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1 Center for the Study of Health Effects of Exercise in Children, University of California, Children's Hospital, College of Medicine, Irvine, California, USA
* To whom correspondence should be addressed. E-mail: dcooper{at}uci.edu.
Circulating insulin-like growth factor-I (IGF-I) is correlated with fitness, but results of prospective exercise training studies have been inconsistent showing both increases and decreases in IGF-I. We hypothesized that energy balance, often not accounted for, is a regulating variable such that training plus an energy intake deficit would cause a reduction in IGF-I while training plus energy intake excess would lead to an increased IGF-I. To test this 19 young healthy men completed a 7-day strenuous exercise program in which they were randomly assigned to either a positive energy balance (overfed, OF, n=10) or negative energy balance (Underfed, UF, n=9) group. IGF-I (free and total), insulin, and IGF binding protein-1 were measured before, during, and one week following the training using ELISA. UF subjects significantly lost while OF subjects significantly gained weight. Free and total IGF-I decreased substantially in the UF group (p<0.0005 for both), but in the OF group IGF-I remained unchanged. The UF group also demonstrated an increase in IGF binding protein-1 (p<0.027) while glucose levels decreased (p<0.0005). In contrast, insulin was reduced in both the OF and UF exercise training groups (p<0.044). Finally, within 7 days of the cessation of the diet and training regimen, IGF-I in the UF group rapidly increased to pre-intervention levels. These data show that energy balance during periods of exercise training substantially and rapidly influences circulating IGF-I and related growth mediators. The data also suggest that exercise associated mechanisms oppose increases in IGF-I early in the course of a training protocol even in overfed subjects.
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