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Am J Physiol Endocrinol Metab 283: E809-E816, 2002. First published June 25, 2002; doi:10.1152/ajpendo.00237.2001
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Vol. 283, Issue 4, E809-E816, October 2002

SG, SI, and EGP of exercise-trained middle-aged men estimated by a two-compartment labeled minimal model

Yuichiro Nishida1, Kumpei Tokuyama2, Shoichiro Nagasaka3, Yasuki Higaki4, Kanta Fujimi5, Akira Kiyonaga6, Munehiro Shindo6, Ikuyo Kusaka3, Tomoatsu Nakamura3, San-E Ishikawa3, Toshikazu Saito3, Orie Nakamura2, Yuzo Sato1, and Hiroaki Tanaka6

1 Research Center of Health, Physical Fitness and Sports, Nagoya University, Nagoya 464-8601; 2 Laboratory of Biochemistry of Exercise and Nutrition, Institute of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574; 3 Division of Endocrinology and Metabolism, Department of Medicine, Jichi Medical School, Tochigi 329-0498; 4 Department of Community Health Science, Saga Medical School, Saga 849-8501; 5 Department of Internal Medicine, School of Medicine, and 6 Laboratory of Exercise Physiology, Faculty of Health and Sports Science, Fukuoka University, Fukuoka, 814-0180 Japan

To examine the effects of physical training on glucose effectiveness (SG), insulin sensitivity (SI), and endogenous glucose production (EGP) in middle-aged men, stable-labeled frequently sampled intravenous glucose tolerance tests (FSIGTT) were performed on 11 exercise-trained middle-aged men and 12 age-matched sedentary men. The time course of EGP during the FSIGTT was estimated by nonparametric stochastic deconvolution. Glucose uptake-specific indexes of glucose effectiveness (S<UP><SUB>G</SUB><SUP>2</SUP></UP>* × 102: 0.81 ± 0.08 vs. 0.60 ± 0.05 dl · min-1 · kg-1, P < 0.05) and insulin sensitivity [S<UP><SUB>I</SUB><SUP>2</SUP></UP>*  × 104: 24.59 ± 2.98 vs. 11.89 ± 2.36 dl · min-1 · (µU/ml)-1 · kg-1, P < 0.01], which were analyzed using the two-compartment minimal model, were significantly greater in the trained group than in the sedentary group. Plasma clearance rate (PCR) of glucose was consistently greater in the trained men than in sedentary men throughout FSIGTT. Compared with sedentary controls, EGP of trained middle-aged men was higher before glucose load. The EGP of the two groups was similarly suppressed by ~70% within 10 min, followed by an additional suppression after insulin infusion. EGP returned to basal level at ~60 min in the trained men and at 100 min in the controls, followed by its overshoot, which was significantly greater in the trained men than in the controls. In addition, basal EGP was positively correlated with S<UP><SUB>G</SUB><SUP>2</SUP></UP>*. The higher basal EGP and greater EGP overshoot in trained middle-aged men appear to compensate for the increased insulin-independent (S<UP><SUB>G</SUB><SUP>2</SUP></UP>*) and -dependent (S<UP><SUB>I</SUB><SUP>2</SUP></UP>*) glucose uptake to maintain glucose homeostasis.

glucose effectiveness; insulin sensitivity; endogenous glucose production; stable isotopes


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K. M. Krudys, M. G. Dodds, S. M. Nissen, and P. Vicini
Integrated model of hepatic and peripheral glucose regulation for estimation of endogenous glucose production during the hot IVGTT
Am J Physiol Endocrinol Metab, May 1, 2005; 288(5): E1038 - E1046.
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