PS, Thyfault JP. Intrinsic aerobic capacity impacts susceptibility to acute high-fat diet-induced hepatic steatosis. Am J Physiol Endocrinol Metab 307: E355-E364, 2014. First published June 24, 2014; doi:10.1152/ajpendo.00093.2014.-Aerobic capacity/fitness significantly impacts susceptibility for fatty liver and diabetes, but the mechanisms remain unknown. Herein, we utilized rats selectively bred for high (HCR) and low (LCR) intrinsic aerobic capacity to examine the mechanisms by which aerobic capacity impacts metabolic vulnerability for fatty liver following a 3-day high-fat diet (HFD). Indirect calorimetry assessment of energy metabolism combined with radiolabeled dietary food was employed to examine systemic metabolism in combination with ex vivo measurements of hepatic lipid oxidation. The LCR, but not HCR, displayed increased hepatic lipid accumulation in response to the HFD despite both groups increasing energy intake. However, LCR rats had a greater increase in energy intake and demonstrated greater daily weight gain and percent body fat due to HFD compared with HCR. Additionally, total energy expenditure was higher in the larger LCR. However, controlling for the difference in body weight, the LCR has lower resting energy expenditure compared with HCR. Importantly, respiratory quotient was significantly higher during the HFD in the LCR compared with HCR, suggesting reduced whole body lipid utilization in the LCR. This was confirmed by the observed lower whole body dietary fatty acid oxidation in LCR compared with HCR. Furthermore, LCR liver homogenate and isolated mitochondria showed lower complete fatty acid oxidation compared with HCR. We conclude that rats bred for low intrinsic aerobic capacity show greater susceptibility for dietary-induced hepatic steatosis, which is associated with a lower energy expenditure and reduced whole body and hepatic mitochondrial lipid oxidation. fatty liver; energy intake; fitness; obesity; energy expenditure LOW AEROBIC CAPACITY OR FITNESS is a powerful predictor of cardiovascular and all-cause mortality independent of other risk factors, including smoking, obesity, previous cardiovascular disease, and diabetes (18,19). Importantly, improving fitness also significantly increases survival in previously low-fit individuals (19). Aerobic capacity is also an independent predictor for the development of the metabolic syndrome and type 2 diabetes (12, 34). Low aerobic capacity is also a powerful predictor of nonalcoholic fatty liver disease (NA-FLD) prevalence (2) and negatively impacts lifestyle-based treatments for NAFLD (16). However, the mechanism(s) linking low aerobic capacity to metabolic disease processes remains unknown. In particular, there are limited data documenting the whole body and liver-specific energy metabolism phenotypes that exist between groups of differing aerobic capacities and how these different phenotypes may modulate susceptibility for NAFLD.NAFLD represents a spectrum of disease initially characterized by steatosis that may progress to hepatic in...