PMID- 1987792 OWN - NLM STAT- MEDLINE DCOM- 19910221 LR - 20171213 IS - 0002-9513 (Print) IS - 0002-9513 (Linking) VI - 260 IP - 1 Pt 1 DP - 1991 Jan TI - Interaction of exercise and insulin action in humans. PG - E37-45 AB - To assess the interaction of exercise and insulin action, healthy males were studied with saline infusion (n = 5) or with a hyperinsulinemic euglycemic clamp (0.5, 1.0, 2.0, or 15.0 mU.kg-1.min-1; n = 5 at each dose) during rest (40 min), moderate-intensity cycle exercise (100 min), and recovery (100 min). Metabolism was assessed using isotopic methods and indirect calorimetry. During rest, exercise, and recovery with saline infusion, plasma glucose was unchanged, total glucose utilization (Rd) was 2.4 +/- 0.4, 4.9 +/- 0.2, and 2.6 +/- 0.2 mg.kg-1.min-1, and carbohydrate (CHO) oxidation (OX) was 1.4 +/- 0.3, 10.6 +/- 1.1, and 0.5 +/- 0.2 mg.kg-1.min-1. The glucose infusion, insulin-dependent Rd, and CHO OX increased synergistically when exercise and insulin clamps were combined. Exercise decreased (P less than 0.05) the half-maximal doses (ED50) and increased the maximal responses (Vmax) for insulin-dependent Rd and CHO OX. Estimates of insulin-independent Rd were 1.3 +/- 0.7, 4.1 +/- 1.3, and 1.9 +/- 0.7 mg.kg-1.min-1 and insulin-independent CHO OX were 1.2 +/- 0.9, 10.4 +/- 1.3, and 0.6 +/- 0.3 mg.kg-1.min-1 during rest, exercise, and recovery. Estimates during exercise were greater than those at rest (P less than 0.05). The total suppression of free fatty acids (FFA) and fat OX by insulin were elevated by exercise (P less than 0.05). In summary, exercise and insulin interact synergistically in stimulating Rd and CHO OX.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Wasserman, D H AU - Wasserman DH AD - Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232. FAU - Geer, R J AU - Geer RJ FAU - Rice, D E AU - Rice DE FAU - Bracy, D AU - Bracy D FAU - Flakoll, P J AU - Flakoll PJ FAU - Brown, L L AU - Brown LL FAU - Hill, J O AU - Hill JO FAU - Abumrad, N N AU - Abumrad NN LA - eng GR - DK-26657/DK/NIDDK NIH HHS/United States GR - DK-42488/DK/NIDDK NIH HHS/United States GR - SP60-AM-20593-08/SP/CSAP SAMHSA HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Physiol JT - The American journal of physiology JID - 0370511 RN - 0 (Amino Acids) RN - 0 (Blood Glucose) RN - 0 (Fatty Acids, Nonesterified) RN - 0 (Insulin) RN - 0 (Lactates) RN - IY9XDZ35W2 (Glucose) RN - PDC6A3C0OX (Glycerol) RN - X4W3ENH1CV (Norepinephrine) RN - YKH834O4BH (Epinephrine) SB - IM MH - Adult MH - Amino Acids/blood MH - Blood Glucose/*metabolism MH - *Carbohydrate Metabolism MH - Epinephrine/*blood MH - *Exercise MH - Fatty Acids, Nonesterified/blood MH - Glucose/metabolism MH - Glucose Clamp Technique MH - Glycerol/blood MH - Humans MH - Insulin/blood/*pharmacology MH - Insulin Infusion Systems MH - Lactates/blood MH - Male MH - Norepinephrine/*blood MH - *Physical Exertion MH - Reference Values EDAT- 1991/01/01 00:00 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PHST- 1991/01/01 00:00 [pubmed] PHST- 1991/01/01 00:01 [medline] PHST- 1991/01/01 00:00 [entrez] AID - 10.1152/ajpendo.1991.260.1.E37 [doi] PST - ppublish SO - Am J Physiol. 1991 Jan;260(1 Pt 1):E37-45. doi: 10.1152/ajpendo.1991.260.1.E37.