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First published online on February 10, 2005.
Copyright © 2005 by The Physiological Society
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Received January 14, 2005
Revised February 7, 2005
Accepted after revision February 7, 2005

EXERCISE IN THE FASTED STATE FACILITATES FIBRE TYPE SPECIFIC INTRAMYOCELLULAR LIPID BREAKDOWN AND STIMULATES GLYCOGEN RESYNTHESIS

Katrien De Bock1*, Erik A Richter2, Aaron P Russell3, Bert O Eijnde4, Wim Derave4, Monique Ramaekers4, Erwin Koninckx4, Bertrand Léger5, Johan Verhaeghe6, and Peter Hespel4

1 Faculty of Kinesiology and Rehabilitation sciences (University of Leuven)
2 Copenhagen Muscle Research Centre
3 Clinique Romande de Réadaption, Sion, Switzerland
4 Exercise Physiology and Biomechanics Laboratory, Leuven, Belgium
5 Clinique Romnade de Réadaption, Sion, Switzerland
6 Gynaecology and Obstetrics Unit, Faculty of Medicine, Leuven, Belgium

* To whom correspondence should be addressed. E-mail: katrien.debock{at}faber.kuleuven.be.

The effect of exercise in the fasted state, versus exercise with high rate carbohydrate intake, on intramyocellular triglyceride (IMTG) and glycogen content was investigated. According to a randomized crossover study design, nine young healthy volunteers (n=9) participated in two experimental sessions with an interval of 3 weeks. In each session subjects performed 2 hours of constant-load bicycle exercise (~75% VO2max), followed by 4 hours of controlled recovery. On one occasion they exercised after an overnight fast (F). On the other occasion (CHO) they received carbohydrates before (~150g) and during (1gkg-1 bwhr-1) exercise. In either condition, subjects ingested 5gcarbohydrates per kg bw during recovery. Fibre type-specific relative IMTG content was determined by oil-red-oil staining in needle biopsies from m. vastus lateralis before, immediately after and 4hr after exercise. During F but not during CHO, the exercise bout decreased IMTG content in type I fibres from 18 ± 2% to 6 ± 2% (p=0.007). Conversely, during recovery, IMTG in type I fibres decreased from 15 ± 2% to 10 ± 2% in CHO, but did not change in F. Neither exercise nor recovery changed IMTG in type IIa fibers in any experimental condition. Exercise-induced net glycogen breakdown was similar between F and CHO. However, compared with CHO (11.0±7.8 mmolkg-1hr-1), mean rate of postexercise muscle glycogen resynthesis was 3-fold greater in F (32.9±2.7 mmolkg-1hr-1, p=0.01). Furthermore, oral glucose loading during recovery increased plasma insulin markedly more in F (+46.80 µUml-1) than in CHO (+14.63 µUml-1, p=0.02). We conclude that IMTG breakdown during prolonged submaximal exercise in the fasted state takes place in type I fibers predominantly and that this breakdown is prevented in the CHO-fed state. Furthermore, facilitated glucose-induced insulin secretion may contribute to enhanced muscle glycogen resynthesis following exercise in the fasted state.


Key words: Human muscle • Insulin • Leptin




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