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University of California, Berkeley 94720; Geriatric Research, Education, and Clinical Center, Palo Alto Veterans Affairs Medical Center, Palo Alto, California 95304; University of Colorado Health Sciences Center, Denver, Colorado 80262; and United States Army Research Institute of Environmental Medicine, Natick, Massachusetts 01760
Received 12 September 1994; accepted in final form 15 February 1996.
Roberts, A. C., G. E. Butterfield, A. Cymerman, J. T. Reeves, E. E. Wolfel, and G. A. Brooks. Acclimatization to 4,300-m altitude decreases reliance on fat as a substrate. J. Appl. Physiol. 81(4): 1762-1771, 1996.
We tested
the hypothesis that exposure to altitude decreases reliance on free
fatty acids (FFA) as substrates and increases dependency on blood
glucose. Therefore, the effects of exercise, hypobaric hypoxia, and
altitude acclimatization on FFA, glycerol and net glucose uptake and
release [ = 2(leg blood flow)(arteriovenous concentration)]
and on fatty acid (FA) consumption by the legs (= 3 × glycerol
release + FFA uptake) were measured. Because sympathetic responses have
been implicated, we utilized nonspecific
-blockade and observed
responses to exercise, altitude, and altitude acclimatization. We
studied six healthy
-blocked men (
) and five matched controls (C)
during rest and cycle ergometry exercise (88 W) at 49% of sea-level
(SL) peak O2 uptake at the same
absolute power output on acute altitude exposure (A1; barometric pressure = 430 Torr) and after 3 wk of chronic altitude exposure to
4,300 m (A2). During exercise at SL, FA consumption rates increased (P < 0.05). On arrival at 4,300 m,
resting leg FFA uptake and FA consumption rates were not significantly
different from those at SL. However, after acclimatization to altitude,
at rest leg FA consumption decreased to essentially zero in both C and
groups. During exercise at altitude after acclimatization, leg FA
consumption increased significantly, but values were less than at SL or
A1 (P < 0.05), whereas glucose
uptake increased relative to SL values. Furthermore,
-blockade
significantly increased glucose uptake relative to control. We conclude
that 1) chronic altitude exposure decreases leg FA consumption during rest and exercise;
2) relative to SL, FFA uptake
decreases while glucose uptake increases during exercise at altitude;
and 3)
-blockade potentiates
these effects.
exertion; adaptation; metabolism; free fatty acids; glycerol; lipolysis; glucose; hypoxia
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