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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 14 [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
This article has been cited by other articles:
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M. Montes de Oca, E. Loeb, S. H. Torres, J. De Sanctis, N. Hernandez, and C. Talamo Peripheral Muscle Alterations in Non-COPD Smokers Chest, January 1, 2008; 133(1): 13 - 18. [Abstract] [Full Text] [PDF] |
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