PMID- 27493197 OWN - NLM STAT- MEDLINE DCOM- 20171211 LR - 20180920 IS - 1522-1601 (Electronic) IS - 0161-7567 (Linking) VI - 121 IP - 3 DP - 2016 Sep 1 TI - No difference in exogenous carbohydrate oxidation during exercise in children with and without impaired glucose tolerance. PG - 724-9 LID - 10.1152/japplphysiol.00419.2016 [doi] AB - The capacity to match carbohydrate (CHO) utilization with availability is impaired in insulin-resistant, obese adults at rest. Understanding exogenous carbohydrate (CHOexo) oxidation during exercise and its association to insulin resistance (IR) is important, especially in children at risk for type 2 diabetes. Our objective was to examine the oxidative efficiency of CHOexo during exercise in obese children with normal glucose tolerance (NGT) or impaired glucose tolerance (IGT). Children attended two visits and were identified as NGT (n = 22) or IGT (n = 12) based on 2-h oral glucose tolerance test (OGTT) glucose levels of <7.8 mmol/l or >/=7.8 mmol/l, respectively. Anthropometry, body composition, and aerobic fitness (V̇o2max) were assessed. Insulin and glucose at baseline, 30, 60, 90, and 120 min during the OGTT were used to calculate measures of insulin sensitivity. On a separate day, a (13)C-enriched CHO drink was ingested before exercise (3 x 20 min bouts) at 45% V̇o2max Breath measurements were collected to calculate CHOexo oxidative efficiency. CHOexo oxidative efficiency during exercise was similar in IGT (17.0 +/- 3.6%) compared with NGT (17.1 +/- 4.4%) (P = 0.90) despite lower whole body insulin sensitivity in IGT at rest (P = 0.02). Area under the curve for insulin (AUCins) measured at rest during the OGTT was greater in IGT compared with NGT (P = 0.04). The ability of skeletal muscle to utilize CHOexo was not impaired during exercise in children with IGT. CI - Copyright (c) 2016 the American Physiological Society. FAU - Chu, Lisa AU - Chu L AD - Child Health and Exercise Medicine Program, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; FAU - Morrison, Katherine M AU - Morrison KM AD - Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; and. FAU - Riddell, Michael C AU - Riddell MC AD - School of Kinesiology & Health Science, York University, Toronto, Ontario, Canada. FAU - Raha, Sandeep AU - Raha S AD - Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; and. FAU - Timmons, Brian W AU - Timmons BW AD - Child Health and Exercise Medicine Program, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; timmonbw@mcmaster.ca. LA - eng GR - MOP-111230/Canadian Institutes of Health Research/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160804 PL - United States TA - J Appl Physiol (1985) JT - Journal of applied physiology (Bethesda, Md. : 1985) JID - 8502536 RN - 0 (Insulin) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Carbohydrate Metabolism MH - Child MH - *Exercise MH - Female MH - Glucose/*metabolism MH - Glucose Intolerance/*physiopathology MH - Humans MH - Insulin/*blood MH - *Insulin Resistance MH - Male MH - Oxidation-Reduction OTO - NOTNLM OT - carbohydrate oxidation OT - children OT - exercise OT - obesity EDAT- 2016/08/06 06:00 MHDA- 2017/12/12 06:00 CRDT- 2016/08/06 06:00 PHST- 2016/05/04 00:00 [received] PHST- 2016/08/01 00:00 [accepted] PHST- 2016/08/06 06:00 [entrez] PHST- 2016/08/06 06:00 [pubmed] PHST- 2017/12/12 06:00 [medline] AID - japplphysiol.00419.2016 [pii] AID - 10.1152/japplphysiol.00419.2016 [doi] PST - ppublish SO - J Appl Physiol (1985). 2016 Sep 1;121(3):724-9. doi: 10.1152/japplphysiol.00419.2016. Epub 2016 Aug 4.