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Departments of 1 Diagnostic Radiology and 2 Internal Medicine and 3 The Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, Connecticut 06510
This study compared muscle glycogen recovery
after depletion of ~50 mmol/l (
Gly) from normal (Nor) resting
levels (63.2 ± 2.8 mmol/l) with recovery after depletion of ~50
mmol/l from a glycogen-loaded (GL) state (99.3 ± 4.0 mmol/l) in 12 healthy, untrained subjects (5 men, 7 women). To glycogen load, a 7-day carbohydrate-loading protocol increased muscle glycogen 1.6 ± 0.2-fold (P
0.01). GL subjects then performed plantar
flexion (single-leg toe raises) at 50 ± 3% of maximum voluntary
contraction (MVC) to yield
Gly = 48.0 ± 1.3 mmol/l. The Nor trial,
performed on a separate occasion, yielded
Gly = 47.5 ± 4.5 mmol/l. Interleaved natural abundance
13C-31P-NMR spectra were acquired and
quantified before exercise and during 5 h of recovery immediately after
exercise. During the initial 15 min after exercise, glycogen recovery
in the GL trial was rapid (32.9 ± 8.9 mmol · l
1 · h
1)
compared with the Nor trial (15.9 ± 6.9 mmol · l
1 · h
1).
During the next 45 min, GL glycogen synthesis was not as rapid as in
the Nor trial (0.9 ± 2.5 mmol · l
1 · h
1
for GL; 14.7 ± 3.0 mmol · l
1 · h
1
for Nor; P
0.005) despite similar glucose
6-phosphate levels. During extended recovery (60-300 min), reduced
GL recovery rates continued (1.3 ± 0.5 mmol · l
1 · h
1
for GL; 3.9 ± 0.3 mmol · l
1 · h
1
for Nor; P
0.001). We conclude that glycogen
recovery from heavy exercise is controlled primarily by the remaining
postexercise glycogen concentration, with only a transient synthesis
period when glycogen levels are not severely reduced.
nuclear magnetic resonance; carbohydrate loading
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