title: Myocardial blood flow, oxygen consumption, and fatty acid uptake in endurance athletes during insulin stimulation.
abstract: We have previously demonstrated reduced myocardial glucose uptake rates in hearts of endurance athletes, which could be due to increased use of alternative fuels or reduced energy demands. In the present study myocardial blood flow, oxygen consumption, and free fatty acid uptake were measured with [(15)O]H(2)O, [(15)O]O(2), [(18)F]FTHA, and positron emission tomography (PET) in 9 endurance athletes and 11 sedentary men during euglycemic hyperinsulinemia. Compared with sedentary men, athletes had 33% lower myocardial blood flow, 27% lower oxygen consumption, and 20% lower estimated myocardial work per gram of tissue. Myocardial fatty acid uptake rates were not significantly different in endurance athletes (0.83 +/- 0.29) and sedentary men (1.0 +/- 0.31 micromol. 100 g(-1). min(-1), P = 0.232). In conclusion, myocardial blood flow and oxygen consumption per unit mass of myocardium are reduced at rest in endurance athletes. This can be explained by reduced energy requirements per gram of tissue due to anatomic and physiological changes of the athlete's heart.
authors.affiliation: Department of Medicine, Paavo Nurmi Centre, University of Turku, FIN-20521 Turku, Finland.
authors.forename: T O
authors.initials: TO
authors.lastname: Takala
authors.forename: P
authors.initials: P
authors.lastname: Nuutila
authors.forename: C
authors.initials: C
authors.lastname: Katoh
authors.forename: M
authors.initials: M
authors.lastname: Luotolahti
authors.forename: J
authors.initials: J
authors.lastname: Bergman
authors.forename: M
authors.initials: M
authors.lastname: Mäki
authors.forename: V
authors.initials: V
authors.lastname: Oikonen
authors.forename: U
authors.initials: U
authors.lastname: Ruotsalainen
authors.forename: T
authors.initials: T
authors.lastname: Grönroos
authors.forename: M
authors.initials: M
authors.lastname: Haaparanta
authors.forename: J
authors.initials: J
authors.lastname: Kapanen
authors.forename: J
authors.initials: J
authors.lastname: Knuuti
mesh_terms: D000328:Adult; D001794:Blood Pressure; D003326:Coronary Circulation / Q000187:drug effects*; D004452:Echocardiography; D005230:Fatty Acids, Nonesterified / Q000378:metabolism*; D005947:Glucose / Q000378:metabolism; D006339:Heart Rate; D006439:Hemodynamics; D006801:Humans; D006946:Hyperinsulinism / Q000000981:diagnostic imaging / Q000378:metabolism / Q000503:physiopathology; D007328:Insulin / Q000494:pharmacology*; D008297:Male; D009206:Myocardium / Q000378:metabolism; D010101:Oxygen Consumption / Q000187:drug effects*; D010807:Physical Endurance / Q000502:physiology*; D012016:Reference Values; D013177:Sports
chemical_list: D005230:Fatty Acids, Nonesterified; D007328:Insulin; D005947:Glucose