期刊论文详细信息
Nutrition & Metabolism
Exercise prior to a freely requested meal modifies pre and postprandial glucose profile, substrate oxidation and sympathovagal balance
Didier Chapelot1  Aurélien Pichon1  Keyne Charlot1 
[1] Université Paris 13, Laboratoire des Réponses Cellulaires et Fonctionnelles à l'Hypoxie, UFR SMBH, 74 rue Marcel Cachin, 93017, Bobigny, France
关键词: freely requested meal;    sympathovagal balance;    heart rate variability;    fat oxidation;    postprandial glucose;    interstitial glucose;    preprandial glucose decline;    Exercise;   
Others  :  820317
DOI  :  10.1186/1743-7075-8-66
 received in 2011-07-19, accepted in 2011-09-24,  发布年份 2011
【 摘 要 】

Background

The effects of exercise on glucose and metabolic events preceding and following a freely initiated meal have never been assessed. Moreover, the relationship between these events and sympathovagal balance is not known. The objective of this study was to determine whether exercise prior to a freely requested meal modifies the pre- and postprandial glucose profile, substrate oxidation and sympathovagal balance.

Methods

Nine young active male subjects consumed a standard breakfast (2298 ± 357 kJ). After 120 min, they either performed 75 min of exercise on a cycle ergometer (EX - 70% VO2max) or rested (RT). Lunch was freely requested but eaten ad libitum only during the 1st session, and then energy intake was fixed across conditions. Glucose and sympathovagal balance were assessed continuously using a subcutaneous glucose monitoring system and analysis of heart rate variability, respectively. Every 5 min, a mean value was calculated for both glucose and sympathovagal balance. Substrate oxidation was determined by calculating the gas exchange ratio when lunch was requested and 180 min after the onset of eating.

Results

Preprandial glucose profiles were found in 72% of the sessions and with a similar frequency under both conditions. Meals were requested after a similar delay (40 ± 12 and 54 ± 10 min in EX and RT respectively; ns). At meal request, sympathovagal balance was not different between conditions but CHO oxidation was lower and fat oxidation higher in EX than in RT (-46% and +63%, respectively; both p < 0.05). Glucose responses to the meal were higher in incremental (+ 48%) but not in absolute value in EX than in RT, with a higher fat oxidation (+ 46%, p < 0.05), and a greater vagal withdrawal (+ 15%, p < 0.05).

Conclusions

These results show that exercise does not impair preprandial glucose declines at the following meal freely requested, but leads to an increased postprandial glucose response and an elevated fat oxidation, an effect that vagal withdrawal may contribute to explain.

【 授权许可】

   
2011 Charlot et al; licensee BioMed Central Ltd.

附件列表
Files Size Format View
Figure 1. 188KB Image download
Figure 5. 55KB Image download
Figure 4. 40KB Image download
Figure 3. 23KB Image download
Figure 2. 67KB Image download
Figure 1. 17KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

Figure 1.

【 参考文献 】
  • [1]O'Gorman DJ, Krook A: Exercise and the treatment of diabetes and obesity. Endocrinol Metab Clin North Am 2008, 37:887-903.
  • [2]Bonen A, Ball-Burnett M, Russel C: Glucose tolerance is improved after low- and high-intensity exercise in middle-age men and women. Can J Appl Physiol 1998, 23:583-593.
  • [3]King DS, Baldus PJ, Sharp RL, Kesl LD, Feltmeyer TL, Riddle MS: Time course for exercise-induced alterations in insulin action and glucose tolerance in middle-aged people. J Appl Physiol 1995, 78:17-22.
  • [4]Krzentowski G, Pirnay F, Luyckx AS, Pallikarakis N, Lacroix M, Mosora F, Lefebvre PJ: Metabolic adaptations in post-exercise recovery. Clin Physiol 1982, 2:277-288.
  • [5]Katsanos CS, Grandjean PW, Moffatt RJ: Effects of low and moderate exercise intensity on postprandial lipemia and postheparin plasma lipoprotein lipase activity in physically active men. J Appl Physiol 2004, 96:181-188.
  • [6]Folch N, Peronnet F, Massicotte D, Duclos M, Lavoie C, Hillaire-Marcel C: Metabolic response to small and large 13C-labelled pasta meals following rest or exercise in man. Br J Nutr 2001, 85:671-680.
  • [7]Bielinski R, Schutz Y, Jequier E: Energy metabolism during the postexercise recovery in man. Am J Clin Nutr 1985, 42:69-82.
  • [8]Heath GW, Gavin JR, Hinderliter JM, Hagberg JM, Bloomfield SA, Holloszy JO: Effects of exercise and lack of exercise on glucose tolerance and insulin sensitivity. J Appl Physiol 1983, 55:512-517.
  • [9]Pestell RG, Ward GM, Galvin P, Best JD, Alford FP: Impaired glucose tolerance after endurance exercise is associated with reduced insulin secretion rather than altered insulin sensitivity. Metabolism 1993, 42:277-282.
  • [10]Rose AJ, Howlett K, King DS, Hargreaves M: Effect of prior exercise on glucose metabolism in trained men. Am J Physiol Endocrinol Metab 2001, 281:E766-771.
  • [11]O'Connor AM, Pola S, Ward BM, Fillmore D, Buchanan KD, Kirwan JP: The gastroenteroinsular response to glucose ingestion during postexercise recovery. Am J Physiol Endocrinol Metab 2006, 290:E1155-1161.
  • [12]Petridou A, Gerkos N, Kolifa M, Nikolaidis MG, Simos D, Mougios V: Effect of exercise performed immediately before a meal of moderate fat content on postprandial lipaemia. Br J Nutr 2004, 91:683-687.
  • [13]Englert V, Wells K, Long W, Hickey MS, Melby CL: Effect of acute prior exercise on glycemic and insulinemic indices. J Am Coll Nutr 2006, 25:195-202.
  • [14]Long W, Wells K, Englert V, Schmidt S, Hickey MS, Melby CL: Does prior acute exercise affect postexercise substrate oxidation in response to a high carbohydrate meal? Nutr Metab (Lond) 2008, 5:2. BioMed Central Full Text
  • [15]Stiegler P, Sparks SA, Cunliffe A: Moderate exercise, postprandial energy expenditure, and substrate use in varying meals in lean and obese men. Int J Sport Nutr Exerc Metab 2008, 18:66-78.
  • [16]Pfeiffer M, Ludwig T, Wenk C, Colombani PC: The influence of walking performed immediately before meals with moderate fat content on postprandial lipemia. Lipids Health Dis 2005, 4:24. BioMed Central Full Text
  • [17]Manders RJ, Van Dijk JW, van Loon LJ: Low-intensity exercise reduces the prevalence of hyperglycemia in type 2 diabetes. Med Sci Sports Exerc 2010, 42:219-225.
  • [18]Matsuo T, Suzuki M: Effects of dietary composition and exercise timing on substrate utilization and sympathoadrenal function in healthy young women. Metabolism 1999, 48:1596-1602.
  • [19]Ahren B, Veith RC, Taborsky GJ Jr: Sympathetic nerve stimulation versus pancreatic norepinephrine infusion in the dog: 1). Effects on basal release of insulin and glucagon. Endocrinology 1987, 121:323-331.
  • [20]Patarrao RS, Lautt WW, Afonso RA, Ribeiro RT, Guarino MP, Fernandes AB, Boavida JM, Macedo MP: Meal-induced insulin sensitization and its parasympathetic regulation in humans. Can J Physiol Pharmacol 2008, 86:880-888.
  • [21]Benthem L, Mundinger TO, Taborsky GJ Jr: Parasympathetic inhibition of sympathetic neural activity to the pancreas. Am J Physiol Endocrinol Metab 2001, 280:E378-381.
  • [22]Montano N, Ruscone TG, Porta A, Lombardi F, Pagani M, Malliani A: Power spectrum analysis of heart rate variability to assess the changes in sympathovagal balance during graded orthostatic tilt. Circulation 1994, 90:1826-1831.
  • [23]Thompson DA, Wolfe LA, Eikelboom R: Acute effects of exercise intensity on appetite in young men. Med Sci Sports Exerc 1988, 20:222-227.
  • [24]King NA, Burley VJ, Blundell JE: Exercise-induced suppression of appetite: effects on food intake and implications for energy balance. Eur J Clin Nutr 1994, 48:715-724.
  • [25]King NA, Blundell JE: High-fat foods overcome the energy expenditure induced by high-intensity cycling or running. Eur J Clin Nutr 1995, 49:114-123.
  • [26]Finlayson G, Bryant E, Blundell JE, King NA: Acute compensatory eating following exercise is associated with implicit hedonic wanting for food. Physiol Behav 2009, 97:62-67.
  • [27]Hubert P, King NA, Blundell JE: Uncoupling the effects of energy expenditure and energy intake: appetite response to short-term energy deficit induced by meal omission and physical activity. Appetite 1998, 31:9-19.
  • [28]King NA, Appleton K, Rogers PJ, Blundell JE: Effects of sweetness and energy in drinks on food intake following exercise. Physiol Behav 1999, 66:375-379.
  • [29]King NA, Lluch A, Stubbs RJ, Blundell JE: High dose exercise does not increase hunger or energy intake in free living males. Eur J Clin Nutr 1997, 51:478-483.
  • [30]Lluch A, King NA, Blundell JE: Exercise in dietary restrained women: no effect on energy intake but change in hedonic ratings. Eur J Clin Nutr 1998, 52:300-307.
  • [31]Lluch A, King NA, Blundell JE: No energy compensation at the meal following exercise in dietary restrained and unrestrained women. Br J Nutr 2000, 84:219-225.
  • [32]Louis-Sylvestre J, Le Magnen J: Fall in blood glucose level precedes meal onset in free-feeding rats. Neurosci Biobehav Rev 1980, 4(Suppl 1):13-15.
  • [33]Chapelot D, Marmonier C, Aubert R, Gausseres N, Louis-Sylvestre J: A role for glucose and insulin preprandial profiles to differentiate meals and snacks. Physiol Behav 2004, 80:721-731.
  • [34]Melanson KJ, Westerterp-Plantenga MS, Campfield LA, Saris WH: Blood glucose and meal patterns in time-blinded males, after aspartame, carbohydrate, and fat consumption, in relation to sweetness perception. Br J Nutr 1999, 82:437-446.
  • [35]Melanson KJ, Westerterp-Plantenga MS, Campfield LA, Saris WH: Appetite and blood glucose profiles in humans after glycogen-depleting exercise. J Appl Physiol 1999, 87:947-954.
  • [36]Campfield LA, Smith FJ: Blood glucose dynamics and control of meal initiation: a pattern detection and recognition theory. Physiol Rev 2003, 83:25-58.
  • [37]Routh VH: Glucose-sensing neurons: are they physiologically relevant? Physiol Behav 2002, 76:403-413.
  • [38]Pittas AG, Hariharan R, Stark PC, Hajduk CL, Greenberg AS, Roberts SB: Interstitial glucose level is a significant predictor of energy intake in free-living women with healthy body weight. J Nutr 2005, 135:1070-1074.
  • [39]Adolfsson P, Nilsson S, Lindblad B: Continuous glucose monitoring system (CGMS) during physical exercise in adolescents with type 1 diabetes. Acta Paediatr 2011.
  • [40]Stunkard AJ, Messick S: The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985, 29:71-83.
  • [41]Gatta B, Zuberbuehler C, Arnold M, Aubert R, Langhans W, Chapelot D: Acute effects of pharmacological modifications of fatty acid metabolism on human satiety. Br J Nutr 2009, 101:1867-1877.
  • [42]Marmonier C, Chapelot D, Fantino M, Louis-Sylvestre J: Snacks consumed in a nonhungry state have poor satiating efficiency: influence of snack composition on substrate utilization and hunger. Am J Clin Nutr 2002, 76:518-528.
  • [43]Tavris DR, Shoaibi A: The public health impact of the MiniMed Continuous Glucose Monitoring System (CGMS)-an assessment of the literature. Diabetes Technol Ther 2004, 6:518-522.
  • [44]Boyne MS, Silver DM, Kaplan J, Saudek CD: Timing of changes in interstitial and venous blood glucose measured with a continuous subcutaneous glucose sensor. Diabetes 2003, 52:2790-2794.
  • [45]Weir JB: New methods for calculating metabolic rate with special reference to protein metabolism. 1949. Nutrition 1990, 6:213-221.
  • [46]Peronnet F, Massicotte D: Table of nonprotein respiratory quotient: an update. Can J Sport Sci 1991, 16:23-29.
  • [47]Jeukendrup AE, Wallis GA: Measurement of substrate oxidation during exercise by means of gas exchange measurements. Int J Sports Med 2005, 26(Suppl 1):S28-37.
  • [48]Niskanen JP, Tarvainen MP, Ranta-Aho PO, Karjalainen PA: Software for advanced HRV analysis. Comput Methods Programs Biomed 2004, 76:73-81.
  • [49]Force Task: Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996, 93:1043-1065.
  • [50]Pinna GD, Maestri R, Torunski A, Danilowicz-Szymanowicz L, Szwoch M, La Rovere MT, Raczak G: Heart rate variability measures: a fresh look at reliability. Clin Sci (Lond) 2007, 113:131-140.
  • [51]Matthews JN, Altman DG, Campbell MJ, Royston P: Analysis of serial measurements in medical research. BMJ 1990, 300:230-235.
  • [52]Goodwin ML: Blood glucose regulation during prolonged, submaximal, continuous exercise: a guide for clinicians. J Diabetes Sci Technol 2010, 4:694-705.
  • [53]Blom WA, de Graaf C, Lluch A, Stafleu A, Schaafsma G, Hendriks HF: Postprandial ghrelin responses are associated with the intermeal interval in time-blinded normal weight men, but not in obese men. Physiol Behav 2009.
  • [54]Cummings DE, Frayo RS, Marmonier C, Aubert R, Chapelot D: Plasma ghrelin levels and hunger scores in humans initiating meals voluntarily without time- and food-related cues. Am J Physiol Endocrinol Metab 2004, 287:E297-304.
  • [55]Frecka JM, Mattes RD: Possible entrainment of ghrelin to habitual meal patterns in humans. Am J Physiol Gastrointest Liver Physiol 2008, 294:G699-707.
  • [56]Martins C, Morgan LM, Bloom SR, Robertson MD: Effects of exercise on gut peptides, energy intake and appetite. J Endocrinol 2007, 193:251-258.
  • [57]Bailey DM, Davies B, Castell LM, Newsholme EA, Calam J: Physical exercise and normobaric hypoxia: independent modulators of peripheral cholecystokinin metabolism in man. J Appl Physiol 2001, 90:105-113.
  • [58]Clegg M, McClean C, Davison WG, Murphy HM, Trinick T, Duly E, McLaughlin J, Fogarty M, Shafat A: Exercise and postprandial lipaemia: effects on peripheral vascular function, oxidative stress and gastrointestinal transit. Lipids Health Dis 2007, 6:30. BioMed Central Full Text
  • [59]Cavalot F, Petrelli A, Traversa M, Bonomo K, Fiora E, Conti M, Anfossi G, Costa G, Trovati M: Postprandial blood glucose is a stronger predictor of cardiovascular events than fasting blood glucose in type 2 diabetes mellitus, particularly in women: lessons from the San Luigi Gonzaga Diabetes Study. J Clin Endocrinol Metab 2006, 91:813-819.
  • [60]Tuominen JA, Ebeling P, Koivisto VA: Exercise increases insulin clearance in healthy man and insulin-dependent diabetes mellitus patients. Clin Physiol 1997, 17:19-30.
  • [61]Roden M, Price TB, Perseghin G, Petersen KF, Rothman DL, Cline GW, Shulman GI: Mechanism of free fatty acid-induced insulin resistance in humans. J Clin Invest 1996, 97:2859-2865.
  • [62]Randle PJ, Garland PB, Hales CN, Newsholme EA: The glucose fatty-acid cycle. Its role in insulin sensitivity and the metabolic disturbances of diabetes mellitus. Lancet 1963, 1:785-789.
  • [63]Zhang L, Keung W, Samokhvalov V, Wang W, Lopaschuk GD: Role of fatty acid uptake and fatty acid beta-oxidation in mediating insulin resistance in heart and skeletal muscle. Biochim Biophys Acta 2010, 1801:1-22.
  • [64]Boden G, Jadali F, White J, Liang Y, Mozzoli M, Chen X, Coleman E, Smith C: Effects of fat on insulin-stimulated carbohydrate metabolism in normal men. J Clin Invest 1991, 88:960-966.
  • [65]Thorens B: Central control of glucose homeostasis: the brain--endocrine pancreas axis. Diabetes Metab 2010, 36(Suppl 3):S45-49.
  • [66]Ahren B, Holst JJ: The cephalic insulin response to meal ingestion in humans is dependent on both cholinergic and noncholinergic mechanisms and is important for postprandial glycemia. Diabetes 2001, 50:1030-1038.
  • [67]Altimiras J: Understanding autonomic sympathovagal balance from short-term heart rate variations. Are we analyzing noise? Comp Biochem Physiol A Mol Integr Physiol 1999, 124:447-460.
  • [68]Hautala A, Tulppo MP, Makikallio TH, Laukkanen R, Nissila S, Huikuri HV: Changes in cardiac autonomic regulation after prolonged maximal exercise. Clin Physiol 2001, 21:238-245.
  • [69]Chang CS, Ko CW, Lien HC, Chou MC: Varying postprandial abdominovagal and cardiovagal activity in normal subjects. Neurogastroenterol Motil 2010, 22:546-551. e119
  文献评价指标  
  下载次数:28次 浏览次数:17次