.05) Circumference measurement (cm) Neck Mid-abdomen Widest girth 71.7 ± 1.6 92.1 ± 1.4 92.5 ± 1.3 73.8 ± 5.7 102.6 ± 1.9 102.7 ± 1.9 74.1 ± 1.5 98.5 ± 2.1 98.7 ± 2.0 76.0 ± 1.1 99.9 ± 2.3 100.7 ± 2.5 No differences C<H C < H, DDX Ultrasound measurement (mm) Neck Mid-abdomen 7.2 ± 0.8 9.9 ± 1.0 12.2 ± 1.3 14.5 ± 0.9 11.1 ± 1.5 12.2 ± 0.9 9.7 ± 1.3 10.3 ± 0.6 C<H C, DDX < H Serum leptin levels (ng/ml) 2.0 ± 0.1 4.6 ± 0.5 4.3 ± 0.3 3.4 ± 0.5 C < H, DD Analytical chemistry analysis (% of sample) Carcass fat Visceral fat 16.7 ± 1.4 14.5 ± 1.9 22.7 ± 1.3 26.3 ± 1.8 23.9 ± 2.0 23.6 ± 2.1 21.4 ± 1.9 20.6 ± 2.3 C < DD C < H, DD C, control; H, hyperlipidemic; DD, diabetic dyslipidemic; DDX, diabetic dyslipidemic plus exercise-trained. Data are presented as mean ± standard error. Statistical significance was determined by one-way analysis of variance and Bonferroni post-hoc analysis. were performed to assess the predictive power of the circumference, ultrasound, and serum leptin values in the estimation of body fat in the Yucatan swine. Table 3 contains the results of the regression analyses between noninvasive measurements and carcass fat, whereas Table 4 contains the results of the regression analyses between noninvasive measurements and viscera fat. Although each of the noninvasive measures was significantly (P < 0.05) correlated with the amount of fat in the carcass sample, the strength of the association was indicated by the r2 value. Widest abdominal girth circumference and neck ultrasound measurements had the strongest predictive value (r2 = 0.440) in the estimation of carcass fat. Similar to regression analyses with the carcass fat, all of the noninvasive measurements were significantly (P < 0.05) correlated with the amount of visceral fat. For visceral fat, the noninvasive measure with the strongest predictive value (r2 = 0.508) was the mid-abdominal circumference measurement. Importantly, the direct chemical composition analysis of the carcass fat component was significantly (P < 0.0001) and strongly (r2 = 0.720) correlated with the amount of visceral fat. Using the linear regression analyses and the noninvasive measures with the strongest predictive value, we developed two linear regression equations that can be used for the estimation of carcass fat in adult (ages, 8 to 15 months), male Yucatan swine. These equations are provided below as equations 1 and 2. Carcass Fat (%) = (0.562 × [Widest Girth Circumference (mm)]) – 34.42 (1) Carcass Fat (%) = (0.949 × [Neck Ultrasound (mm)]) + 10.868 (2) Discussion The results from the current study validate the use of noninvasive body circumference and ultrasound measures for the estimation of body (carcass) fat in adult (ages, 8 to 15 months), male Yucatan swine. This finding is very important because although the validity of noninvasive measures has been clearly established for commercial swine (31), predictions of body fat from noninvasive measures are not the same for miniature feral swine (32). Weingand and colleagues (35) used ultrasonography and computerized tomography to predict total intra-abdominal adipose weight in miniature swine. We have extended their findings by correlating indirect measures with direct chemical composition measures of separate viscera and carcass compartments and the effect of exercise training on these compartments. In the present study, the combination of alloxan-induced diabetes with the high-fat, high-cholesterol diet induced approximately five-fold increases in fasting blood glucose levels and approximately six-fold increases in total fasting plasma cholesterol levels, consistent with previous reports from our lab (3, 7, 25, 33). Hyperlipidemia and the addition of chronic hyperglycemia resulted in increases in both the carcass and visceral fat components. Thus, there appears to be no preferential deposition of fat into intra-abdominal stores. Exercise training is a well-established treatment for effective weight loss by way of reducing body fat (6, 13, 18). The exercise-trained animals in the present study had reductions in both carcass and viscera fat, however neither of these reductions was statistically less than those for the diabetic dyslipidemic group, indicating that exercise training attenuated, but did not completely prevent, the increase in body fat percentage. The intentional maintenance of the diabetic dyslipidemic plus exercise-trained swine on a 3% body weight gain per week by increasing their food allotment precluded the typical reduction in body weight in trained pigs that would naturally have occurred throughout the training period compared to the maintained body weight of sedentary pigs during the same period. The benefit of this experimental design was that it allowed for direct examination of the effects of exercise without the confounding results of differences in body weight. While it was of great interest to include female Yucatan swine in this study, the increased complexity of the experimental design and cost were prohibitive. Indeed, gender effects in diabetes are of great interest in the field, because over a 10-year period there has been a 2% increase in the prevalence of the metabolic syndrome in men compared with a 24% increase in women (9) and a 13% decrease in heart disease mortality in diabetic men compared with a distressing 23% increase in diabetic women (12). Our study of Ossabaw female swine (8) showed a markedly greater propensity to obesity and the metabolic syndrome than noted for Yucatan males in the current study; therefore, future work is needed to evaluate the separate effects of breed and gender. 449 Vol 55, No 5 Comparative Medicine October 2005 Table 3. Linear regression analyses for non-invasive measures versus percentage carcass fat Percentage carcass fat (%) versus Body weight P < 0.01 Y-intercept Slope r2 2.340 0.267 0.308 Table 4. Linear regression analyses for non-invasive measures versus percentage visceral fat Percentage visceral fat (%) versus P Y-intercept Slope r2 Body weight < 0.0001 –10.933 0.459 0.489 0.299 0.430 0.440 Circumference measurements Neck Mid-abdomen Widest girth < 0.01 < 0.0001 < 0.0001 –46.961 –57.476 –57.140 0.908 0.802 0.796 0.326 0.508 0.503 0.949 0.792 0.440 0.195 1.630 0.623 0.187 0.720 Ultrasound measurements Neck Mid-abdomen < 0.01 < 0.001 8.942 3.405 1.196 1.548 0.382 0.422 Serum leptin levels < 0.01 11.330 2.739 0.310 Circumference measurements Neck Mid-abdomen Widest girth < 0.01 < 0.001 < 0.001 –28.840 –33.765 –34.420 0.663 0.557 0.562 Ultrasound measurement Neck Mid-abdomen < 0.01 < 0.05 10.868 11.941 Serum leptin levels Percentage visceral fat < 0.05 < 0.0001 15.236 7.860 Statistical significance was defined as P < 0.05. Statistical significance was defined as P < 0.05. Although all of the noninvasive circumference and ultrasound measures were significantly (P < 0.05) correlated with the analytical chemistry composition assessment of carcass fat, we found that the values with the strongest predictive power (r2 = 0.440) were the widest girth circumference and neck ultrasound measurements. Similar to their correlation with carcass fat, all of the noninvasive measures were significantly (P < 0.05) correlated with the analytical chemistry composition assessment of visceral fat. The measure with the strongest predictive power (r2 = 0.508) was the mid-abdominal circumference measurement. Pintauro and colleagues (29) identified excellent correlation between dual-energy X-ray absorptiometry and chemical analysis in pigs whose percentage body fat ranged from 10 to 32%, which is precisely the range in our study. Therefore, it appears that in both the Pintauro study and our present work, the range of values was satisfactory for a valid test of the predictive power of the indirect methods. Although the abdominal girth circumference measurement and the neck ultrasound measurement exhibited an equal ability to estimate carcass fat in the Yucatan swine, the use of circumference measurements has several distinct advantages over the ultrasound technique. These include the minimal cost in purchasing a tape measure, the ability to readily repeat measurements, and the ability to perform measurements in living, conscious animals. The disadvantage in using this technique is that observer error can affect the ability to make repeated, accurate measurements if anatomical landmarks are not used. This limitation is not a factor when using ultrasonography. One striking finding from our study was the strong predictive power of the direct chemical composition analysis of visceral fat to estimate carcass fat in the same animals (r2 = 0.720). This analysis was not a noninvasive measure, but given the relatively large size (~70 kg) of the swine, this tight correlation could allow for future estimates of carcass fat without the need for laborious whole-carcass grinding and analysis. Multiple regression analysis demonstrated that no combination of these variables would provide better estimates of carcass or visceral fat than any single variable. However, it is possible that other variables that were not obtained in this study could enable us to develop a multiple regression equation that may increase our predictive power. This aspect will explored in future studies in our lab. The adipose-derived cytokine leptin has been shown to significantly correlate with subcutaneous fat thickness in humans (21), ruminants (5), and swine (2). In the Yucatan miniature pig, the data presented here demonstrated a robust, 2.2-fold increase in serum leptin in sedentary obese groups and attenuation by exercise training. The significant positive correlation between serum leptin levels and both carcass (r2 = 0.187) and intra-abdominal fat (r2 = 0.310) might suggest that leptin could be used as a simple, noninvasive, and quantitative predictor of percentage body fat. Our data indicate, however, that widest girth (r2 = 0.44), not leptin, is the method of choice because leptin has lower predictive value and is more invasive (requires venipuncture) than is a simple tape measure. However, our leptin results demonstrate clearly that Yucatan miniature swine and lean humans respond to dietary interventions similarly and further emphasize the benefits of this porcine model in the study of human metabolic diseases and health. 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