title: Exercise in the fasted state facilitates fibre type-specific intramyocellular lipid breakdown and stimulates glycogen resynthesis in humans.
abstract: The effects were compared of exercise in the fasted state and exercise with a high rate of carbohydrate intake on intramyocellular triglyceride (IMTG) and glycogen content of human muscle. Using a randomized crossover study design, nine young healthy volunteers participated in two experimental sessions with an interval of 3 weeks. In each session subjects performed 2 h of constant-load bicycle exercise ( approximately 75% ), followed by 4 h of controlled recovery. On one occasion they exercised after an overnight fast (F), and on the other (CHO) they received carbohydrates before ( approximately 150 g) and during (1 g (kg bw)(-1) h(-1)) exercise. In both conditions, subjects ingested 5 g carbohydrates per kg body weight during recovery. Fibre type-specific relative IMTG content was determined by Oil red O staining in needle biopsies from m. vastus lateralis before, immediately after and 4 h 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) area lipid staining. 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 fibres in any experimental condition. Exercise-induced net glycogen breakdown was similar in F and CHO. However, compared with CHO (11.0 +/- 7.8 mmol kg(-1) h(-1)), mean rate of postexercise muscle glycogen resynthesis was 3-fold greater in F (32.9 +/- 2.7 mmol kg(-1) h(-1), P = 0.01). Furthermore, oral glucose loading during recovery increased plasma insulin markedly more in F (+46.80 microU ml(-1)) than in CHO (+14.63 microU ml(-1), P = 0.02). We conclude that IMTG breakdown during prolonged submaximal exercise in the fasted state takes place predominantly in type I fibres 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.
authors.affiliation: Exercise Physiology and Biomechanics Laboratory, Faculty of Kinesiology and Rehabilitation Sciences, K.U.Leuven, Tervuursevest 101, B-3001 Leuven (Heverlee), Belgium.
authors.forename: K
authors.initials: K
authors.lastname: De Bock
authors.forename: E A
authors.initials: EA
authors.lastname: Richter
authors.forename: A P
authors.initials: AP
authors.lastname: Russell
authors.forename: B O
authors.initials: BO
authors.lastname: Eijnde
authors.forename: W
authors.initials: W
authors.lastname: Derave
authors.forename: M
authors.initials: M
authors.lastname: Ramaekers
authors.forename: E
authors.initials: E
authors.lastname: Koninckx
authors.forename: B
authors.initials: B
authors.lastname: Léger
authors.forename: J
authors.initials: J
authors.lastname: Verhaeghe
authors.forename: P
authors.initials: P
authors.lastname: Hespel
mesh_terms: D000328:Adult; D018592:Cross-Over Studies; D004040:Dietary Carbohydrates / Q000378:metabolism; D015444:Exercise / Q000502:physiology*; D005215:Fasting / Q000097:blood / Q000378:metabolism*; D006003:Glycogen / Q000097:blood / Q000378:metabolism*; D006801:Humans; D008297:Male; D018485:Muscle Fibers, Skeletal / Q000378:metabolism*; D018657:Muscle Fibers, Slow-Twitch / Q000378:metabolism; D014280:Triglycerides / Q000097:blood / Q000378:metabolism*
chemical_list: D004040:Dietary Carbohydrates; D014280:Triglycerides; D006003:Glycogen