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Division of Endocrinology, Diabetes and Metabolism, Division of Geriatrics, General Clinical Research Center, and Diabetes Research and Training Center, Washington University School of Medicine, St. Louis, Missouri 63110
To test the
hypothesis that glycemic sensitivity to epinephrine is reduced in older
individuals and to assess the impact of a sedentary lifestyle on
responses to the hormone, we performed 30-min sequential intravenous
infusions of epinephrine (0, 41, 82, 164, 246, and 328 pmol · kg
1 · min
1)
in young (n = 10) and older
(n = 23) healthy subjects. We
performed these again after 12 mo of physical training, which raised
peak O2 consumption from 24.4 ± 1.0 to 30.4 ± 1.4 ml · kg
1 · min
1
(P < 0.01) in most of the older
subjects (n = 21). During epinephrine infusions, plasma epinephrine concentrations were higher
(P = 0.0001) in older than in young
subjects (e.g., final values of 7,280 ± 500 vs. 4,560 ± 380 pmol/l,
respectively), indicating that the clearance of epinephrine from the
circulation was reduced in the older individuals. Plasma epinephrine
concentration-response curves disclosed reduced glycemic sensitivity to
the hormone in the older subjects (P = 0.0001), a finding plausibly attributed to increased sympathetic neural
activity, as evidenced here by higher plasma norepinephrine
concentrations (P = 0.0001) in the older subjects and consequent desensitization of cellular
responsiveness to catecholamines. Training did not correct reduced
epinephrine clearance, reduced glycemic sensitivity to epinephrine, or
raised norepinephrine levels. We conclude that aging is associated with reduced clearance of epinephrine from the circulation and reduced glycemic sensitivity to epinephrine, the latter plausibly attributed to
an age-associated increase in sympathetic neural norepinephrine release. These age-associated changes are not the result of a sedentary lifestyle.
aging; glucose
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