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Am J Physiol Endocrinol Metab (July 30, 2002). doi:10.1152/ajpendo.00271.2002
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Articles in PresS, published online ahead of print July 30, 2002
Am J Physiol Endocrinol Metab, 10.1152/ajpendo.00271.2002
Submitted on June 20, 2002
Accepted on July 24, 2002

Regulation of Exercise Carbohydrate Metabolism by Estrogen and Progesterone in Women

Tara M D'Eon1, Carrie Sharoff1, Stuart R Chipkin2, Daniel Grow3, Brent C Ruby4, and Barry Braun1*

1 Department of Exercise Science, University of Massachusetts, Amherst, MA, USA
2 Division of endocrinology, Diabetes and Metabolism, Baystate Medical Center, Springfield, MA, USA
3 Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, MA, USA
4 Department of Health and Human Performance, University of Montana, Missoula, MT, USA

* To whom correspondence should be addressed. E-mail: bbraun{at}excsci.umass.edu.

To assess the roles of E2 and P4 in regulating exercise carbohydrate use, we used pharmacological suppression and replacement to create 3 distinct hormonal environments; Baseline (B), with E2 and P4 low; Estrogen only (E), with E2 high and P4 low); and Estrogen/Progesterone (E+P), with E2 and P4 high. Blood glucose uptake (Rd), total carbohydrate oxidation (CHOox) and estimated muscle glycogen utilization (EMGU) were assessed during 60' of submaximal exercise using stable isotope dilution and indirect calorimetry in 8 eumenorrheic women. Compared with B (1.26±.04 g/min) and E+P (1.27±.04 g/min), CHOox was lower with E (1.05±.02 g/min). Glucose Rd tended to be lower with E and E+P relative to B. EMGU was 25% lower with E compared with B and E+P. Plasma free fatty acids were were inversely related to EMGU (r2 = 0.49). The data suggest that estrogen lowers CHOox by reducing EMGU and glucose Rd. Progesterone increases EMGU but not glucose Rd. The opposing actions of E2 and P4 on EMGU may be mediated by their impact on FFA availability or vice versa.




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