title: Fuel oxidation during exercise in middle-aged men: role of training and glucose disposal.
abstract: OBJECTIVE
  The purpose of this study was to test the hypothesis that carbohydrate (CHO) utilization in middle-aged trained men is increased during hard-intensity exercise and decreased during moderate-intensity exercise in comparison with age-matched sedentary men. We also investigated whether a relationship between CHO utilization and glucose disposal exists.
  
  
  METHODS
  Seven trained cyclists (Tr) and seven age-matched sedentary men (Sed) underwent an intravenous glucose tolerance test after an overnight fast (minimal model method) to determine their glucose disposal; they also performed two 1-h trials on a cycle ergometer below and above their individual ventilatory threshold (VT). Substrate oxidation was evaluated by indirect calorimetry. Hormonal responses were investigated during exercise.
  
  
  RESULTS
  Insulin sensitivity (SI) and glucose effectiveness (Sg) were significantly higher in the Tr group than in the Sed group (P < 0.001, P < 0.03). CHO oxidation was significantly higher in the Tr group than in the Sed group when exercise was performed above VT, whereas CHO oxidation was higher in the Sed group when exercise was performed below VT (P < 0.05). Epinephrine (Epi) response during hard-intensity exercise was higher in the Tr group than in the Sed group (P < 0.01). SI was negatively correlated to CHO oxidation in the Tr group (r = -0.743, P < 0.05).
  
  
  CONCLUSIONS
  Endurance training results in increased CHO utilization during hard-intensity exercise and reduced CHO oxidation during moderate-intensity exercise in middle-aged men. During hard-intensity exercise, the increased CHO utilization in middle-aged trained men is associated with a greater response in Epi and is inversely related with SI.
authors.affiliation: Service Central de Physiologie Clinique, Centre d'Exploration et de Réadaptation des Anomalies Métaboliques et Musculaires (CERAMM), CHU Lapeyronie, and Laboratoire de Biochimie B, CHU Saint Eloi, 34295 Montpellier Cedex 5, France. jerome.manetta@free.fr
authors.forename: Jerome
authors.initials: J
authors.lastname: Manetta
authors.forename: Jean Frederic
authors.initials: JF
authors.lastname: Brun
authors.forename: Antonia
authors.initials: A
authors.lastname: Perez-Martin
authors.forename: Albert
authors.initials: A
authors.lastname: Callis
authors.forename: Christian
authors.initials: C
authors.lastname: Prefaut
authors.forename: Jacques
authors.initials: J
authors.lastname: Mercier
mesh_terms: D001786:Blood Glucose / Q000378:metabolism*; D002153:Calorimetry, Indirect; D050260:Carbohydrate Metabolism; D004734:Energy Metabolism; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D005951:Glucose Tolerance Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption; D010807:Physical Endurance / Q000502:physiology*
chemical_list: D001786:Blood Glucose