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Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1
To determine the influence of
a diuretic-induced reduction in plasma volume (PV) on substrate
turnover and oxidation, 10 healthy young males were studied during 60 min of cycling exercise at 61% peak oxygen uptake on two separate
occasions
1 wk apart. Exercise was performed under control
conditions (CON; placebo), and after 4 days of diuretic administration
(DIU; Novotriamazide; 100 mg triamterene and 50 mg
hydrochlorothiazide). DIU resulted in a calculated reduction of
PV by 14.6 ± 3.3% (P < 0.05). Rates of glucose
appearance (Ra) and disappearance (Rd) and
glycerol Ra were determined by using primed
constant infusions of [6,6-2H]glucose and
[2H5]glycerol, respectively. No differences
in oxygen uptake during exercise were observed between trials. Main
effects for condition (P < 0.05) were observed for
plasma glucose and glycerol, such that the values observed for DIU were
higher than for CON. No differences were observed in plasma
lactate and serum free fatty acid concentrations either at rest or
during exercise. Hypohydration led to lower (P < 0.05)
glucose Ra and Rd at rest and at 15 and 30 min
of exercise, but by 60 min, the effects were reversed
(P < 0.05). Hypohydration had no effect on rates of
whole body lipolysis or total carbohydrate or fat oxidation. A main
effect for condition (P < 0.05) was observed for
plasma glucagon concentrations such that larger values were observed
for DIU than for CON. A similar decline in plasma insulin occurred with
exercise in both conditions. These results indicate that
diuretic-induced reductions in PV decreases glucose kinetics during
moderate-intensity dynamic exercise in the absence of changes in total
carbohydrate and fat oxidation. The specific effect on glucose kinetics
depends on the duration of the exercise.
glucose turnover; glycerol turnover; lipolysis; stable isotopes
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