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J Appl Physiol 93: 77-84, 2002. First published March 1, 2002; doi:10.1152/japplphysiol.00773.2001
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Vol. 93, Issue 1, 77-84, July 2002

Effect of cold exposure on fuel utilization in humans: plasma glucose, muscle glycogen, and lipids

François Haman1, François Péronnet2, Glen P. Kenny3, Denis Massicotte4, Carole Lavoie5, Chris Scott3, and Jean-Michel Weber1

1 Département de Biologie and 3 École des Sciences de l'Activité Physique, Université d'Ottawa, Ottawa, Ontario K1N 6N5; 2 Département de Kinésiologie, Université de Montréal, Montréal, Québec H3C 3J7; 4 Département de Kinanthropologie, Université du Québec à Montréal, Montréal, Québec H3C 3P8; and 5 Département des Sciences de l'Activité Physique, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada G9A 5H7

The relative roles of circulatory glucose, muscle glycogen, and lipids in shivering thermogenesis are unclear. Using a combination of indirect calorimetry and stable isotope methodology ([U-13C]glucose ingestion), we have quantified the oxidation rates of these substrates in men acutely exposed to cold for 2 h (liquid conditioned suit perfused with 10°C water). Cold exposure stimulated heat production by 2.6-fold and increased the oxidation of plasma glucose from 39.4 ± 2.4 to 93.9 ± 5.5 mg/min (+138%), of muscle glycogen from 126.6 ± 7.8 to 264.2 ± 36.9 mg glucosyl units/min (+109%), and of lipids from 46.9 ± 3.2 to 176.5 ± 17.3 mg/min (+376%). Despite the observed increase in plasma glucose oxidation, this fuel only supplied 10% of the energy for heat generation. The major source of carbohydrate was muscle glycogen (75% of all glucose oxidized), and lipids produced as much heat as all other fuels combined. During prolonged, low-intensity shivering, we conclude that total heat production is unequally shared among lipids (50%), muscle glycogen (30%), plasma glucose (10%), and proteins (10%). Therefore, future research should focus on lipids and muscle glycogen that provide most of the energy for heat production.

energy metabolism; shivering thermogenesis; heat loss; plasma glucose oxidation; stable isotopes


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