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1 Laboratory of Applied Physiology, Kyoto University Graduate School of Human and Environmental Studies, Kyoto 606-8501; and 2 Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan
There is
considerable evidence to suggest that electrical stimulation (ES)
activates glucose uptake in rodent skeletal muscle. It is,
however, unknown whether ES can lead to similar metabolic enhancement
in humans. We employed low-frequency ES through surface electrodes
placed over motor points of quadriceps femoris muscles. In male
subjects lying in the supine position, the highest oxygen uptake was
obtained by a stimulation pattern with 0.2-ms biphasic square pulses at
20 Hz and a 1-s on-off duty cycle. Oxygen uptake was increased by
approximately twofold throughout the 20-min stimulation period and
returned to baseline immediately after stimulation. Concurrent
elevation of the respiratory exchange ratio and blood lactate
concentration indicated anaerobic glycogen breakdown and utilization
during ES. Whole body glucose uptake determined by the glucose disposal
rate during euglycemic clamp was acutely increased by 2.5 mg · kg
1 · min
1
in response to ES and, moreover, remained elevated by 3-4
mg · kg
1 · min
1
for at least 90 min after cessation of stimulation. Thus the stimulatory effect of ES on whole body glucose uptake persisted not
only during, but also after, stimulation. Low-frequency ES may become a
useful therapeutic approach to activate energy and glucose metabolism
in humans.
glucose transport; euglycemic clamp; exercise; insulin sensitivity; oxygen uptake
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T. Hamada, T. Hayashi, T. Kimura, K. Nakao, and T. Moritani Electrical stimulation of human lower extremities enhances energy consumption, carbohydrate oxidation, and whole body glucose uptake J Appl Physiol, March 1, 2004; 96(3): 911 - 916. [Abstract] [Full Text] [PDF] |
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