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Departments of 1 Medicine and 4 Clinical Physiology, 2 Turku PET Centre, and 5 Sports and Exercise Medicine Unit, Paavo Nurmi Centre, University of Turku, FIN-20521 Turku, Finland; and 3 Department of Nuclear Medicine, Hokkaido University, Sapporo, 060-8638 Japan
We have previously demonstrated reduced
myocardial glucose uptake rates in hearts of endurance athletes, which
could be due to increased use of alternative fuels or reduced energy
demands. In the present study myocardial blood flow, oxygen
consumption, and free fatty acid uptake were measured with
[15O]H2O,
[15O]O2,
[18F]FTHA, and
positron emission tomography (PET) in 9 endurance athletes and 11 sedentary men during euglycemic hyperinsulinemia. Compared with
sedentary men, athletes had 33% lower myocardial blood flow, 27%
lower oxygen consumption, and 20% lower estimated myocardial work per
gram of tissue. Myocardial fatty acid uptake rates were not
significantly different in endurance athletes (0.83 ± 0.29) and
sedentary men (1.0 ± 0.31 µmol · 100 g
1 · min
1,
P = 0.232). In conclusion, myocardial
blood flow and oxygen consumption per unit mass of myocardium are
reduced at rest in endurance athletes. This can be explained by reduced
energy requirements per gram of tissue due to anatomic and
physiological changes of the athlete's heart.
exercise; positron emission tomography; free fatty acid; myocardial metabolism; skeletal muscle
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