Effect of exercise on insulin action in human skeletal muscle

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    Abstract

    The effect of 1 h of dynamic one-legged exercise on insulin action in human muscle was studied in 6 healthy young men. Four hours after one-legged knee extensions, a three-step sequential euglycemic hyperinsulinemic clamp combined with arterial and bilateral femoral vein catheterization was performed. Increased insulin action on glucose uptake was found in the exercised compared with the rested thigh at mean plasma insulin concentrations of 23, 40, and 410 microU/ml. Furthermore, prior contractions directed glucose uptake toward glycogen synthesis and increased insulin effects on thigh O2 consumption and at some insulin concentrations on potassium exchange. In contrast, no change in insulin effects on limb exchange of free fatty acids, glycerol, alanine or tyrosine were found after exercise. Glycogen concentration in rested vastus lateralis muscle did not increase measurably during the clamp even though indirect estimates indicated net glycogen synthesis. In contrast, in exercised muscle estimated and biopsy-verified increases in muscle glycogen concentration agreed. Local contraction-induced increases in insulin sensitivity and responsiveness play an important role in postexercise recovery of human skeletal muscle.

    Original languageEnglish
    JournalJournal of Applied Physiology
    Volume66
    Issue number2
    Pages (from-to)876-885
    Number of pages10
    ISSN8750-7587
    Publication statusPublished - 1989

    Keywords

    • Adult
    • Alanine
    • Fatty Acids, Nonesterified
    • Glucose
    • Glycogen
    • Glycogen Synthase
    • Humans
    • Insulin
    • Lactates
    • Lactic Acid
    • Male
    • Muscle Contraction
    • Muscles
    • Oxygen Consumption
    • Physical Exertion

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