Glucose administration before exercise modulates catecholaminergic responses in glycogen-depleted subjects

Gozal, David, Patrice Thiriet, Jean Marie Cottet-Emard,Dieudonné Wouassi, Emmanuel Bitanga, André Geyssant, JeanMarc Pequignot, and Marcel Sagnol. Glucose administration before exercise modulates catecholaminergic responses in glycogen-depleted subjects. J. Appl. Physiol. 82(1):248-256, 1997.In glycogen-depleted subjects (GD) a nonlinearincrease in epinephrine (Epi) and norepinephrine (NE) parallels bloodlactate (La) during graded exercise. The effect of glucose(Glc) supplementation and route of administration on theserelationships was studied in 26 GD athletes who were randomly assignedto receive 1.3 g/kg Glc by slow intravenous infusion (IV;n = 9), oral administration (PO;n = 9), or artificially sweetenedplacebo in 1 liter of water (Asp; n = 8) in the 2 h preceding a graded maximal exercise. Performance and Lawere similar among the three groups in normal glycogen (NG) or GDconditions. However, slightly improved performances were observed in GDcompared with NG and were associated with a shift to the right in Lacurves. Blood Glc concentrations were higher in IV and PO beforeexercise, but they rapidly decreased to lowest levels in IV, graduallydecreased over time in PO, and remained stable in Asp or NG. Insulinconcentrations were highest in IV and lowest in Asp and NG at onset ofexercise, rapidly decreasing in IV and PO although remaining at higherlevels than in Asp or NG. In contrast, higher serum levels of freefatty acids were measured during exercise in Asp with no significant differences in glucagon or glycerol among the three groups. Free andsulfated NE increases were smaller in IV than in PO and Asp onexhaustion. In contrast, free and conjugated Epi were most increased inIV, with smallest increases in Asp. Dopamine levels were most increasedin IV at exhaustion. We conclude that the changes of Epi and NEconcentrations, associated with the activation of glucoregulatorymechanisms, including hyperinsulinemia, display different magnitude andtime courses during exercise in GD subjects who receive oral vs.intravenous load of Glc before exercise. We speculate that themagnitude of insulin surge after acutely increased Glc before exercisein GD subjects may exert dissociative effects on adrenal-dependentglycogenolysis and on sympathetic responses.