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Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise

Sheri R. Colberg, James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley The Department of Medicine, University of Pittsburgh School of Medicine, and Department of Veterans Affairs Medical Center, Pittsburgh, Pennsylvania 15261 Received 15 December 1995; accepted i...

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Published in:Journal of applied physiology (1985) 1996-11, Vol.81 (5), p.2027-2033
Main Authors: Colberg, Sheri R, Hagberg, James M, McCole, Steve D, Zmuda, Joseph M, Thompson, Paul D, Kelley, David E
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description Sheri R. Colberg, James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley The Department of Medicine, University of Pittsburgh School of Medicine, and Department of Veterans Affairs Medical Center, Pittsburgh, Pennsylvania 15261 Received 15 December 1995; accepted in final form 7 May 1996. Colberg, Sheri R., James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley. Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise. J. Appl. Physiol. 81(4): 2027-2033, 1996. To test the hypothesis that substrate utilization during mild-intensity exercise differs in non-insulin-dependent diabetes mellitus (NIDDM) compared with nondiabetic subjects, seven lean healthy subjects (L), seven obese healthy subjects (O), and seven individuals with NIDDM were studied during 40 min of mild-intensity cycling (40% of peak O 2 uptake). Systemic utilization of plasma glucose (Glc Rd) was determined by using isotope dilution methods. Gas exchange was measured to determine rates of carbohydrate (CHO) and lipid oxidation. During exercise, when CHO oxidation was greater than Glc Rd, the net oxidation of glycogen was calculated as the difference: CHO oxidation   Glc Rd. During mild-intensity cycling, the respiratory exchange ratio was similar across groups (0.87 ± 0.02, 0.85 ± 0.02, and 0.86 ± 0.01 in L, O, and NIDDM subjects, respectively), and CHO oxidation accounted for one-half of total energy expenditure during exercise. Glc Rd increased during exercise and was greatest in subjects with NIDDM (3.0 ± 0.2, 2.9 ± 0.2, and 4.5 ± 0.4 ml · kg 1 · min 1 in L, O, and NIDDM subjects, respectively, P  
doi_str_mv 10.1152/jappl.1996.81.5.2027
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Colberg, James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley The Department of Medicine, University of Pittsburgh School of Medicine, and Department of Veterans Affairs Medical Center, Pittsburgh, Pennsylvania 15261 Received 15 December 1995; accepted in final form 7 May 1996. Colberg, Sheri R., James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley. Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise. J. Appl. Physiol. 81(4): 2027-2033, 1996. To test the hypothesis that substrate utilization during mild-intensity exercise differs in non-insulin-dependent diabetes mellitus (NIDDM) compared with nondiabetic subjects, seven lean healthy subjects (L), seven obese healthy subjects (O), and seven individuals with NIDDM were studied during 40 min of mild-intensity cycling (40% of peak O 2 uptake). Systemic utilization of plasma glucose (Glc Rd) was determined by using isotope dilution methods. Gas exchange was measured to determine rates of carbohydrate (CHO) and lipid oxidation. During exercise, when CHO oxidation was greater than Glc Rd, the net oxidation of glycogen was calculated as the difference: CHO oxidation   Glc Rd. During mild-intensity cycling, the respiratory exchange ratio was similar across groups (0.87 ± 0.02, 0.85 ± 0.02, and 0.86 ± 0.01 in L, O, and NIDDM subjects, respectively), and CHO oxidation accounted for one-half of total energy expenditure during exercise. Glc Rd increased during exercise and was greatest in subjects with NIDDM (3.0 ± 0.2, 2.9 ± 0.2, and 4.5 ± 0.4 ml · kg 1 · min 1 in L, O, and NIDDM subjects, respectively, P  &lt; 0.05), yet Glc Rd was less than CHO oxidation during exercise, indicating net oxidation of glycogen. Glycogen oxidation was greater in L and O than in NIDDM subjects (3.4 ± 1.0, 2.5 ± 0.9, and 1.7 ± 0.8 ml · kg 1 · min 1 ; P  &lt; 0.05). In summary, during mild-intensity exercise, NIDDM subjects have an increased Glc Rd and a decreased oxidation of muscle glycogen. obesity; non-insulin-dependent diabetes mellitus; glucose uptake; muscle glycogen; gas exchange 0161-7567/96 $5.00 Copyright © 1996 the American Physiological Society</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>DOI: 10.1152/jappl.1996.81.5.2027</identifier><identifier>PMID: 8941525</identifier><identifier>CODEN: JAPHEV</identifier><language>eng</language><publisher>Bethesda, MD: Am Physiological Soc</publisher><subject>Anaerobic Threshold - physiology ; Associated diseases and complications ; Biological and medical sciences ; Blood Glucose - metabolism ; Body Composition - physiology ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes. 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Apud cells (diseases) ; Endocrinopathies ; Energy Metabolism - physiology ; Exercise - physiology ; Fatty Acids, Nonesterified - blood ; Female ; Glycogen - metabolism ; Humans ; Male ; Medical sciences ; Middle Aged ; Obesity - metabolism ; Oxidation-Reduction ; Pulmonary Gas Exchange - physiology ; Space life sciences</subject><ispartof>Journal of applied physiology (1985), 1996-11, Vol.81 (5), p.2027-2033</ispartof><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-135eb5248df099fc04fdd7437739c03fc220f6bd5a24d32f09ab3b4fc21f63653</citedby><cites>FETCH-LOGICAL-c440t-135eb5248df099fc04fdd7437739c03fc220f6bd5a24d32f09ab3b4fc21f63653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2494091$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8941525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Colberg, Sheri R</creatorcontrib><creatorcontrib>Hagberg, James M</creatorcontrib><creatorcontrib>McCole, Steve D</creatorcontrib><creatorcontrib>Zmuda, Joseph M</creatorcontrib><creatorcontrib>Thompson, Paul D</creatorcontrib><creatorcontrib>Kelley, David E</creatorcontrib><title>Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise</title><title>Journal of applied physiology (1985)</title><addtitle>J Appl Physiol (1985)</addtitle><description>Sheri R. Colberg, James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley The Department of Medicine, University of Pittsburgh School of Medicine, and Department of Veterans Affairs Medical Center, Pittsburgh, Pennsylvania 15261 Received 15 December 1995; accepted in final form 7 May 1996. Colberg, Sheri R., James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley. Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise. J. Appl. Physiol. 81(4): 2027-2033, 1996. To test the hypothesis that substrate utilization during mild-intensity exercise differs in non-insulin-dependent diabetes mellitus (NIDDM) compared with nondiabetic subjects, seven lean healthy subjects (L), seven obese healthy subjects (O), and seven individuals with NIDDM were studied during 40 min of mild-intensity cycling (40% of peak O 2 uptake). Systemic utilization of plasma glucose (Glc Rd) was determined by using isotope dilution methods. Gas exchange was measured to determine rates of carbohydrate (CHO) and lipid oxidation. During exercise, when CHO oxidation was greater than Glc Rd, the net oxidation of glycogen was calculated as the difference: CHO oxidation   Glc Rd. During mild-intensity cycling, the respiratory exchange ratio was similar across groups (0.87 ± 0.02, 0.85 ± 0.02, and 0.86 ± 0.01 in L, O, and NIDDM subjects, respectively), and CHO oxidation accounted for one-half of total energy expenditure during exercise. Glc Rd increased during exercise and was greatest in subjects with NIDDM (3.0 ± 0.2, 2.9 ± 0.2, and 4.5 ± 0.4 ml · kg 1 · min 1 in L, O, and NIDDM subjects, respectively, P  &lt; 0.05), yet Glc Rd was less than CHO oxidation during exercise, indicating net oxidation of glycogen. Glycogen oxidation was greater in L and O than in NIDDM subjects (3.4 ± 1.0, 2.5 ± 0.9, and 1.7 ± 0.8 ml · kg 1 · min 1 ; P  &lt; 0.05). In summary, during mild-intensity exercise, NIDDM subjects have an increased Glc Rd and a decreased oxidation of muscle glycogen. obesity; non-insulin-dependent diabetes mellitus; glucose uptake; muscle glycogen; gas exchange 0161-7567/96 $5.00 Copyright © 1996 the American Physiological Society</description><subject>Anaerobic Threshold - physiology</subject><subject>Associated diseases and complications</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Body Composition - physiology</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. 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Colberg, James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley The Department of Medicine, University of Pittsburgh School of Medicine, and Department of Veterans Affairs Medical Center, Pittsburgh, Pennsylvania 15261 Received 15 December 1995; accepted in final form 7 May 1996. Colberg, Sheri R., James M. Hagberg, Steve D. McCole, Joseph M. Zmuda, Paul D. Thompson, and David E. Kelley. Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise. J. Appl. Physiol. 81(4): 2027-2033, 1996. To test the hypothesis that substrate utilization during mild-intensity exercise differs in non-insulin-dependent diabetes mellitus (NIDDM) compared with nondiabetic subjects, seven lean healthy subjects (L), seven obese healthy subjects (O), and seven individuals with NIDDM were studied during 40 min of mild-intensity cycling (40% of peak O 2 uptake). Systemic utilization of plasma glucose (Glc Rd) was determined by using isotope dilution methods. Gas exchange was measured to determine rates of carbohydrate (CHO) and lipid oxidation. During exercise, when CHO oxidation was greater than Glc Rd, the net oxidation of glycogen was calculated as the difference: CHO oxidation   Glc Rd. During mild-intensity cycling, the respiratory exchange ratio was similar across groups (0.87 ± 0.02, 0.85 ± 0.02, and 0.86 ± 0.01 in L, O, and NIDDM subjects, respectively), and CHO oxidation accounted for one-half of total energy expenditure during exercise. Glc Rd increased during exercise and was greatest in subjects with NIDDM (3.0 ± 0.2, 2.9 ± 0.2, and 4.5 ± 0.4 ml · kg 1 · min 1 in L, O, and NIDDM subjects, respectively, P  &lt; 0.05), yet Glc Rd was less than CHO oxidation during exercise, indicating net oxidation of glycogen. Glycogen oxidation was greater in L and O than in NIDDM subjects (3.4 ± 1.0, 2.5 ± 0.9, and 1.7 ± 0.8 ml · kg 1 · min 1 ; P  &lt; 0.05). In summary, during mild-intensity exercise, NIDDM subjects have an increased Glc Rd and a decreased oxidation of muscle glycogen. obesity; non-insulin-dependent diabetes mellitus; glucose uptake; muscle glycogen; gas exchange 0161-7567/96 $5.00 Copyright © 1996 the American Physiological Society</abstract><cop>Bethesda, MD</cop><pub>Am Physiological Soc</pub><pmid>8941525</pmid><doi>10.1152/jappl.1996.81.5.2027</doi><tpages>7</tpages></addata></record>
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subjects Anaerobic Threshold - physiology
Associated diseases and complications
Biological and medical sciences
Blood Glucose - metabolism
Body Composition - physiology
Diabetes Mellitus, Type 2 - metabolism
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Energy Metabolism - physiology
Exercise - physiology
Fatty Acids, Nonesterified - blood
Female
Glycogen - metabolism
Humans
Male
Medical sciences
Middle Aged
Obesity - metabolism
Oxidation-Reduction
Pulmonary Gas Exchange - physiology
Space life sciences
title Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise
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