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Am J Physiol Endocrinol Metab 285: E116-E122, 2003. First published March 11, 2003; doi:10.1152/ajpendo.00543.2002
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Smoking impairs muscle recovery from exercise

Thomas B. Price,1 Suchitra Krishnan-Sarin,2 and Douglas L. Rothman1

Departments of 1Diagnostic Radiology and 2Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06510

Submitted 13 December 2002 ; accepted in final form 4 March 2003

Cigarette smoking is a leading cause of many adverse health consequences. Chronic nicotine exposure leads to insulin resistance and may increase the risk of developing non-insulin-dependent diabetes mellitus in young otherwise healthy smokers. To evaluate smoking-induced effects on carbohydrate metabolism, we studied muscle glycogen recovery from exercise in a young healthy population of smokers. The study used 31P-13C NMR spectroscopy to compare muscle glycogen and glucose 6-phosphate levels during recovery in exercised gastrocnemius muscles of randomized cohorts of healthy male smokers (S) and controls (C). Data for the two groups were as follows: S, ≥20 cigarettes/day (n = 8), 24 ± 2 yr, 173 ± 3 cm, 70 ± 4 kg and age- and weight-matched nonsmoking C (n = 10), 23 ± 1 yr, 175 ± 3 cm, 67 ± 3 kg. Subjects performed single-leg toe raises to deplete glycogen to ~20 mmol/l, and glycogen resynthesis was measured during the first 4 h of recovery. Plasma samples were assayed for glucose and insulin at rest and during recovery. Test subjects were recruited from the general community surrounding Yale University. Glycogen was depleted to similar levels in the two groups [23.5 ± 1.2 (S) and 19.1 ± 1.3 (C) mmol/l]. During the 1st h of recovery, glycogen synthesis rates were similar [13.8 ± 1.1 (S) and 15.3 ± 1.3 (C) mmol·l-1·h-1]. Between hours 1 and 4, glycogen synthesis was impaired in smokers [0.8 ± 0.2 (S) and 4.5 ± 0.5 (C) mmol·l-1·h-1, P = 0.0002] compared with controls. Glucose 6-phosphate was reduced in smokers during hours 1–4 [0.105 ± 0.006 (S) and 0.217 ± 0.019 (C) mmol/l, P = 0.0212]. We conclude that cigarette smoking impairs the insulin-dependent portion of muscle recovery from glycogen-depleting exercise. This impairment likely results from a reduction in glucose uptake.

carbon-13; nuclear magnetic resonance; metabolism; glycogen



Address for reprint requests and other correspondence: T. B. Price, Yale Univ. School of Medicine, Dept. of Diagnostic Radiology, 333 Cedar St., CB 58, New Haven, CT 06510 (E-mail: thomas.price{at}yale.edu).




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M. Montes de Oca, E. Loeb, S. H. Torres, J. De Sanctis, N. Hernandez, and C. Talamo
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