PEDEvidence

SOURCE-LINKED STUDY SUMMARY

Metformin inhibits mitochondrial adaptations to aerobic exercise training in older adults.

Aging cell ·

Human

Full paper summarizedQuality not appraised
What was studied
This double-blind trial tested whether metformin alters cardiorespiratory, insulin-sensitivity and skeletal-muscle mitochondrial adaptations to aerobic training.
Who / model studied
Fifty-three older adults, averaging about 62 years and free of chronic disease but with at least one diabetes risk factor, received placebo or metformin.
Studied dose & schedule
Participants completed supervised aerobic training three times weekly for 12 weeks. Metformin began at 500 mg/day and rose weekly to 2,000 mg/day; lighter participants could receive 1,500 mg/day. Placebo was matched.
What the study found
Metformin inhibited the exercise-related gain in insulin sensitivity, attenuated the VO2max increase and abolished increases in mitochondrial respiration, although mitochondrial protein synthesis was similar between groups and responses varied.
Limitations & context
There was no metformin-only arm and insulin sensitivity was not measured with the gold-standard hyperinsulinemic-euglycemic clamp.

Read summary source ↗ · Prepared 10/6/2026 · AI-assisted, source-based summary

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Summary prepared: . Source scope: full paper. This is an AI-assisted source summary, not an independent clinician sign-off.

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Research findings apply to the population and conditions studied. This educational summary is not a treatment recommendation or a formal assessment of study quality.

Original publication ↗ · DOI: 10.1111/acel.12880

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