The human metabolic response to chronic ketosis without caloric restriction: Preservation of submaximal exercise capability with reduced carbohydrate oxidation

Metabolism ◽  
1983 ◽  
Vol 32 (8) ◽  
pp. 769-776 ◽  
Author(s):  
S.D. Phinney ◽  
B.R. Bistrian ◽  
W.J. Evans ◽  
E. Gervino ◽  
G.L. Blackburn
2009 ◽  
Vol 297 (3) ◽  
pp. R867-R876 ◽  
Author(s):  
T. Seifert ◽  
P. Rasmussen ◽  
P. Brassard ◽  
P. H. Homann ◽  
M. Wissenberg ◽  
...  

Endurance training improves muscular and cardiovascular fitness, but the effect on cerebral oxygenation and metabolism remains unknown. We hypothesized that 3 mo of endurance training would reduce cerebral carbohydrate uptake with maintained cerebral oxygenation during submaximal exercise. Healthy overweight males were included in a randomized, controlled study (training: n = 10; control: n = 7). Arterial and internal jugular venous catheterization was used to determine concentration differences for oxygen, glucose, and lactate across the brain and the oxygen-carbohydrate index [molar uptake of oxygen/(glucose + ½ lactate); OCI], changes in mitochondrial oxygen tension (ΔPMitoO2) and the cerebral metabolic rate of oxygen (CMRO2) were calculated. For all subjects, resting OCI was higher at the 3-mo follow-up (6.3 ± 1.3 compared with 4.7 ± 0.9 at baseline, mean ± SD; P < 0.05) and coincided with a lower plasma epinephrine concentration ( P < 0.05). Cerebral adaptations to endurance training manifested when exercising at 70% of maximal oxygen uptake (∼211 W). Before training, both OCI (3.9 ± 0.9) and ΔPMitoO2 (−22 mmHg) decreased ( P < 0.05), whereas CMRO2 increased by 79 ± 53 micromol·100·g−1 min−1 ( P < 0.05). At the 3-mo follow-up, OCI (4.9 ± 1.0) and ΔPMitoO2 (−7 ± 13 mmHg) did not decrease significantly from rest and when compared with values before training ( P < 0.05), CMRO2 did not increase. This study demonstrates that endurance training attenuates the cerebral metabolic response to submaximal exercise, as reflected in a lower carbohydrate uptake and maintaind cerebral oxygenation.


1999 ◽  
Vol 276 (3) ◽  
pp. E489-E496 ◽  
Author(s):  
C. Goreham ◽  
H. J. Green ◽  
M. Ball-Burnett ◽  
D. Ranney

To investigate the hypothesis that changes in muscle submaximal exercise metabolism would occur as a result of fiber hypertrophy, induced by high-resistance training (HRT), active but untrained males (age 20 ± 0.7 yr; mean ± SE) performed lower-limb weight training 3 days/wk for 12 wk using three sets of 6–8 repetitions maximal (RM)/day. Muscle metabolism was examined at different stages of training (4, 7, and 12 wk) using a two-stage continuous cycle test performed at the same absolute power output and duration (56.4 ± 2.9 min) and representing 57 and 72% of pretraining peak aerobic power (V˙o 2 peak). Compared with pretraining, at the end of exercise, HRT resulted in a higher ( P < 0.05) phosphocreatine (PCr; 27.4 ± 6.7 vs. 38.0 ± 1.9 mmol/kg dry wt), a lower lactate (38.9 ± 8.5 vs. 24.4 ± 6.1 mmol/kg dry wt), and a higher ( P < 0.05) glycogen content (132 ± 11 vs. 181 ± 7.5 mmol glucosyl units/kg dry wt). The percent change from rest before and after training was 63 and 50% for PCr, 676 and 410% for lactate, and 60 and 43% for glycogen, respectively. These adaptations, which were observed only at 72%V˙o 2 peak, occurred by 4 wk of training in the case of PCr and glycogen and before any changes in fiber cross-sectional area, capillarization, or oxidative potential. Fiber hypertrophy, observed at 7 and 12 wk of training, failed to potentiate the metabolic response. No effect of HRT was found onV˙o 2 peak with training (41.2 ± 2.9 vs. 41.0 ± 2.1 ml ⋅ kg−1 ⋅ min−1) or on the steady-state, submaximal exercise rate of oxygen consumption. It is concluded that the HRT results in muscle metabolic adaptations that occur independently of fiber hypertrophy.


2015 ◽  
Vol 47 ◽  
pp. 639
Author(s):  
Jennifer J. Zwetsloot ◽  
Lindsey Miller ◽  
Barrett Ward ◽  
Christina Gilboy ◽  
Hannah McGlamery

2013 ◽  
Vol 23 (4) ◽  
pp. 369-377 ◽  
Author(s):  
Scott C. Forbes ◽  
Vicki Harber ◽  
Gordon J. Bell

L-arginine may enhance endurance performance mediated by two primary mechanisms including enhanced secretion of endogenous growth hormone (GH) and as a precursor of nitric oxide (NO); however, research in trained participants has been equivocal. The purpose was to investigate the effect of acute L-arginine ingestion on the hormonal and metabolic response during submaximal exercise in trained cyclists. Fifteen aerobically trained men (age: 28 ± 5 y; body mass: 77.4 ± 9.5 kg; height: 180.9 ± 7.9 cm; VO2max: 59.6 ± 5.9 ml·kg-1·min−1) participated in a randomized, double-blind, crossover study. Subjects consumed L-arginine (ARG; 0.075 g·kg-1 body mass) or a placebo (PLA) before performing an acute bout of submaximal exercise (60 min at 80% of power output achieved at ventilatory threshold). The ARG condition significantly increased plasma L-arginine concentrations (~146%), while no change was detected in the PLA condition. There were no differences between conditions for GH, nonesterified fatty acids (NEFA), lactate, glucose, VO2, VCO2, RER, CHO oxidation, and NOx. There was reduced fat oxidation at the start of exercise (ARG: 0.36 ± 0.25 vs. PLA: 0.42 ± 0.23 g·min−1, p < .05) and an elevated plasma glycerol concentrations at the 45-min time point (ARG: 340.3 vs. PLA: 288.5 μmol·L-1, p < .05) after L-arginine consumption. In conclusion, the acute ingestion of L-arginine did not alter any hormonal, metabolic, or cardio-respiratory responses during submaximal exercise except for a small but significant increase in glycerol at the 45-min time point and a reduction in fat oxidation at the start of exercise.


1998 ◽  
Vol 85 (5) ◽  
pp. 1823-1832 ◽  
Author(s):  
Tracy J. Horton ◽  
Michael J. Pagliassotti ◽  
Karen Hobbs ◽  
James O. Hill

This study aimed to determine gender-based differences in fuel metabolism in response to long-duration exercise. Fuel oxidation and the metabolic response to exercise were compared in men ( n = 14) and women ( n = 13) during 2 h (40% of maximal O2 uptake) of cycling and 2 h of postexercise recovery. In addition, subjects completed a separate control day on which no exercise was performed. Fuel oxidation was measured using indirect calorimetry, and blood samples were drawn for the determination of circulating substrate and hormone levels. During exercise, women derived proportionally more of the total energy expended from fat oxidation (50.9 ± 1.8 and 43.7 ± 2.1% for women and men, respectively, P < 0.02), whereas men derived proportionally more energy from carbohydrate oxidation (53.1 ± 2.1 and 45.7 ± 1.8% for men and women, respectively, P < 0.01). These gender-based differences were not observed before exercise, after exercise, or on the control day. Epinephrine ( P < 0.007) and norepinephrine ( P < 0.0009) levels were significantly greater during exercise in men than in women (peak epinephrine concentrations: 208 ± 36 and 121 ± 15 pg/ml in men and women, respectively; peak norepinephrine concentrations: 924 ± 125 and 659 ± 68 pg/ml in men and women, respectively). As circulating glycerol levels were not different between the two groups, this suggests that women may be more sensitive to the lipolytic action of the catecholamines. In conclusion, these data support the view that different priorities are placed on lipid and carbohydrate oxidation during exercise in men and women and that these gender-based differences extend to the catecholamine response to exercise.


1993 ◽  
Vol 75 (1) ◽  
pp. 70-75 ◽  
Author(s):  
A. R. Coggan ◽  
D. L. Habash ◽  
L. A. Mendenhall ◽  
S. C. Swanson ◽  
C. L. Kien

Endurance training reduces the rate of CO2 release (i.e., VCO2) during submaximal exercise, which has been interpreted to indicate a reduction in carbohydrate oxidation. However, decreased ventilation, decreased buffering of lactate, and/or increased fixation of CO2 could also account for a lower VCO2 after training. We therefore used a primed continuous infusion of NaH13CO3 to determine the whole body rate of appearance of CO2 (RaCO2) in seven men during 2 h of cycle ergometer exercise at 60% of pretraining peak O2 uptake (VO2peak) before and after endurance training. RaCO2 is independent of the above-described factors affecting VCO2 but may overestimate net CO2 production due to pyruvate carboxylation and subsequent isotopic exchange in the tricarboxylic acid cycle. Training consisted of cycling at 75–100% VO2peak for 45–90 min/day, 6 days/wk, for 12 wk and increased VO2peak by 28% (P < 0.001). VCO2 during submaximal exercise was reduced from 86.8 +/- 3.7 to 76.2 +/- 4.2 mmol/min, whereas RaCO2 fell from 88.9 +/- 4.0 to 76.4 +/- 4.4 mmol/min (both P < 0.001). VCO2 and RaCO2 were highly correlated in the untrained (r = 0.98, P < 0.001) and trained (r = 0.99, P < 0.001) states, as were individual changes in VCO2 and RaCO2 with training (r = 0.88, P < 0.01). These results support the hypothesis that endurance training decreases CO2 production during exercise. The magnitude and direction of this change cannot be explained by reported training-induced alterations in amino acid oxidation, indicating that it must be the result of a decrease in carbohydrate oxidation and an increase in fat oxidation.(ABSTRACT TRUNCATED AT 250 WORDS)


Metabolites ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 750
Author(s):  
Marie-Pierre Schippers ◽  
Oswaldo Ramirez ◽  
Margarita Arana ◽  
Grant B. McClelland

Exercise is an important performance trait in mammals and variation in aerobic capacity and/or substrate allocation during submaximal exercise may be important for survival at high altitude. Comparisons between lowland and highland populations is a fruitful approach to understanding the mechanisms for altitude differences in exercise performance. However, it has only been applied in very few highland species. The leaf-eared mice (LEM, genus Phyllotis) of South America are a promising taxon to uncover the pervasiveness of hypoxia tolerance mechanisms. Here we use lowland and highland populations of Andean and Lima LEM (P. andium and P. limatus), acclimated to common laboratory conditions, to determine exercise-induced maximal oxygen consumption (V˙O2max), and submaximal exercise metabolism. Lowland and highland populations of both species showed no difference in V˙O2max running in either normoxia or hypoxia. When run at 75% of V˙O2max, highland Andean LEM had a greater reliance on carbohydrate oxidation to power exercise. In contrast, highland Lima LEM showed no difference in exercise fuel use compared to their lowland counterparts. The higher carbohydrate oxidation seen in highland Andean LEM was not explained by maximal activities of glycolytic enzymes in the gastrocnemius muscle, which were equivalent to lowlanders. This result is consistent with data on highland deer mouse populations and suggests changes in metabolic regulation may explain altitude differences in exercise performance.


Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Monica C Serra ◽  
Charlene E Hafer-Macko ◽  
Frederick M Ivey ◽  
Alice S Ryan

We have previously shown that 27% and 45% of chronic stroke survivors have impaired fasting glucose (IFG) and impaired glucose tolerance (IGT), respectively, placing them at high risk for the development of type 2 diabetes (T2DM). These glucose abnormalities may contribute to metabolic inflexibility, which is the failure to appropriately adapt substrate oxidation to substrate availability. Thus, we tested the hypothesis that the ability to shift from fat (respiratory exchange ratio (RER)=0.7) to carbohydrate (RER=1.0) oxidation during exercise is reduced in stroke survivors with increasing fasting (G0) and 2-hr oral glucose tolerance test (G120) glucose levels. Chronic hemiparetic stroke patients without T2DM (N=18; 63±2 year old; mean±SEM) underwent a graded exercise stress test, with indirect calorimetry for measurement of peak fitness (VO 2 peak). Additionally, we measured RER at rest and during submaximal exercise (60% of VO 2 peak), and subjects completed an OGTT for measurement of G0 and G120. On average, subjects were obese (BMI: 30±2 kg/m 2 ; 19-45 ml/kg/min) and had poor VO 2 peak levels (20±1 ml/kg/min; 9-33 ml/kg/min). Thirty three percent had neither IFG nor IGT, while 33% had IFG (G0: 5.22±0.19 mmol/L), 56% had IGT (G120: 7.94±0.49 mmol/L), and 22% had both IFG and IGT. At rest, RER was 0.71±0.01 and increased to 0.78±0.01 at 60% of VO 2 peak (P<0.01). After controlling for obesity and VO 2 peak, G0 related to RER at 60% of VO 2 peak (r=-0.47) and the change in RER (60%VO 2 peak-rest; r=-0.42) (P’s<0.05). G120 also related to the change in RER (r=-0.36) (P’s<0.05). Our results indicate that lower carbohydrate oxidation and the change in carbohydrate oxidation during exercise of increasing intensity are related to hyperglycemia in chronic stroke survivors. This inflexibility may limit the capacity to fulfill the energy requirements of daily physical activity performance, thereby heightening the probability of a more sedentary lifestyle post-stroke.


2013 ◽  
Vol 23 (4) ◽  
pp. 357-368 ◽  
Author(s):  
Gordon I. Smith ◽  
Asker E. Jeukendrup ◽  
Derek Ball

At rest, administration of the short-chain fatty acid acetate suppresses fat oxidation without affecting carbohydrate utilization. The combined effect of increased acetate availability and exercise on substrate utilization is, however, unclear. With local ethics approval, we studied the effect of ingesting either sodium acetate (NaAc) or sodium bicarbonate (NaHCO3) at a dose of 4 mmol·kg-1 body mass 90 min before completing 120 min of exercise at 50% VO2peak. Six healthy young men completed the trials after an overnight fast and ingested the sodium salts in randomized order. As expected NaAc ingestion decreased resting fat oxidation (mean ± SD; 0.09 ± 0.02 vs. 0.07 ± 0.02 g·min-1 pre- and post-ingestion respectively, p < .05) with no effect upon carbohydrate utilization. In contrast, NaHCO3 ingestion had no effect on substrate utilization at rest. In response to exercise, fat and CHO oxidation increased in both trials, but fat oxidation was lower (0.16 ± 0.10 vs. 0.29 ± 0.11 g·min-1, p < .05) and carbohydrate oxidation higher (1.67 ± 0.35 vs. 1.44 ± 0.22 g·min-1, p < .05) in the NaAc trial compared with the NaHCO3 trial during the first 15 min of exercise. Over the final 75 min of exercise an increase in fat oxidation and decrease in carbohydrate oxidation was observed only in the NaAc trial. These results demonstrate that increasing plasma acetate concentration suppresses fat oxidation both at rest and at the onset of moderate-intensity exercise.


Metabolism ◽  
1983 ◽  
Vol 32 (8) ◽  
pp. 757-768 ◽  
Author(s):  
S.D. Phinney ◽  
B.R. Bistrian ◽  
R.R. Wolfe ◽  
G.L. Blackburn

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